AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (49)

•Diagnostic Errors (106)

•Identification Errors (72)

•Discontinuities, Gaps, and Hand-Off Problems (142)

•Fatigue and Sleep Deprivation (72)

•Medication Safety (303)

•Medical Complications (105)

•Nonsurgical Procedural Complications (35)

•Surgical Complications (538)

•Transfusion Complications (6)

•Psychological and Social Complications (73)

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United States of America

•United States Federal Government (29)

•State Governments and Agencies (2)

Resource Types

•Audiovisual (17)

•Award (3)

•Book/Report (35)

•Clinical Guideline (6)

•Journal Article (1032)

•Legislation/Regulation (24)

•Meeting/Conference (3)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (214)

•Press Release/Announcement (2)

•Special or Theme Issue (20)

•Tools/Toolkit (20)

•Web Resource (29)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (285)

•Active Errors (225)

•Latent Errors (60)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (297)

•Legal and Policy Approaches (140)

•Error Reporting and Analysis (396)

•Communication Improvement (344)

•Human Factors Engineering (178)

•Teamwork (136)

•Specialization of Care (58)

•Logistical Approaches (127)

•Culture of Safety (140)

•Technologic Approaches (199)

•Education and Training (316)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (1230)

•Health Care Executives and Administrators (868)

•Non-Health Care Professionals (431)

•Patients (154)

Setting of Care

•Hospitals (866)

•Residential Facilities (5)

•Ambulatory Care (100)

•Outpatient Surgery (33)

•Patient Transport (3)

1 - 20 of 1410

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NEWSPAPER/MAGAZINE ARTICLE

One group of doctors changes its ways.

Hallinan JT. Post-Gazette.com. June 21, 2005.

STUDY

Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents.

Falcone JL, Lee KKW, Billiar TR, Hamad GG. J Surg Educ. 2012;69:385-392.

NEWSPAPER/MAGAZINE ARTICLE

Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.

Olympio MA, Reinke B, Abramovich A. APSF Newsletter. Fall 2006;21:43-48.

STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

REVIEW

The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists?

Souter KJ, Gallagher TH. Anesth Analg. 2012;114:615-621.

STUDY

Injury and liability associated with monitored anesthesia care: a closed claims analysis.

Bhananker SM, Posner KL, Cheney FW, Caplan RA, Lee LA, Domino KB. Anesthesiology. 2006;104:228-234.

SPECIAL OR THEME ISSUE

Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.

Amer Surg. 2006;72:985-1149

STUDY

Preventable anesthesia mishaps: a study of human factors.

Cooper JB, Newbower RS, Long CD, McPeek B. Anesthesiology. 1978;49:399-406.

STUDY

Adverse respiratory events in anesthesia: a closed claims analysis.

Caplan RA, Posner KL, Ward RJ, Cheney FW. Anesthesiology. 1990;72:828-833.

REVIEW

Life after death: the aftermath of perioperative catastrophes.

Gazoni FM, Durieux ME, Wells L. Anesth Analg. 2008;107:591-600.

STUDY

Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention.

Goldhaber-Fiebert SN, Goldhaber-Fiebert JD, Rosow CE. Can J Anaesth. 2009;56:35-45.

STUDY

An objective methodology for task analysis and workload assessment in anesthesia providers.

Weinger MB, Herndon OW, Zornow MH, Paulus MP, Gaba DM, Dallen LT. Anesthesiology. 1994;80:77-92.

REVIEW

Error training: missing link in surgical education.

DaRosa DA, Pugh CM. Surgery. 2012;151:139-145.

COMMENTARY

Improving operating room and perioperative safety: background and specific recommendations.

Schimpff SC. Surg Innov. 2007;14:127-135.

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

COMMENTARY

Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives.

Styer KA, Ashley SW, Schmidt S, Zive EM, Eappen S. AORN J. 2011;94:590-598.

COMMENTARY

The nature of surgical error: a cautionary tale and a call to reason.

Satava RM. Surg Endosc. 2005;19:1014-1016.

REVIEW

Safety issues in combined gynecologic and plastic surgical procedures.

Kryger ZB, Dumanian GA, Howard MA. Int J Gynaecol Obstet. 2007;99;257-263.

BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

STUDY

Postoperative video debriefing reduces technical errors in laparoscopic surgery.

Hamad GG, Brown MT, Clavijo-Alvarez JA. Am J Surg. 2007;194:110-114.

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