AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (161)

•Diagnostic Errors (150)

•Identification Errors (140)

•Discontinuities, Gaps, and Hand-Off Problems (404)

•Fatigue and Sleep Deprivation (90)

•Medication Safety (993)

•Medical Complications (424)

•Nonsurgical Procedural Complications (86)

•Surgical Complications (609)

•Transfusion Complications (22)

•Psychological and Social Complications (156)

Origin/Sponsor
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United States of America

•United States Federal Government (331)

•State Governments and Agencies (50)

Resource Types

•Clinical Guideline (9)

•Journal Article (2668)

•Legislation/Regulation (64)

•Meeting/Conference (46)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (515)

•Press Release/Announcement (33)

•Special or Theme Issue (73)

•Tools/Toolkit (82)

•Web Resource (148)

•Grant (19)

Error Types

•Epidemiology of Errors and Adverse Events (694)

•Active Errors (509)

•Latent Errors (227)

•Near Miss (66)

Approach to Improving Safety

•Quality Improvement Strategies (1128)

•Legal and Policy Approaches (489)

•Error Reporting and Analysis (1054)

•Communication Improvement (1028)

•Human Factors Engineering (491)

•Teamwork (400)

•Specialization of Care (231)

•Logistical Approaches (276)

•Culture of Safety (767)

•Technologic Approaches (826)

•Education and Training (811)

Clinical Areas

•Allied Health Services (11)

Target Audience

•Health Care Providers (2894)

•Health Care Executives and Administrators (3127)

•Non-Health Care Professionals (1681)

•Patients (366)

Setting of Care

•Hospitals (2362)

•Psychiatric Facilities (11)

•Residential Facilities (68)

•Ambulatory Care (345)

•Outpatient Surgery (58)

•Patient Transport (20)

1 - 20 of 4054

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SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

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

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

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

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

BOOK/REPORT

Safe Surgery Guide.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404073.

COMMENTARY

Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism.

Russell TR. Surg Today. 2009;39:739-745.

STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

STUDY

Communication failure in the operating room.

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

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2009;114:1424-1427.

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.

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.

MULTI-USE WEBSITE

Safe Surgery 2015.

Harvard School of Public Health.

STUDY

A multidisciplinary team approach to retained foreign objects.

Cima RR, Kollengode A, Storsveen AS, et al. Jt Comm J Qual Patient Saf. 2009;35:123-132.

COMMENTARY

Retained surgical items and minimally invasive surgery.

Gibbs VC. World J Surg. 2011;35:1532-1539.

BOOK/REPORT

MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.

Lansing, MI: Michigan Health & Hospital Association; October 2010.

COMMENTARY

The competent surgeon: individual accountability in the era of "systems" failure.

Whittemore AD. Ann Surg. 2009;250:357-362.

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