AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (139)

•Diagnostic Errors (188)

•Identification Errors (136)

•Discontinuities, Gaps, and Hand-Off Problems (349)

•Fatigue and Sleep Deprivation (98)

•Medication Safety (895)

•Medical Complications (362)

•Nonsurgical Procedural Complications (86)

•Surgical Complications (600)

•Transfusion Complications (18)

•Psychological and Social Complications (121)

Origin/Sponsor
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United States of America

•United States Federal Government (127)

•State Governments and Agencies (19)

Resource Types

•Clinical Guideline (8)

•Journal Article (2458)

•Legislation/Regulation (50)

•Meeting/Conference (17)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (420)

•Press Release/Announcement (12)

•Special or Theme Issue (52)

•Tools/Toolkit (38)

•Web Resource (69)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (736)

•Active Errors (508)

•Latent Errors (176)

•Near Miss (60)

Approach to Improving Safety

•Quality Improvement Strategies (1006)

•Legal and Policy Approaches (343)

•Error Reporting and Analysis (1061)

•Communication Improvement (734)

•Human Factors Engineering (425)

•Teamwork (284)

•Specialization of Care (195)

•Logistical Approaches (345)

•Culture of Safety (437)

•Technologic Approaches (541)

•Education and Training (656)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2386)

•Health Care Executives and Administrators (2599)

•Non-Health Care Professionals (1163)

•Patients (260)

Setting of Care

•Hospitals (2025)

•Psychiatric Facilities (8)

•Residential Facilities (50)

•Ambulatory Care (259)

•Outpatient Surgery (48)

•Patient Transport (18)

1 - 20 of 3348

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SPECIAL OR THEME ISSUE

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

Amer Surg. 2006;72:985-1149

MULTI-USE WEBSITE

Nora Institute for Surgical Patient Safety.

American College of Surgeons.

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.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

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

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

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

STUDY

Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.

Kahol K, Satava RM, Ferrara J, Smith ML. J Am Coll Surg. 2009;208:255-268.

COMMENTARY

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

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

STUDY

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

Hu YY, Arriaga AF, Roth EM, et al. Ann Surg. 2012;256:203-210.

BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

COMMENTARY

Critical diagnoses (critical values) in anatomic pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:982-984.

BOOK/REPORT

Reducing Colorectal Surgical Site Infections.

Oakbrook Terrace, IL: Joint Commission Center for Transforming Health Care. Chicago, IL: American College of Surgeons. November 2012.

STUDY

Preventable morbidity at a mature trauma center.

Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.

STUDY

A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II.

Antonacci AC, Lam S, Lavarias V, Homel P, Eavey RA. J Surg Res. 2009;153:95-104.

STUDY

The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.

Raab SS, Meier FA, Zarbo RJ, et al. J Clin Oncol. 2006;24:2808-2814.

STUDY

The American College of Surgeons' closed claims study: new insights for improving care.

Griffen FD, Stephens LS, Alexander JB, et al. J Am Coll Surg. 2007;204:561-569.

COMMENTARY

Reducing surgical complications.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:660-665.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #464: patient safety in the surgical environment.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2010;116:786-790.

STUDY

Patient harm in general surgery--a prospective study.

Kaul AK, McCulloch PG. J Patient Saf. 2007;3:22-26.

STUDY

Thirty-day outcomes support implementation of a surgical safety checklist.

Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. J Am Coll Surg. 2012;215:766-776.

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