AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (155)

•Diagnostic Errors (151)

•Identification Errors (139)

•Discontinuities, Gaps, and Hand-Off Problems (369)

•Fatigue and Sleep Deprivation (87)

•Medication Safety (929)

•Medical Complications (417)

•Nonsurgical Procedural Complications (98)

•Surgical Complications (607)

•Transfusion Complications (18)

•Psychological and Social Complications (143)

Origin/Sponsor
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United States of America

•United States Federal Government (199)

•State Governments and Agencies (33)

Resource Types

•Clinical Guideline (9)

•Journal Article (2530)

•Legislation/Regulation (60)

•Meeting/Conference (31)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (420)

•Press Release/Announcement (27)

•Special or Theme Issue (61)

•Tools/Toolkit (64)

•Web Resource (111)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (715)

•Active Errors (534)

•Latent Errors (223)

•Near Miss (65)

Approach to Improving Safety

•Quality Improvement Strategies (912)

•Legal and Policy Approaches (359)

•Error Reporting and Analysis (1002)

•Communication Improvement (896)

•Human Factors Engineering (504)

•Teamwork (345)

•Specialization of Care (225)

•Logistical Approaches (261)

•Culture of Safety (717)

•Technologic Approaches (586)

•Education and Training (739)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2820)

•Health Care Executives and Administrators (2892)

•Non-Health Care Professionals (1336)

•Patients (320)

Setting of Care

•Hospitals (2212)

•Psychiatric Facilities (11)

•Residential Facilities (64)

•Ambulatory Care (302)

•Outpatient Surgery (55)

•Patient Transport (25)

1 - 20 of 3632

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STUDY

Can aviation-based team training elicit sustainable behavioral change?

Sax HC, Browne P, Mayewski RJ, et al. Arch Surg. 2009;144:1133-1137.

STUDY

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

STUDY

A surgical safety checklist to reduce morbidity and mortality in a global population.

Haynes AB, Weiser TG, Berry WR, et al; for the Safe Surgery Saves Lives Study Group. N Engl J Med. 2009;360:491-499.

STUDY

Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.

Paige JT, Aaron DL, Yang T, Howell DS, Chauvin SW. World J Surg. 2009;33:1181-1187.

COMMENTARY

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.

Erickson TB, Kirkpatrick DH, DeFrancesco MS, Lawrence HC III. Obstet Gynecol. 2010;115:147-151.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

STUDY

Surgical case listing accuracy: failure analysis at a high-volume academic medical center.

Cima RR, Hale C, Kollengode A, Rogers JC, Cassivi SD, Deschamps C. Arch Surg. 2010;145:641-646.

COMMENTARY classic

Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.

Ring DC, Herndon JH, Meyer GS. N Engl J Med. 2010;363:1950-1957.

STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

COMMENTARY

Implementing a pediatric surgical safety checklist in the OR and beyond.

Norton EK, Rangel SJ. AORN J. 2010;92:61-71.

STUDY

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.

Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.

STUDY

Does teamwork improve performance in the operating room? A multilevel evaluation.

Weaver SJ, Rosen MA, DiazGranados D, et al. Jt Comm J Qual Patient Saf. 2010;36:133-142.

REVIEW

A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery.

Borchard A, Schwappach DL, Barbir A, Bezzola P. Ann Surg. 2012;256:925-933.

STUDY

Impact of preoperative briefings on operating room delays.

Nundy S, Mukherjee A, Sexton JB, et al. Arch Surg. 2008;143:1068-1072.

COMMENTARY

The OR and a "just culture."

Hamlin L. AORN J. 2009;90:495-498.

STUDY

The effect of facility complexity on perceptions of safety climate in the operating room: size matters.

Carney BT, West P, Neily J, Mills PD, Bagian JP. Am J Med Qual. 2010;25:457-461.

STUDY

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.

STUDY

Crisis checklists for the operating room: development and pilot testing.

Ziewacz JE, Arriaga AF, Bader AM, et al. J Am Coll Surg. 2011;213:212-219.

STUDY

Effective surgical safety checklist implementation.

Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA. J Am Coll Surg. 2011;212:873-879.

COMMENTARY

Perfusion safety: new initiatives and enduring principles.

Kurusz M. Perfusion. 2011;26(suppl 1):6-14.

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