AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (135)

•Diagnostic Errors (177)

•Identification Errors (124)

•Discontinuities, Gaps, and Hand-Off Problems (355)

•Fatigue and Sleep Deprivation (102)

•Medication Safety (847)

•Medical Complications (306)

•Nonsurgical Procedural Complications (84)

•Surgical Complications (544)

•Transfusion Complications (13)

•Psychological and Social Complications (127)

Origin/Sponsor
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United States of America

•United States Federal Government (134)

•State Governments and Agencies (20)

Resource Types

•Audiovisual (32)

•Award (13)

•Book/Report (115)

•Clinical Guideline (9)

•Journal Article (2339)

•Legislation/Regulation (48)

•Meeting/Conference (18)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (349)

•Press Release/Announcement (16)

•Special or Theme Issue (36)

•Tools/Toolkit (38)

•Web Resource (58)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (657)

•Active Errors (492)

•Latent Errors (166)

•Near Miss (55)

Approach to Improving Safety

•Quality Improvement Strategies (709)

•Legal and Policy Approaches (269)

•Error Reporting and Analysis (879)

•Communication Improvement (834)

•Human Factors Engineering (417)

•Teamwork (291)

•Specialization of Care (189)

•Logistical Approaches (264)

•Culture of Safety (374)

•Technologic Approaches (610)

•Education and Training (640)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2297)

•Health Care Executives and Administrators (2433)

•Non-Health Care Professionals (1106)

•Patients (208)

Setting of Care

•Hospitals (1863)

•Psychiatric Facilities (7)

•Residential Facilities (46)

•Ambulatory Care (239)

•Outpatient Surgery (42)

•Patient Transport (20)

1 - 20 of 3082

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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.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

STUDY

Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology.

Macario A, Morris D, Morris S. Arch Surg. 2006;141:659-662.

BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

MULTI-USE WEBSITE

Surgical Care Improvement Project.

National SCIP Partnership, Oklahoma Foundation for Medical Quality, 14000 Quail Springs Parkway, Suite 400, Oklahoma City, OK, 73134.

STUDY

Retained surgical items: a problem yet to be solved.

Stawicki SP, Moffatt-Bruce SD, Ahmed HM, et al. J Am Coll Surg. 2013;216:15-22.

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

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

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

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.

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.

SPECIAL OR THEME ISSUE

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

Amer Surg. 2006;72:985-1149

REVIEW

Improving safety in the operating room: a systematic literature review of retained surgical sponges.

Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.

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.

STUDY

Deconstructing intraoperative communication failures.

Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. J Surg Res. 2012;177:37-42.

STUDY

Communication in critical care environments: mobile telephones improve patient care.

Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Anesth Analg. 2006;102:535-541.

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.

COMMENTARY

Appropriate prescribing of medications: an eight-step approach.

Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.

STUDY

Introducing new technology into the operating room: measuring the impact on job performance and satisfaction.

Stahl JE, Egan MT, Goldman JM, et al. Surgery. 2005;137:518-526.

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