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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 (31)

•Diagnostic Errors (16)

•Identification Errors (20)

•Discontinuities, Gaps, and Hand-Off Problems (31)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (32)

•Medical Complications (41)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (123)

•Transfusion Complications (3)

•Psychological and Social Complications (5)

Origin/Sponsor

•Australia and New Zealand (4)

•Central and South America (1)

•North America (179)

Resource Types

•Audiovisual (6)

•Book/Report (8)

•Clinical Guideline (1)

•Journal Article (179)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (33)

•Press Release/Announcement (2)

•Special or Theme Issue (2)

•Tools/Toolkit (8)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (43)

•Active Errors (57)

•Latent Errors (16)

•Near Miss (6)

Approach to Improving Safety
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Checklists

Clinical Areas

•Dentistry (4)

•Medicine (215)

•Nursing (18)

•Pharmacy (7)

Target Audience

•Health Care Providers (197)

•Health Care Executives and Administrators (189)

•Non-Health Care Professionals (59)

•Patients (20)

Setting of Care

•Hospitals (196)

•Residential Facilities (1)

•Ambulatory Care (11)

•Outpatient Surgery (5)

•Patient Transport (3)

1 - 20 of 247

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STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

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

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

STUDY

classic

Effect of a comprehensive surgical safety system on patient outcomes.

de Vries EN, Prins HA, Crolla RM, et al; SURPASS Collaborative Group. N Engl J Med. 2010;363:1928-1937.

STUDY

classic

Association between implementation of a medical team training program and surgical mortality.

Neily J, Mills PD, Young-Xu Y, et al. JAMA. 2010;304:1693-1700.

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

Effective surgical safety checklist implementation.

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

STUDY

Improving operating room safety.

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

COMMENTARY

What went right: lessons for the intensivist from the crew of US Airways Flight 1549.

Eisen LA, Savel RH. Chest. 2009;136:910-917.

COMMENTARY

Mark My Limb.

O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Preventing surgical errors.

Frenzel JC, Kelly T. HHN Magazine Online. January 6, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Naval aviation safety and its application to medicine.

Harmon KT. Patient Safety & Quality Healthcare. March/April 2006;3:20-26.

COMMENTARY

Perfusion safety: new initiatives and enduring principles.

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

NEWSPAPER/MAGAZINE ARTICLE

Error reduction through team leadership: applying aviation's CRM model in the OR.

Healy GB, Barker J, Madonna G. Bull Amer Coll Surg. February 2006;91:10-15.

STUDY

Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room.

Paige JT, Aaron DL, Yang T, et al. Am Surg. 2008;74:817-823.

COMMENTARY

Engineering the system of communication for safer surgery.

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

REVIEW

Avoiding wrong site surgery: a systematic review.

DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.

NEWSPAPER/MAGAZINE ARTICLE

Preventing wrong-site surgery in Minnesota: a 5-year journey.

Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the OR.

Stempniak M. Hosp Health Netw. 2012 Oct;86:8 p following 40.

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