AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (127)

•Diagnostic Errors (104)

•Identification Errors (123)

•Discontinuities, Gaps, and Hand-Off Problems (291)

•Fatigue and Sleep Deprivation (72)

•Medication Safety (794)

•Medical Complications (321)

•Nonsurgical Procedural Complications (72)

•Surgical Complications (586)

•Transfusion Complications (15)

•Psychological and Social Complications (99)

Origin/Sponsor
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United States of America

•United States Federal Government (122)

•State Governments and Agencies (16)

Resource Types

•Audiovisual (29)

•Award (22)

•Book/Report (140)

•Clinical Guideline (7)

•Journal Article (2219)

•Legislation/Regulation (46)

•Meeting/Conference (21)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (328)

•Press Release/Announcement (9)

•Special or Theme Issue (48)

•Tools/Toolkit (36)

•Web Resource (61)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (614)

•Active Errors (419)

•Latent Errors (173)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (732)

•Legal and Policy Approaches (260)

•Error Reporting and Analysis (789)

•Communication Improvement (668)

•Human Factors Engineering (421)

•Teamwork (293)

•Specialization of Care (176)

•Logistical Approaches (238)

•Culture of Safety (664)

•Technologic Approaches (716)

•Education and Training (572)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (2005)

•Health Care Executives and Administrators (2521)

•Non-Health Care Professionals (1264)

•Patients (203)

Setting of Care

•Hospitals (1881)

•Psychiatric Facilities (6)

•Residential Facilities (52)

•Ambulatory Care (241)

•Outpatient Surgery (45)

•Patient Transport (18)

1 - 20 of 2976

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STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

SPECIAL OR THEME ISSUE

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

Amer Surg. 2006;72:985-1149

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

STUDY

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.

Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.

STUDY

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.

NEWSPAPER/MAGAZINE ARTICLE

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

STUDY

Can aviation-based team training elicit sustainable behavioral change?

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

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

COMMENTARY

Fumbled Handoff.

Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.

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

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.

Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Arch Surg. 2009;144:305-311.

STUDY

Assessing the impact of teaching patient safety principles to medical students during surgical clerkships.

Stahl K, Augenstein J, Schulman CI, Wilson K, McKenney M, Livingstone A. J Surg Res. 2011;170:e29-e40.

STUDY

Crew resource management improved perception of patient safety in the operating room.

Gore DC, Powell JM, Baer JG, et al. Am J Med Qual. 2010;25:60-63.

NEWSPAPER/MAGAZINE ARTICLE

Surgical errors: new products, protocols help slash the risks.

Williamson JE. Healthcare Purchasing News. January 2006;30:22-25.

COMMENTARY

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

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.

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.

STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

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