Patient Safety/Quality Improvement Primer.

Special or Theme Issue

Patient Safety/Quality Improvement Primer.

July 27, 2023

Otolaryngol Head Neck Surg. 2018-2023.

Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present in surgical care. This series of articles highlights key areas of importance for the specialty as they work to enhance patient safety. The latest 2023 installment covers measurement.

PubMed citations

Related Resources From the Same Author(s)

Wrong-site surgery in California, 2007–2014.

September 13, 2017

Latest Results From the "FIRST" Trial.

March 1, 2017

The Patient Safety in Surgery Study.

June 20, 2007

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

December 20, 2006

Motion study in surgery.

July 26, 2006

Improving Pediatric Surgery Quality and Outcomes in the 21st Century.

January 13, 2016

Cognitive biases in surgery: systematic review.

March 1, 2023

Patient and hospital characteristics associated with delayed diagnosis of appendicitis.

February 1, 2023

Evaluation of postoperative handover using a tool to assess information transfer and teamwork.

May 4, 2011

Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management.

September 16, 2009

Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients.

July 10, 2019

Preventable morbidity at a mature trauma center.

June 24, 2009

Systems science: a primer on high reliability.

October 17, 2018

Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled?

September 5, 2012

The opioid epidemic: what can surgeons do about it?

July 19, 2017

Patient Safety and Quality Improvement.

January 23, 2019

Patient safety in plastic surgery.

September 12, 2012

TQIP Mortality Reporting System Case Reports.

May 10, 2023

Errors in surgery: a case control study.

December 14, 2022

Patient, surgeon, and health care worker safety during the COVID-19 pandemic.

November 3, 2021

Defining and studying errors in surgical care: a systematic review.

August 17, 2022

Fast tracking in cardiac surgery: is it safe?

May 11, 2022

Supporting recovery after adverse events: an essential component of surgeon well-being.

February 10, 2021

Patient safety assurance in the age of defensive medicine: a review.

March 2, 2022

Simulation in Otolaryngology.

September 27, 2017

The second victim of unanticipated adverse events.

December 14, 2022

Crisis preparedness: a systems-based framework for avoiding harm in surgery.

November 30, 2022

Association between surgeon technical skills and patient outcomes.

September 9, 2020

Association of surgeon-patient sex concordance with postoperative outcomes,

December 22, 2021

To err is human, but what happens when surgeons err?

September 28, 2022

Opioid dependence and overdose after surgery: rate, risk factors, and reasons.

September 21, 2022

Risk reduction strategy to decrease incidence of retained surgical items.

August 31, 2022

Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality.

August 3, 2022

Association between operative autonomy of surgical residents and patient outcomes.

March 23, 2022

Formalizing the hidden curriculum of performance enhancing errors.

March 22, 2023

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review.

May 5, 2021

Performance variability in perioperative sentinel events: report on a nationwide data set.

April 20, 2022

Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program.

September 29, 2021

Trainee autonomy and patient safety.

December 6, 2017

Rates of surgical consultations after emergency department admission in Black and White Medicare patients.

October 26, 2022

A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.

September 2, 2020

Identification of common themes from never events data published by NHS England.

April 14, 2021

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

Dual surgeon operating to improve patient safety.

September 29, 2021

Accuracy of pediatric trauma field triage: a systematic review.

May 30, 2018

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.

November 9, 2022

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.

November 17, 2021

System factors affecting patient safety in the OR: an analysis of safety threats and resiliency.

August 25, 2021

Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery.

October 5, 2022

Mortality due to hospital-acquired infection after cardiac surgery.

June 1, 2022

Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic.

August 26, 2020

Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event".

August 5, 2020

Non-technical skills in surgery during the COVID-19 pandemic: an observational study.

March 9, 2022

Absence or presence: silent discourse in the operating room and impact on surgical team action.

November 11, 2020

Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures.

April 20, 2022

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture.

September 2, 2020

System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety.

February 10, 2021

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.

December 1, 2021

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system.

March 23, 2022

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review.

May 12, 2021

Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths.

March 24, 2021

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.

February 17, 2021

Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms.

June 23, 2021

"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation.

January 19, 2022

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,

October 7, 2020

Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients.

December 8, 2021

Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events.

May 12, 2021

Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis.

November 24, 2021

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis.

January 19, 2022

Association of opioid prescribing with opioid consumption after surgery in Michigan.

November 21, 2018

Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus.

March 25, 2020

Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study.

March 9, 2022

Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses.

September 15, 2021

Distractions in the operating room: a survey of the healthcare team.

April 5, 2023

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.

March 24, 2021

Honesty and transparency, indispensable to the clinical mission--Parts I-III.

December 15, 2021

Surgical fire in the United States: 2000-2020.

March 15, 2023

The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record.

September 7, 2022

Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma.

February 5, 2020

Making the business case for quality and safety.

March 23, 2022

The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review.

March 29, 2023

Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting.

January 8, 2020

Validity of Patient Safety Indicators in the Veterans Health Administration.

June 22, 2011

Patient Safety

January 13, 2021

Focusing on Medical Errors.

March 6, 2005

IV push medications survey results—part 1 and part 2.

November 28, 2018

ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2.

July 18, 2018

Artificial intelligence will improve medical treatments.

June 20, 2018

Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes.

January 11, 2006

Transgender patients and diagnostic safety: back to basics.

March 14, 2018

Distinct newborn identification requirement.

July 11, 2018

Saying Sorry.

March 26, 2014

Patient Safety.

February 15, 2012

Opioid Stewardship.

April 25, 2018

Preventing newborn falls and drops.

April 11, 2018

Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE!) Toolkit.

November 14, 2018

Reporting adverse events in a war zone.

July 18, 2018

34 ways to survive your next trip to the hospital.

May 9, 2018

Related Resources

How does robotic-assisted surgery change OR safety culture?

September 6, 2023

Perioperative Handoffs.

August 2, 2023

Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers.

July 26, 2023

Factors contributing to preventing operating room "never events": a machine learning analysis.

May 10, 2023

Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting.

April 19, 2023

Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses.

April 12, 2023

A contemporary analysis of closed claims related to wrong site surgery.

March 29, 2023

Journal Article

Study

A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel.

March 29, 2023

WebM&M Cases

Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.

February 1, 2023

Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study.

June 8, 2022

Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study.

February 23, 2022

Technology, Education and Safety.

December 15, 2021

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.

August 11, 2021

Wrong Site Surgery–Wrong Tooth Extraction.

June 9, 2021

Safety and Quality in Perioperative Anesthesia Care.

April 7, 2021

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.

March 3, 2021

Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities.

January 20, 2021

Technology, Education and Safety.

December 2, 2020

Management of Operating Room Critical Events.

November 18, 2020

Patient Safety.

August 19, 2020

Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board.

April 1, 2020

Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.

June 19, 2019

Understanding the clinical implications of resident involvement in uncommon operations.

May 1, 2019

Patient Safety and Quality Improvement.

January 23, 2019

Simulation-based clinical rehearsals as a method for improving patient safety.

October 31, 2018

Wrong-site surgery.

December 13, 2017

Simulation in Otolaryngology.

September 27, 2017

Using simulation to improve systems.

September 27, 2017

Preoperative site marking: are we adhering to good surgical practice?

July 26, 2017

Enhanced time out: an improved communication process.

June 21, 2017

See More About The Topic

Operating Room

Surgery

Otolaryngology

Surgical Complications

Wrong-Site Surgery