Commentary Quality and safety in surgical care. Citation Text: Polk HC, Birkmeyer JD, Hunt D, et al. Quality and safety in surgical care. Ann Surg. 2006;243(4):439-48. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 5, 2006 Polk HC, Birkmeyer JD, Hunt D, et al. Ann Surg. 2006;243(4):439-48. View more articles from the same authors. In this panel discussion from the 2005 American Surgical Association Forum, panelists discuss improving surgical safety and quality. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Polk HC, Birkmeyer JD, Hunt D, et al. Quality and safety in surgical care. Ann Surg. 2006;243(4):439-48. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Expanded surgical time out: a key to real-time data collection and quality improvement. April 18, 2007 Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. August 21, 2013 Judgment errors in surgical care. May 1, 2024 Patient safety and quality in surgery. October 10, 2007 Renewal of surgical quality and safety initiatives: a multispecialty challenge. April 5, 2006 Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017 Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021 Composite measures for profiling hospitals on bariatric surgery performance. October 30, 2013 Safety culture and complications after bariatric surgery. November 14, 2012 Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. August 19, 2020 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020 Errors in surgery: a case control study. December 14, 2022 Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. May 24, 2017 Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. September 27, 2006 Effect of bar-code technology on the safety of medication administration. May 12, 2010 Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support. April 16, 2014 Surgical skill and complication rates after bariatric surgery. October 23, 2013 National cluster-randomized trial of duty-hour flexibility in surgical training. February 10, 2016 Clinical supervisors: are they the key to making care safer? June 12, 2013 Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. December 2, 2009 Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. June 12, 2019 The WHO patient safety curriculum guide for medical schools. January 12, 2011 Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014. September 27, 2017 Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. October 16, 2013 Surgeon age and operative mortality in the United States. October 25, 2006 Hospital process compliance and surgical outcomes in Medicare beneficiaries. October 27, 2010 Variation in hospital mortality associated with inpatient surgery. October 14, 2009 The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. May 18, 2022 Indication alerts to improve problem list documentation. January 26, 2022 Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. May 30, 2018 Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. September 24, 2014 Effect of clinical decision-support systems: a systematic review. July 18, 2012 Preventing home medication administration errors. March 14, 2022 Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022 Discrimination, abuse, harassment, and burnout in surgical residency training. November 20, 2019 Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. August 12, 2015 Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. June 7, 2023 Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. November 16, 2016 Closing the loop: follow-up and feedback in a patient safety program. November 2, 2005 The impact of professionalism on safe surgical care. March 28, 2007 The competent surgeon: individual accountability in the era of "systems" failure. August 19, 2009 Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. July 2, 2008 A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. March 26, 2014 Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. April 29, 2020 Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals. September 13, 2023 Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. March 27, 2005 Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. January 15, 2020 Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. December 19, 2018 Thirty-day outcomes support implementation of a surgical safety checklist. January 9, 2013 Vital signs: improving antibiotic use among hospitalized patients. March 26, 2014 Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration. February 18, 2015 Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. July 11, 2012 Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. October 4, 2023 Differences in medication errors between central and remote site telepharmacies. October 17, 2012 Surgical management and outcomes of 165 colonoscopic perforations from a single institution. August 6, 2008 Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. September 21, 2011 Surgical simulation: a systematic review. March 8, 2006 Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. July 22, 2020 A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. January 21, 2009 Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. March 7, 2018 Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024 Seasoned surgeons assessed in a laparoscopic surgical crisis. May 13, 2009 Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. January 30, 2013 Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. December 16, 2009 Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. July 13, 2022 Lessons learned in implementing a chronic opioid therapy management system. December 21, 2022 Enhancing psychological safety in mental health services. June 9, 2021 More to teamwork than knowledge, skill and attitude. September 1, 2010 Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. November 16, 2011 The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. February 14, 2018 Cultural transformation after implementation of crew resource management: is it really possible? July 27, 2016 What is the return on investment for implementation of a crew resource management program at an academic medical center? October 14, 2015 Listen carefully: the risk of error in spoken medication orders. April 14, 2010 Findings of the first consensus conference on medical emergency teams. August 16, 2006 Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. May 29, 2019 Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. March 3, 2021 Eliminating central line-associated bloodstream infections: a national patient safety imperative. January 15, 2014 Ambulatory computerized prescribing and preventable adverse drug events. June 8, 2016 Reasons provided by prescribers when overriding drug–drug interaction alerts. November 28, 2007 Association between state medical malpractice environment and postoperative outcomes in the United States. June 21, 2017 Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. January 14, 2015 Evaluating an evidence-based bundle for preventing surgical site infection. December 1, 2010 Automating detection of diagnostic error of infectious diseases using machine learning. July 10, 2024 Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies. May 13, 2020 Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. May 24, 2017 Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. June 25, 2014 How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. July 10, 2019 Distractions in the operating room: a survey of the healthcare team. April 5, 2023 Quantitative assessment of workload and stressors in clinical radiation oncology. June 13, 2012 The social cost of adverse medical events, and what we can do about it. April 27, 2011 Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. November 9, 2016 Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. September 2, 2020 Program director perceptions of surgical resident training and patient care under flexible duty hour requirements. September 7, 2016 Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. February 24, 2016 Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. May 15, 2019 A randomized trial of nighttime physician staffing in an intensive care unit. June 5, 2013 The link between clinically validated patient safety indicators and clinical outcomes. January 10, 2018 Evaluation of drug interaction software to identify alerts for transplant medications. March 6, 2005 Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007. February 18, 2009 View More Related Resources Disclosure of errors in surgical procedures. January 19, 2024 Quality and safety in surgery: challenges and opportunities. September 8, 2021 Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. February 24, 2021 The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. November 11, 2020 Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. May 6, 2020 Explainable artificial intelligence for safe intraoperative decision support. September 25, 2019 Surgical data recording technology: a solution to address medical errors? September 18, 2019 When a vital sign leads a country astray—the opioid epidemic. September 4, 2019 Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients. July 10, 2019 The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. July 10, 2019 What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019 Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. May 29, 2019 Is it time for safeguards in the adoption of robotic surgery? May 15, 2019 Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. May 8, 2019 Association of overlapping surgery with perioperative outcomes. March 6, 2019 Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. March 6, 2019 Assessing the performance of aging surgeons. January 30, 2019 Simulation-based clinical rehearsals as a method for improving patient safety. October 31, 2018 Critical role of the surgeon–anesthesiologist relationship for patient safety. August 22, 2018 Promoting civility in the OR: an ethical imperative. March 8, 2017 Statement on the prevention of retained foreign bodies after surgery. October 1, 2016 Guideline implementation: prevention of retained surgical items. August 3, 2016 Simulation techniques for teaching time-outs: a controlled trial. June 1, 2016 Back to basics: counting soft surgical goods. April 20, 2016 Another surgeon's error: must you tell the patient? October 15, 2014 Surgical checklists unused in 10% of hospitals, CMS data shows. August 6, 2014 A case for improving measurement of intraoperative iatrogenic injuries. July 23, 2014 The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014 The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. May 7, 2014 The quest for safe surgical care: are we missing the obvious? April 23, 2014 View More See More About The Topic Operating Room Physicians Health Care Executives and Administrators Quality and Safety Professionals Surgery
Expanded surgical time out: a key to real-time data collection and quality improvement. April 18, 2007
Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. August 21, 2013
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. August 19, 2020
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. May 24, 2017
Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. September 27, 2006
Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support. April 16, 2014
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. December 2, 2009
Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. June 12, 2019
Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014. September 27, 2017
Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. October 16, 2013
The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. May 18, 2022
Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. May 30, 2018
Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. September 24, 2014
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. August 12, 2015
Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. June 7, 2023
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. November 16, 2016
Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. July 2, 2008
A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. March 26, 2014
Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. April 29, 2020
Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals. September 13, 2023
Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. March 27, 2005
Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. January 15, 2020
Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. December 19, 2018
Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration. February 18, 2015
Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. July 11, 2012
Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. October 4, 2023
Surgical management and outcomes of 165 colonoscopic perforations from a single institution. August 6, 2008
Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. September 21, 2011
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. July 22, 2020
A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. January 21, 2009
Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. March 7, 2018
Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024
Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. January 30, 2013
Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. December 16, 2009
Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. July 13, 2022
Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. November 16, 2011
The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. February 14, 2018
Cultural transformation after implementation of crew resource management: is it really possible? July 27, 2016
What is the return on investment for implementation of a crew resource management program at an academic medical center? October 14, 2015
Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. May 29, 2019
Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. March 3, 2021
Eliminating central line-associated bloodstream infections: a national patient safety imperative. January 15, 2014
Association between state medical malpractice environment and postoperative outcomes in the United States. June 21, 2017
Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. January 14, 2015
Automating detection of diagnostic error of infectious diseases using machine learning. July 10, 2024
Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies. May 13, 2020
Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. May 24, 2017
Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. June 25, 2014
How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. July 10, 2019
Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. November 9, 2016
Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. September 2, 2020
Program director perceptions of surgical resident training and patient care under flexible duty hour requirements. September 7, 2016
Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. February 24, 2016
Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. May 15, 2019
The link between clinically validated patient safety indicators and clinical outcomes. January 10, 2018
Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007. February 18, 2009
Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. February 24, 2021
The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. November 11, 2020
Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. May 6, 2020
Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients. July 10, 2019
The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. July 10, 2019
What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019
Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. May 29, 2019
Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. March 6, 2019
The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014
The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. May 7, 2014