AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (74)

•Diagnostic Errors (146)

•Identification Errors (62)

•Discontinuities, Gaps, and Hand-Off Problems (171)

•Fatigue and Sleep Deprivation (82)

•Medication Safety (505)

•Medical Complications (152)

•Nonsurgical Procedural Complications (55)

•Surgical Complications (457)

•Transfusion Complications (11)

•Psychological and Social Complications (83)

Origin/Sponsor
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United States of America

•United States Federal Government (32)

•State Governments and Agencies (7)

Resource Types

•Audiovisual (27)

•Award (4)

•Book/Report (67)

•Clinical Guideline (6)

•Journal Article (1410)

•Legislation/Regulation (32)

•Meeting/Conference (4)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (254)

•Press Release/Announcement (7)

•Special or Theme Issue (25)

•Tools/Toolkit (23)

•Web Resource (37)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (470)

•Active Errors (268)

•Latent Errors (96)

•Near Miss (34)

Approach to Improving Safety

•Quality Improvement Strategies (390)

•Legal and Policy Approaches (198)

•Error Reporting and Analysis (787)

•Communication Improvement (390)

•Human Factors Engineering (218)

•Teamwork (142)

•Specialization of Care (78)

•Logistical Approaches (169)

•Culture of Safety (193)

•Technologic Approaches (269)

•Education and Training (361)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (1504)

•Health Care Executives and Administrators (1337)

•Non-Health Care Professionals (585)

•Patients (164)

Setting of Care

•Hospitals (1064)

•Psychiatric Facilities (4)

•Residential Facilities (22)

•Ambulatory Care (157)

•Outpatient Surgery (53)

•Patient Transport (8)

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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.

NEWSPAPER/MAGAZINE ARTICLE

Do no harm: promoting patient safety.

Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

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.

STUDY

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Ann Surg. 2012;256:469-475.

REVIEW

Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.

Clayman MA, Clayman SM, Steele MH, Seagle MB. Ann Plastic Surg. 2007;58:288-291.

COMMENTARY

Patient safety in the office-based setting.

Horton JB, Reece EM, Broughton G 2nd, Janis JE, Thornton JF, Rohrich RJ. Plast Reconstr Surg. 2006;117:61e-80e.

STUDY

Preventable anesthesia mishaps: a study of human factors.

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

STUDY

Simulation study of rested versus sleep-deprived anesthesiologists.

Howard SK, Gaba DM, Smith BE, et al. Anesthesiology. 2003;98:1345-1355.

SPECIAL OR THEME ISSUE

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

Amer Surg. 2006;72:985-1149

STUDY

Surgeon age and operative mortality in the United States.

Waljee JF, Greenfield LJ, Dimick JB, Birkmeyer JD. Ann Surg. 2006;244:353-362.

STUDY

Liability associated with obstetric anesthesia: a closed claims analysis.

Davies JM, Posner KL, Lee LA, Cheney FW, Domino KB. Anesthesiology. 2009;110:131-139.

STUDY

Adverse event reporting: lessons learned from 4 years of Florida office data.

Coldiron B, Fisher AH, Adelman E, et al. Dermatol Surg. 2005;31(pt 1):1079-1092; discussion 1093.

STUDY

Missed diagnoses by urologists resulting in malpractice payment.

Badger WJ, Moran ME, Abraham C, Yarlagadda B, Perrotti M. J Urol. 2007;178;2537-2539.

REVIEW

Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety.

Desai MS. Curr Opin Anaesthesiol. 2008;21:699-703.

STUDY

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

Cook RI, Wreathall J, Smith A, et al. Transplantation. 2007;84:1602-1609.

STUDY

Risks of complications by attending physicians after performing nighttime procedures.

Rothschild JM, Keohane CA, Rogers S, et al. JAMA. 2009;302:1565-1572.

STUDY

CT for suspected appendicitis in children: an analysis of diagnostic errors.

Taylor GA, Callahan MJ, Rodriguez D, Smink DS. Pediatr Radiol. 2006;36:331-337.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

REVIEW

Communication devices in the operating room.

Ruskin KJ. Curr Opin Anaesthesiol. 2006;19:655-659.

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