AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (12)

•Diagnostic Errors (17)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (22)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (68)

•Medical Complications (30)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (36)

•Transfusion Complications (1)

•Psychological and Social Complications (6)

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Canada

Resource Types

•Audiovisual (1)

•Book/Report (11)

•Journal Article (210)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newspaper/Magazine Article (4)

•Special or Theme Issue (6)

•Tools/Toolkit (1)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (57)

•Active Errors (42)

•Latent Errors (12)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (58)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (78)

•Communication Improvement (52)

•Human Factors Engineering (36)

•Teamwork (19)

•Specialization of Care (13)

•Logistical Approaches (16)

•Culture of Safety (48)

•Technologic Approaches (34)

•Education and Training (53)

Clinical Areas

•Allied Health Services (1)

•Medicine (162)

•Nursing (29)

•Pharmacy (11)

Target Audience

•Health Care Providers (183)

•Health Care Executives and Administrators (204)

•Non-Health Care Professionals (98)

•Patients (15)

Setting of Care

•Hospitals (144)

•Psychiatric Facilities (1)

•Residential Facilities (4)

•Ambulatory Care (17)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 247

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REVIEW

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

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

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

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

The lost sponge: patient safety in the operating room.

Grant-Orser A, Davies P, Singh SS. CMAJ. 2012;184:1275-1278.

STUDY

Surgeons don't know what they don't know about the safe use of energy in surgery.

Feldman LS, Fuchshuber P, Jones DB, Mischna J, Schwaitzberg SD; FUSE (Fundamental Use of Surgical Energy) Task Force. Surg Endosc. 2012;26:2735-2739.

AUDIOVISUAL

Doctors make mistakes. Can we talk about that?

Goldman B. TEDxToronto. November 2011.

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.

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

Silence, power and communication in the operating room.

Gardezi F, Lingard L, Espin S, Whyte S, Orser B, Baker GR. J Adv Nurs. 2009;65:1390-1399.

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

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

Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery.

Bruppacher HR, Alam SK, LeBlanc VR, et al. Anesthesiology. 2010;112:985-992.

STUDY

"First, do no harm": balancing competing priorities in surgical practice.

Leung A, Luu S, Regehr G, Murnaghan ML, Gallinger S, Moulton CA. Acad Med. 2012;87:1368-1374.

SPECIAL OR THEME ISSUE

Patient Safety Papers.

Baker GR, ed. Healthc Q. 2005;8:1-156.

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.

COMMENTARY

Team communication in the operating room.

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

STUDY

Waking up the next morning: surgeons' emotional reactions to adverse events.

Luu S, Patel P, St-Martin L, et al. Med Educ. 2012;46:1179-1188.

STUDY

Surgeon's vigilance in the operating room.

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

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