AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (12)

•Diagnostic Errors (23)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (23)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (66)

•Medical Complications (32)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (152)

•Transfusion Complications (2)

•Psychological and Social Complications (21)

Origin/Sponsor
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Europe

•United Kingdom (124)

•The Netherlands (28)

Resource Types

•Book/Report (8)

•Clinical Guideline (1)

•Journal Article (316)

•Legislation/Regulation (5)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (2)

•Special or Theme Issue (6)

•Tools/Toolkit (2)

•Web Resource (10)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (97)

•Active Errors (60)

•Latent Errors (22)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (74)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (81)

•Communication Improvement (86)

•Human Factors Engineering (66)

•Teamwork (64)

•Specialization of Care (7)

•Logistical Approaches (16)

•Culture of Safety (33)

•Technologic Approaches (30)

•Education and Training (123)

Clinical Areas

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (299)

•Health Care Executives and Administrators (275)

•Non-Health Care Professionals (162)

•Patients (5)

Setting of Care

•Hospitals (254)

•Psychiatric Facilities (1)

•Residential Facilities (3)

•Ambulatory Care (19)

•Outpatient Surgery (2)

•Patient Transport (2)

1 - 20 of 355

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STUDY

Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure.

Boyle E, Al-Akash M, Gallagher AG, Traynor O, Hill AD, Neary PC. Postgrad Med J. 2011;87:524-528.

STUDY

Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies.

Ahlberg G, Enochsson L, Gallagher AG, et al. Am J Surg. 2007;193:797-804.

STUDY

Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance.

Gallagher AG, Boyle E, Toner P, et al. Arch Surg. 2011;146:419-426.

COMMENTARY

Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training.

Kneebone RL. JAMA. 2009;302:1336-1338.

STUDY

Burns surgery handover study: trainees' assessment of current practice in the British Isles.

Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns. 2009;35:509-512.

STUDY

Correlates of diagnostic accuracy in patients with nonspecific complaints.

Hertwig R, Meier N, Nickel C, et al. Med Decis Making. 2013;33:533-543.

STUDY

Safe surgery: how accurate are we at predicting intra-operative blood loss?

Solon JG, Egan C, McNamara DA. J Eval Clin Pract. 2013;19:100-105.

STUDY

The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre.

Mishra A, Catchpole K, McCulloch P. Qual Saf Health Care. 2009;18:104-108.

STUDY

Surgical safety and hospital volume across a wide range of interventions.

Eggli Y, Halfon P, Meylan D, Taffé P. Med Care. 2010;48:962-971.

COMMENTARY

Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.

Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.

STUDY

Differential impact of a crew resource management program according to professional specialty.

Suva D, Haller G, Lübbeke A, Hoffmeyer P. Am J Med Qual. 2012;27:313-320.

COMMENTARY

Defining the technical skills of teamwork in surgery.

Healey AN, Undre S, Vincent CA. Qual Saf Health Care. 2006;15:231-234.

STUDY

Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study.

Batchelder AJ, Steel A, Mackenzie R, Hormis AP, Daniels TS, Holding N. Anaesthesia. 2009;64:978-983.

COMMENTARY

Cutting out human error.

Feinmann J. BMJ. 2008;337:a2370.

STUDY

A study of innovative patient safety education.

Smith SD, Henn P, Gaffney R, Hynes H, McAdoo J, Bradley C. Clin Teach. 2012;9:37-40.

COMMENTARY

The Helsinki Declaration on Patient Safety in Anaesthesiology.

Mellin-Olsen J, Staender S, Whitaker DK, Smith AF. Eur J Anaesthesiol. 2010;27:592-597.

SPECIAL OR THEME ISSUE

Safety in Anaesthesia.

Staender S, ed. Best Pract Res Clin Anaesthesiol. 2011;25:109-304.

STUDY

Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration.

Stepaniak PS, Heij C, Buise MP, Mannaerts GHH, Smulders JF, Nienhuijs SW. Anesth Analg. 2012;115:1384-1392.

REVIEW

Noise in the operating room—what do we know? A review of the literature.

Hasfeldt D, Laerkner E, Birkelund R. J Perianesth Nurs. 2010;25:380-386.

STUDY

Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland.

Businger A, Guller U, Oertli D. Arch Surg. 2010;145:558-563.

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