AHRQ Patient Safety Network

The Collection > Intraoperative Complications

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Intraoperative Complications

•Retained Surgical Instruments and Sponges (60)

•Wrong-Site Surgery (79)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (5)

Resource Types

•Clinical Guideline (3)

•Journal Article (133)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (39)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (57)

•Active Errors (88)

•Latent Errors (11)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (48)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (67)

•Communication Improvement (68)

•Human Factors Engineering (56)

•Teamwork (23)

•Specialization of Care (2)

•Logistical Approaches (3)

•Culture of Safety (15)

•Technologic Approaches (23)

•Education and Training (36)

Clinical Areas

Target Audience

•Health Care Providers (152)

•Health Care Executives and Administrators (128)

•Non-Health Care Professionals (38)

•Patients (40)

Setting of Care

•Hospitals (179)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (6)

•Outpatient Surgery (7)

1 - 20 of 197

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COMMENTARY

Use of the common gas outlet for supplementary oxygen during Caesarean section.

Edsell ME, Erasmus PD. Anaesthesia. 2005;60:1152-1153.

STUDY

How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.

Chard R. AORN J. 2010;91:132-145.

COMMENTARY

Counting for patient safety.

Watson DS. AORN J. 2006;84:273-275.

NEWSPAPER/MAGAZINE ARTICLE

The horror of awakening during surgery.

Foreman J. Boston Globe. February 8, 2005.

COMMENTARY

Unexplained Apnea under Anesthesia.

Barach P. AHRQ WebM&M [serial online]. February 2003.

STUDY

Simulation-based trial of surgical-crisis checklists.

Arriaga AF, Bader AM, Wong JM, et al. N Engl J Med. 2013;368:246-253.

NEWSPAPER/MAGAZINE ARTICLE

When surgery goes wrong: weighing up the risks.

Feinmann J. The Independent. November 14, 2006.

STUDY

Perioperative patient safety: a multisite qualitative analysis.

Chappy S. AORN J. 2006;83:871-874, 877-888, 891-897.

STUDY

A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.

Rodriguez-Paz JM, Mark LJ, Herzer KR, et al. Anesth Analg. 2009;108:202-210.

CLINICAL GUIDELINE

Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.

ASA Task Force on Intraoperative Awareness and Brain Function Monitoring. Park Ridge, IL: American Society of Anesthesiologists; July 2005.

NEWSPAPER/MAGAZINE ARTICLE

Fatal outcome after inadvertent injection of topical epinephrine.

ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.

STUDY

Tracking intraoperative complications.

Platz J, Hyman N. J Am Coll Surg. 2012;215:519-523.

COMMENTARY

Thinking in three's: changing surgical patient safety practices in the complex modern operating room.

Gibbs VC. World J Gastroenterol. 2012;18:6712-6719.

STUDY

Surgical never events in the United States.

Mehtsun WT, Ibrahim AM, Diener-West M, Pronovost PJ, Makary MA. Surgery. 2013;153:465-472.

COMMENTARY

Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.

Norton EK, Martin C, Micheli AJ. AORN J. 2012;1:109-121.

NEWSPAPER/MAGAZINE ARTICLE

Fires during surgeries a bigger risk than thought.

Kowalczyk L. Boston Globe. November 7, 2007;Health/Science section:1A.

STUDY

Deconstructing intraoperative communication failures.

Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. J Surg Res. 2012;177:37-42.

STUDY

The impact of perioperative catastrophes on anesthesiologists: results of a national survey.

Gazoni FM, Amato PE, Malik ZM, Durieux ME. Anesth Analg. 2012;114:596-603.

NEWSPAPER/MAGAZINE ARTICLE

Clinic sued over towel left in patient.

McCarty JF. Plain Dealer. January 16, 2007:A1.

NEWSPAPER/MAGAZINE ARTICLE

Frederick mother's burning inspires daughter's activism.

Levine S. Washington Post. July 18, 2006:B01.

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