AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (150)

•Diagnostic Errors (120)

•Identification Errors (128)

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

•Fatigue and Sleep Deprivation (89)

•Medication Safety (802)

•Medical Complications (387)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (614)

•Transfusion Complications (16)

•Psychological and Social Complications (139)

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United States of America

•United States Federal Government (221)

•State Governments and Agencies (42)

Resource Types

•Clinical Guideline (8)

•Journal Article (2248)

•Legislation/Regulation (56)

•Meeting/Conference (39)

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•Newspaper/Magazine Article (459)

•Press Release/Announcement (30)

•Special or Theme Issue (63)

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Error Types

•Epidemiology of Errors and Adverse Events (629)

•Active Errors (456)

•Latent Errors (201)

•Near Miss (60)

Approach to Improving Safety

•Quality Improvement Strategies (890)

•Legal and Policy Approaches (420)

•Error Reporting and Analysis (907)

•Communication Improvement (891)

•Human Factors Engineering (454)

•Teamwork (400)

•Specialization of Care (221)

•Logistical Approaches (237)

•Culture of Safety (572)

•Technologic Approaches (551)

•Education and Training (679)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2627)

•Health Care Executives and Administrators (2733)

•Non-Health Care Professionals (1328)

•Patients (327)

Setting of Care

•Hospitals (2094)

•Psychiatric Facilities (11)

•Residential Facilities (58)

•Ambulatory Care (282)

•Outpatient Surgery (57)

•Patient Transport (19)

1 - 20 of 3437

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NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

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

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

STUDY

Impact of preoperative briefings on operating room delays.

Nundy S, Mukherjee A, Sexton JB, et al. Arch Surg. 2008;143:1068-1072.

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.

STUDY

Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication.

Lingard L, Regehr G, Orser B, et al. Arch Surg. 2008;143:12-17.

MULTI-USE WEBSITE

Safe Surgery 2015.

Harvard School of Public Health.

STUDY

Improving operating room safety.

Hurlbert SN, Garrett J. Patient Saf Surg. 2009;3:25.

COMMENTARY

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.

Erickson TB, Kirkpatrick DH, DeFrancesco MS, Lawrence HC III. Obstet Gynecol. 2010;115:147-151.

STUDY

Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.

Paige JT, Aaron DL, Yang T, Howell DS, Chauvin SW. World J Surg. 2009;33:1181-1187.

STUDY

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

STUDY

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?

Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM. Am J Surg. 2009;198:70-75.

STUDY

Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room.

Paige JT, Aaron DL, Yang T, et al. Am Surg. 2008;74:817-823.

STUDY

Expanded surgical time out: a key to real-time data collection and quality improvement.

Altpeter T, Luckhardt K, Lewis JN, Harken AH, Polk HC Jr. J Am Coll Surg. 2007;204:527-532.

STUDY

Surgical case listing accuracy: failure analysis at a high-volume academic medical center.

Cima RR, Hale C, Kollengode A, Rogers JC, Cassivi SD, Deschamps C. Arch Surg. 2010;145:641-646.

COMMENTARY

The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited.

Stahel PF, Mehler PS, Clarke TJ, Varnell J. Patient Saf Surg. 2009;3:14.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

COMMENTARY

Clinical care checklists: salvations or frustrations?

Jones JW, McCullough LB. J Vasc Surg. 2011;53:1429-1430.

BOOK/REPORT

Safe Surgery Guide.

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

COMMENTARY

How long does it take to train a surgeon?

Purcell Jackson G, Tarpley JL. BMJ. 2009;339:b4260.

STUDY

Can aviation-based team training elicit sustainable behavioral change?

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

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