AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (10)

•Diagnostic Errors (15)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (33)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (65)

•Medical Complications (31)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (36)

•Transfusion Complications (1)

•Psychological and Social Complications (7)

Origin/Sponsor
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Canada

Resource Types

•Book/Report (8)

•Journal Article (211)

•Legislation/Regulation (1)

•Meeting/Conference (3)

•Newspaper/Magazine Article (2)

•Special or Theme Issue (10)

•Tools/Toolkit (3)

•Web Resource (9)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (63)

•Active Errors (41)

•Latent Errors (11)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (57)

•Legal and Policy Approaches (11)

•Error Reporting and Analysis (82)

•Communication Improvement (60)

•Human Factors Engineering (38)

•Teamwork (24)

•Specialization of Care (12)

•Logistical Approaches (17)

•Culture of Safety (40)

•Technologic Approaches (36)

•Education and Training (47)

Clinical Areas

•Allied Health Services (2)

•Medicine (166)

•Nursing (26)

•Pharmacy (13)

Target Audience

•Health Care Providers (192)

•Health Care Executives and Administrators (204)

•Non-Health Care Professionals (103)

•Patients (8)

Setting of Care

•Hospitals (144)

•Psychiatric Facilities (2)

•Residential Facilities (1)

•Ambulatory Care (23)

•Outpatient Surgery (2)

•Patient Transport (4)

1 - 20 of 248

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STUDY

Student-observed surgical safety practices across an urban regional health authority.

Spence J, Goodwin B, Enns C, Dean H. BMJ Qual Saf. 2011;20:580-586.

STUDY

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice.

Lingard L, Regehr G, Cartmill C, et al. BMJ Qual Saf. 2011;20:475-482.

STUDY

Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity.

Moulton CA, Regehr G, Lingard L, Merritt C, MacRae H. Acad Med. 2010;85:1571-1577.

STUDY

Evaluation of preoperative and perioperative operating room briefings at the Hospital for Sick Children.

Khoshbin A, Lingard L, Wright JG. Can J Surg. 2009;52:309-315.

MULTI-USE WEBSITE

Safe Surgery Saves Lives.

Canadian Patient Safety Institute.

STUDY

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.

Lingard L, Espin S, Rubin B, et al. Qual Saf Health Care. 2005;14:340-346.

STUDY

Surgeon's vigilance in the operating room.

Zheng B, Tien G, Atkins SM, et al. Am J Surg. 2011;201:667-671.

SPECIAL OR THEME ISSUE

Innovation in Perioperative Patient Safety.

Miller DR, Merry AF, eds. Can J Anesth. 2013;60:7-220.

STUDY

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

COMMENTARY

Team communication in the operating room.

Davies JM. Acta Anaesthesiol Scand. 2005;49:898-901.

REVIEW

The role of practice guidelines and evidence-based medicine in perioperative patient safety.

Crosby E. Can J Anaesth. 2013;60:143-151.

STUDY

Surgical safety checklist: implementation in an ambulatory surgical facility.

Morgan PJ, Cunningham L, Mitra S, et al. Can J Anaesth. 2013;60:528-538.

COMMENTARY

A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.

Lingard L, Regehr G, Espin S, Whyte S. Qual Saf Health Care. 2006;15:422-426.

REVIEW

Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled?

Brindley PG, Jones DB, Grantcharov T, de Gara C. Can J Surg. 2012;55:S200-S206.

STUDY

Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.

Chu MWA, Stitt LW, Fox SA, et al. Arch Surg. 2011;146:1080-1085.

STUDY

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.

White RE, Trbovich PL, Easty AC, Savage P, Trip K, Hyland S. Qual Saf Health Care. 2010;19:562-567.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

STUDY

Communication failures in the operating room: an observational classification of recurrent types and effects.

Lingard L, Espin S, Whyte S, et al. Qual Saf Health Care. 2004;13:330-334.

COMMENTARY

Managing the adverse event occurring during elective, ambulatory pediatric surgery.

Skarsgard ED. Semin Pediatr Surg. 2009;18:122-124.

STUDY

Handover after pediatric heart surgery: a simple tool improves information exchange.

Zavalkoff SR, Razack SI, Lavoie J, Dancea AB. Pediatr Crit Care Med. 2011;12:309-313.

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