AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (14)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (47)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (112)

•Medical Complications (31)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (94)

•Transfusion Complications (3)

•Psychological and Social Complications (28)

Origin/Sponsor
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United Kingdom

Resource Types

•Book/Report (42)

•Journal Article (411)

•Legislation/Regulation (4)

•Meeting/Conference (2)

•Newspaper/Magazine Article (19)

•Press Release/Announcement (1)

•Special or Theme Issue (15)

•Tools/Toolkit (5)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (112)

•Active Errors (55)

•Latent Errors (27)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (128)

•Legal and Policy Approaches (36)

•Error Reporting and Analysis (185)

•Communication Improvement (122)

•Human Factors Engineering (86)

•Teamwork (68)

•Specialization of Care (16)

•Logistical Approaches (16)

•Culture of Safety (93)

•Technologic Approaches (56)

•Education and Training (110)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (364)

•Health Care Executives and Administrators (437)

•Non-Health Care Professionals (237)

•Patients (24)

Setting of Care

•Hospitals (286)

•Psychiatric Facilities (5)

•Residential Facilities (4)

•Ambulatory Care (37)

•Outpatient Surgery (3)

•Patient Transport (7)

1 - 20 of 512

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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.

REVIEW

Patient safety in surgery: non-technical aspects of safe surgical performance.

Youngson GG, Flin R. Patient Saf Surg. 2010;4:4.

STUDY

Pre-surgery briefings and safety climate in the operating theatre.

Allard J, Bleakley A, Hobbs A, Coombes L. BMJ Qual Saf. 2011;20:711-717.

STUDY

Practical challenges of introducing WHO surgical checklist: UK pilot experience.

Vats A, Vincent CA, Nagpal K, Davies RW, Darzi A, Moorthy K. BMJ. 2010;340:b5433.

REVIEW

Towards a model of surgeons' leadership in the operating room.

Henrickson Parker S, Yule S, Flin R, McKinley A. BMJ Qual Saf. 2011;20:570-579.

COMMENTARY

Cutting out human error.

Feinmann J. BMJ. 2008;337:a2370.

REVIEW

The impact of nontechnical skills on technical performance in surgery: a systematic review.

Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. J Am Coll Surg. 2012;214:214-230.

STUDY

No simple fix for fixation errors: cognitive processes and their clinical applications.

Fioratou E, Flin R, Glavin R. Anaesthesia. 2010;65:61-69.

STUDY

A multicenter trial of aviation-style training for surgical teams.

Catchpole KR, Dale TJ, Hirst DG, Smith JP, Giddings TA. J Patient Saf. 2010;6:180-186.

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.

STUDY

Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.

Kreckler S, Catchpole KR, New SJ, Handa A, McCulloch PG. Ann Surg. 2009;250:1035-1040.

STUDY

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.

McCulloch P, Kreckler S, New S, Sheena Y, Handa A, Catchpole K. BMJ. 2010;341:c5469.

REVIEW

Surgical fires, a clear and present danger.

Yardley IE, Donaldson LJ. Surgeon. 2010;8:87-92.

REVIEW

The impact of stress on surgical performance: a systematic review of the literature.

Arora S, Sevdalis N, Nestel D, Woloshynowych M, Darzi A, Kneebone R. Surgery. 2010;147:318-330, 330.e1-6.

STUDY

Development of a rating system for surgeons' non-technical skills.

Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D. Med Educ. 2006;40:1098-1104.

STUDY

The effects of stress and coping on surgical performance during simulations.

Wetzel CM, Black SA, Hanna GB, et al. Ann Surg. 2010;251:171-176.

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