AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (11)

•Diagnostic Errors (18)

•Identification Errors (11)

•Discontinuities, Gaps, and Hand-Off Problems (41)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (107)

•Medical Complications (30)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (91)

•Transfusion Complications (4)

•Psychological and Social Complications (19)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (2)

•Book/Report (27)

•Clinical Guideline (1)

•Journal Article (385)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (13)

•Special or Theme Issue (15)

•Tools/Toolkit (2)

•Web Resource (7)

Error Types

•Epidemiology of Errors and Adverse Events (95)

•Active Errors (60)

•Latent Errors (28)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (103)

•Legal and Policy Approaches (27)

•Error Reporting and Analysis (153)

•Communication Improvement (117)

•Human Factors Engineering (87)

•Teamwork (73)

•Specialization of Care (16)

•Logistical Approaches (16)

•Culture of Safety (61)

•Technologic Approaches (47)

•Education and Training (118)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (303)

•Health Care Executives and Administrators (378)

•Non-Health Care Professionals (208)

•Patients (15)

Setting of Care

•Hospitals (272)

•Psychiatric Facilities (3)

•Residential Facilities (2)

•Ambulatory Care (26)

•Outpatient Surgery (2)

•Patient Transport (6)

1 - 20 of 456

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STUDY

Analysis of errors enacted by surgical trainees during skills training courses.

Tang B, Hanna GB, Cuschieri A. Surgery. 2005;138:14-20.

STUDY

Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.

Moorthy K, Munz Y, Forrest D, et al. Ann Surg. 2006;244:139-147.

STUDY

Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety.

Arora S, Sevdalis N, Ahmed M, Wong H, Moorthy K, Vincent C. Surgery. 2012;152:26-31.

COMMENTARY

Defining the technical skills of teamwork in surgery.

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

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

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

STUDY

Teamwork in the operating theatre: cohesion or confusion?

Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. J Eval Clin Pract. 2006;12:182-189.

STUDY

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

COMMENTARY

Applying aviation factors to oral and maxillofacial surgery—the human element.

Seager L, Smith DW, Patel A, Brunt H, Brennan PA. Br J Oral Maxillofac Surg. 2013;51:8-13.

COMMENTARY

Simulation to enhance patient safety: why aren't we there yet?

Aggarwal R, Darzi A. Chest. 2011;140:854-858.

STUDY

Multidisciplinary crisis simulations: the way forward for training surgical teams.

Undre S, Koutantji M, Sevdalis N, et al. World J Surg. 2007;31:1843-1853.

STUDY

Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview.

Nestel D, Kidd JM. BMC Nurs. 2006 Feb 8;5:1.

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.

STUDY

Promoting patient safety through prospective risk identification: example from peri-operative care.

Smith A, Boult M, Woods I, Johnson S. Qual Saf Health Care. 2010;19:69-73.

REVIEW

Interventions to improve teamwork and communications among healthcare staff.

McCulloch P, Rathbone J, Catchpole K. Br J Surg. 2011;98:469-479.

STUDY

Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.

Bethune R, Sasirekha G, Sahu A, Cawthorn S, Pullyblank A. Postgrad Med J. 2011;87:331-334.

STUDY

Failures in communication and information transfer across the surgical care pathway: interview study.

Nagpal K, Arora S, Vats A, et al. BMJ Qual Saf. 2012;21:843-849.

STUDY

Learning not to take it seriously: junior doctors' accounts of error.

Kroll L, Singleton A, Collier J, Rees Jones I. Med Educ. 2008;42:982-990.

STUDY

Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training.

Russ S, Hull L, Rout S, Vincent C, Darzi A, Sevdalis N. Ann Surg. 2012;255:804-809.

STUDY

The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.

McCulloch P, Mishra A, Handa A, Dale T, Hirst G, Catchpole K. Qual Saf Health Care. 2009;18:109-115.

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