AHRQ Patient Safety Network

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PATIENT SAFETY PRIMERS
Checklists

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Checklist: Though a seemingly simple intervention, checklists have played a leading role in the most significant successes of the patient safety movement, including the near-elimination of central line–associated bloodstream infections in many intensive care units... Read Full Glossary Entry >

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Safety Target

•Device-related Complications (27)

•Diagnostic Errors (15)

•Identification Errors (19)

•Discontinuities, Gaps, and Hand-Off Problems (30)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (23)

•Medical Complications (35)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (122)

•Transfusion Complications (2)

•Psychological and Social Complications (5)

Origin/Sponsor

•Africa (2)

•Asia (2)

•Australia and New Zealand (4)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (173)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (24)

•Press Release/Announcement (1)

•Special or Theme Issue (2)

•Tools/Toolkit (6)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (42)

•Active Errors (52)

•Latent Errors (13)

•Near Miss (6)

Approach to Improving Safety
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Checklists

Clinical Areas

Target Audience

•Health Care Providers (186)

•Health Care Executives and Administrators (181)

•Non-Health Care Professionals (58)

•Patients (15)

Setting of Care

•Hospitals (185)

•Residential Facilities (1)

•Ambulatory Care (10)

•Outpatient Surgery (5)

•Patient Transport (2)

1 - 20 of 228

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REVIEW

Information transfer and communication in surgery: a systematic review.

Nagpal K, Vats A, Lamb B, et al. Ann Surg. 2010;252:225-239.

STUDY

Information needs in operating room teams: what is right, what is wrong, and what is needed?

Wong HW, Forrest D, Healey A, et al. Surg Endosc. 2011;25:1913-1920.

STUDY

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.

Ali M, Osborne A, Bethune R, Pullyblank A. J Patient Saf. 2011;7:138-142.

COMMENTARY

Wise before the event.

Watts G. BMJ. 2010;340:c1378.

STUDY

An evaluation of information transfer through the continuum of surgical care: a feasibility study.

Nagpal K, Vats A, Ahmed K, Vincent C, Moorthy K. Ann Surg. 2010;252:402-407.

COMMENTARY

Engineering the system of communication for safer surgery.

Healey AN, Nagpal K, Moorthy K, Vincent CA. Cogn Tech Work. 2011;13:1-10.

STUDY

The introduction of a surgical safety checklist in a tertiary referral obstetric centre.

Kearns RJ, Uppal V, Bonner J, Robertson J, Daniel M, McGrady EM. BMJ Qual Saf. 2011;20:818-822.

REVIEW

Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice.

Schlack WS, Boermeester MA. Curr Opin Anaesthesiol. 2010;23:754-758.

STUDY

Effective surgical safety checklist implementation.

Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA. J Am Coll Surg. 2011;212:873-879.

COMMENTARY

Perfusion safety: new initiatives and enduring principles.

Kurusz M. Perfusion. 2011;26(suppl 1):6-14.

STUDY

Can aviation-based team training elicit sustainable behavioral change?

Sax HC, Browne P, Mayewski RJ, et al. Arch Surg. 2009;144:1133-1137.

STUDY

Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients.

de Vries EN, Prins HA, Bennink MC, et al. BMJ Qual Saf. 2012;21:503-508.

STUDY

Improving operating room safety.

Hurlbert SN, Garrett J. Patient Saf Surg. 2009;3:25.

COMMENTARY

Cutting out human error.

Feinmann J. BMJ. 2008;337:a2370.

STUDY

Crisis checklists for the operating room: development and pilot testing.

Ziewacz JE, Arriaga AF, Bader AM, et al. J Am Coll Surg. 2011;213:212-219.

ORGANIZATIONAL POLICY/GUIDELINES

EACTS guidelines for the use of patient safety checklists.

Clark SC, Dunning J, Alfieri OR, et al; Clinical Guidelines Committee of the European Association for Cardio-Thoracic Surgery. Eur J Cardiothorac Surg. 2012;41:993-1004.

STUDY

Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes.

Nilsson L, Lindberget O, Gupta A, Vegfors M. Acta Anaesthesiol Scand. 2010;54:176-182.

STUDY

The effect of facility complexity on perceptions of safety climate in the operating room: size matters.

Carney BT, West P, Neily J, Mills PD, Bagian JP. Am J Med Qual. 2010;25:457-461.

STUDY

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.

STUDY

Use of the WHO surgical safety checklist in trauma and orthopaedic patients.

Sewell M, Adebibe M, Jayakumar P, et al. Int Orthop. 2011;35:897-901.

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