AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (89)

•Diagnostic Errors (65)

•Identification Errors (152)

•Discontinuities, Gaps, and Hand-Off Problems (169)

•Fatigue and Sleep Deprivation (44)

•Medication Safety (488)

•Medical Complications (159)

•Nonsurgical Procedural Complications (36)

•Surgical Complications (511)

•Transfusion Complications (9)

•Psychological and Social Complications (63)

Origin/Sponsor
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United States of America

•United States Federal Government (76)

•State Governments and Agencies (14)

Resource Types

•Audiovisual (26)

•Award (2)

•Book/Report (46)

•Clinical Guideline (8)

•Journal Article (1200)

•Legislation/Regulation (24)

•Meeting/Conference (6)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (248)

•Press Release/Announcement (3)

•Special or Theme Issue (18)

•Tools/Toolkit (27)

•Web Resource (28)

Error Types

•Epidemiology of Errors and Adverse Events (327)

•Active Errors (537)

•Latent Errors (126)

•Near Miss (52)

Approach to Improving Safety

•Quality Improvement Strategies (359)

•Legal and Policy Approaches (136)

•Error Reporting and Analysis (402)

•Communication Improvement (418)

•Human Factors Engineering (283)

•Teamwork (166)

•Specialization of Care (70)

•Logistical Approaches (178)

•Culture of Safety (199)

•Technologic Approaches (243)

•Education and Training (348)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1321)

•Health Care Executives and Administrators (1247)

•Non-Health Care Professionals (445)

•Patients (174)

Setting of Care

•Hospitals (1126)

•Psychiatric Facilities (4)

•Residential Facilities (25)

•Ambulatory Care (104)

•Outpatient Surgery (40)

•Patient Transport (11)

1 - 20 of 1641

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MEASUREMENT TOOL/INDICATOR

AORN Evaluation of the Universal Protocol.

Association of PeriOperative Registered Nurses.

COMMENTARY

Increasing patient safety and surgical team communication by using a count/time out board.

Edel EM. AORN J. 2010;92:420-424.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

NEWSPAPER/MAGAZINE ARTICLE

The wrong foot, and other tales of surgical error.

Altman LK. New York Times. December 11, 2001;1:1.

COMMENTARY

Patient safety: break the silence.

Johnson HL, Kimsey D. AORN J. 2012;95:591-601.

COMMENTARY

Counting for patient safety.

Watson DS. AORN J. 2006;84:273-275.

STUDY

How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.

Chard R. AORN J. 2010;91:132-145.

REVIEW

Avoiding wrong site surgery: a systematic review.

DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.

STUDY

Operating room briefings and wrong-site surgery.

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

COMMENTARY

Surgical site verification: A through Z.

Dunn D. J Perianesth Nurs. 2006;21:317-328.

TOOLKIT

Safe Medication Administration Tool Kit™.

Denver, CO: Association of periOperative Registered Nurses (AORN); 2005.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

COMMENTARY

Knowledge is power: averting safety-compromising events in the OR.

Catalano K. AORN J. 2008;88:987-995.

NEWSPAPER/MAGAZINE ARTICLE

Medical mistakes unhappy reality.

Young A. The Atlanta Journal-Constitution. May 3, 2009:B1.

COMMENTARY

"Managing up" can improve teamwork in the OR.

Smith SL. AORN J. 2010;91:576-582.

NEWSPAPER/MAGAZINE ARTICLE

Wrong body part, wrong patient surgeries continue despite new procedures.

Rojas-Burke J. The Oregonian. May 25, 2011.

NEWSPAPER/MAGAZINE ARTICLE

'Wrong-site' surgical mistakes are rare, preventable.

Stein L. St. Petersburg Times. June 21, 2010.

COMMENTARY

Reducing the incidence of retained surgical instrument fragments.

Reece M, Troeleman ND, McGowan JE, Furuno JP. AORN J. 2011;94:301-304.

ORGANIZATIONAL POLICY/GUIDELINES classic

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.

The Joint Commission.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

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