Review Systems approaches to surgical quality and safety: from concept to measurement. Citation Text: Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Vincent CA, Moorthy K, Sarker SK, et al. Ann Surg. 2004;239(4):475-82. View more articles from the same authors. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Do safety checklists improve teamwork and communication in the operating room? A systematic review. January 29, 2014 Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. August 2, 2006 The WHO surgical safety checklist: survey of patients' views. August 6, 2014 Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. December 17, 2014 Surgical technology and operating-room safety failures: a systematic review of quantitative studies. August 7, 2013 A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." August 20, 2014 Engineering the system of communication for safer surgery. February 23, 2011 Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. April 1, 2015 An evaluation of information transfer through the continuum of surgical care: a feasibility study. August 11, 2010 A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. December 7, 2005 The problem of engaging hospital doctors in promoting safety and quality in clinical care. March 21, 2007 How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. April 25, 2012 A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. April 17, 2013 Observational assessment of surgical teamwork: a feasibility study. October 4, 2006 An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. October 24, 2012 Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety. May 9, 2012 Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. February 1, 2012 Information transfer and communication in surgery: a systematic review. August 11, 2010 Teamwork in the operating theatre: cohesion or confusion? March 29, 2006 Failures in communication and information transfer across the surgical care pathway: interview study. July 25, 2012 Is health care getting safer? November 26, 2008 The impact of nontechnical skills on technical performance in surgery: a systematic review. January 30, 2005 Patients' and health care professionals' attitudes towards the PINK patient safety video. June 29, 2011 Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. May 30, 2012 Reliability of a revised NOTECHS scale for use in surgical teams. July 16, 2008 A systematic quantitative assessment of risks associated with poor communication in surgical care. June 30, 2010 Postoperative handover: problems, pitfalls, and prevention of error. June 16, 2010 The human face of simulation: patient-focused simulation training. October 18, 2006 Multidisciplinary crisis simulations: the way forward for training surgical teams. July 18, 2007 Science and patient safety. October 17, 2012 Understanding and responding to adverse events. March 6, 2005 Managing risk in hazardous conditions: improvisation is not enough. July 24, 2019 Learning from failure: the need for independent safety investigation in healthcare. November 19, 2014 Simulation to enhance patient safety: why aren't we there yet? October 19, 2011 The role of chief executive officers in a quality improvement: a qualitative study. February 20, 2013 Patient involvement in patient safety: the health-care professional's perspective. November 7, 2012 Managing the after effects of serious patient safety incidents in the NHS: an online survey study. October 31, 2012 Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. May 21, 2014 Embracing multiple aims in healthcare improvement and innovation. March 23, 2022 Multidisciplinary centres for safety and quality improvement: learning from climate change science. April 27, 2011 Practical challenges of introducing WHO surgical checklist: UK pilot experience. January 27, 2010 How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. July 10, 2013 Making health care safer: what is the contribution of health psychology? November 11, 2015 Practising safely in the foundation years. April 22, 2009 Safety skills for clinicians: an essential component of patient safety. August 20, 2008 Distracting communications in the operating theatre. June 6, 2007 Rethinking medical ward quality. November 9, 2016 Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. April 11, 2018 Safety analysis over time: seven major changes to adverse event investigation. January 24, 2018 An examination of opportunities for the active patient in improving patient safety. February 22, 2012 'The ABC of Handover': impact on shift handover in the emergency department. February 8, 2012 Development and validation of a tool to assess emergency physicians' nontechnical skills. April 18, 2012 Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. April 18, 2012 The role of hospital managers in quality and patient safety: a systematic review. September 17, 2014 Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021 Communication patterns in a UK emergency department. October 10, 2007 Patient involvement in patient safety: what factors influence patient participation and engagement? August 22, 2007 Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? February 15, 2017 Analysis of paediatric long-term ventilation incidents in the community January 22, 2020 Carers' medication administration errors in the domiciliary setting: a systematic review. February 8, 2017 Surgical adverse events: a systematic review. June 26, 2013 A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. May 2, 2012 Simulation for ward processes of surgical care. April 17, 2013 Surgical ward round quality and impact on variable patient outcomes. March 19, 2014 Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. August 27, 2014 Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. June 12, 2019 Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. November 16, 2016 Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. November 2, 2016 What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. September 4, 2013 Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. March 29, 2012 Teams under pressure in the emergency department: an interview study. January 25, 2012 The medical student as a patient: attitudes towards involvement in the quality and safety of health care. October 30, 2013 Strategies for sustaining a quality improvement collaborative and its patient safety gains. July 11, 2012 Hospital patients' reports of medical errors and undesirable events in their health care. June 27, 2012 Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. June 20, 2012 Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. April 9, 2014 Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. December 7, 2022 Predictors of the perceived impact of a patient safety collaborative: an exploratory study. March 23, 2011 The natural lifespan of a safety policy: violations and system migration in anaesthesia. April 28, 2010 Surgical skill is predicted by the ability to detect errors. May 25, 2005 Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. June 29, 2011 Breaking the rules: understanding non-compliance with policies and guidelines. September 28, 2011 Action on patient safety can reduce health inequalities. April 13, 2022 Diagnostic error in a national incident reporting system in the UK. September 8, 2010 Incident reporting in one UK accident and emergency department. December 21, 2005 Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023 How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021 Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. November 12, 2014 Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. May 29, 2013 Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. August 1, 2012 Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care. July 25, 2012 Relationship between preventable hospital deaths and other measures of safety: an exploratory study. June 4, 2014 Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. July 8, 2009 Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative. July 21, 2010 The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. September 15, 2010 Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. April 7, 2010 Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. May 16, 2018 The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review. July 15, 2015 Early diagnosis of cancer: systems approach to support clinicians in primary care. April 5, 2023 Information needs in operating room teams: what is right, what is wrong, and what is needed? January 12, 2011 View More Related Resources Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. February 3, 2021 Interventions to engage patients and families in patient safety: a systematic review. January 20, 2021 WebM&M Cases Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. November 25, 2020 Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. September 16, 2020 Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing. June 3, 2020 WebM&M Cases Is that solution for IV or irrigation?: Fluid administration errors in the operating room. March 25, 2020 WebM&M Cases “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. May 8, 2019 Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. March 27, 2019 Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. May 2, 2018 Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review. March 29, 2017 Statement on the prevention of retained foreign bodies after surgery. October 1, 2016 Leading article: how can I optimise my role as a leader within the surgical team? August 31, 2016 Situational awareness—what it means for clinicians, its recognition and importance in patient safety. August 24, 2016 Guideline implementation: prevention of retained surgical items. August 3, 2016 Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. June 8, 2016 Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. May 18, 2016 Surgical count process for prevention of retained surgical items: an integrative review. May 11, 2016 How safe is primary care? A systematic review. January 13, 2016 Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. August 5, 2015 Training situational awareness to reduce surgical errors in the operating room. February 25, 2015 National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Using improvement science methods to increase accuracy of surgical consents. September 17, 2014 The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. September 10, 2014 Interventions to reduce medication errors in pediatric intensive care. August 20, 2014 Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. August 13, 2014 Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. July 30, 2014 Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. July 23, 2014 Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. July 16, 2014 View More See More About The Topic Physicians Nurses Quality and Safety Professionals Surgery Quality Improvement Strategies
Do safety checklists improve teamwork and communication in the operating room? A systematic review. January 29, 2014
Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. August 2, 2006
Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. December 17, 2014
Surgical technology and operating-room safety failures: a systematic review of quantitative studies. August 7, 2013
A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." August 20, 2014
Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. April 1, 2015
An evaluation of information transfer through the continuum of surgical care: a feasibility study. August 11, 2010
A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. December 7, 2005
The problem of engaging hospital doctors in promoting safety and quality in clinical care. March 21, 2007
A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. April 17, 2013
An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. October 24, 2012
Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety. May 9, 2012
Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. February 1, 2012
Failures in communication and information transfer across the surgical care pathway: interview study. July 25, 2012
The impact of nontechnical skills on technical performance in surgery: a systematic review. January 30, 2005
Patients' and health care professionals' attitudes towards the PINK patient safety video. June 29, 2011
Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. May 30, 2012
A systematic quantitative assessment of risks associated with poor communication in surgical care. June 30, 2010
Learning from failure: the need for independent safety investigation in healthcare. November 19, 2014
The role of chief executive officers in a quality improvement: a qualitative study. February 20, 2013
Managing the after effects of serious patient safety incidents in the NHS: an online survey study. October 31, 2012
Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. May 21, 2014
Multidisciplinary centres for safety and quality improvement: learning from climate change science. April 27, 2011
How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. July 10, 2013
Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. April 11, 2018
An examination of opportunities for the active patient in improving patient safety. February 22, 2012
Development and validation of a tool to assess emergency physicians' nontechnical skills. April 18, 2012
Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. April 18, 2012
Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021
Patient involvement in patient safety: what factors influence patient participation and engagement? August 22, 2007
Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? February 15, 2017
Carers' medication administration errors in the domiciliary setting: a systematic review. February 8, 2017
A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. May 2, 2012
Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. August 27, 2014
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. June 12, 2019
Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. November 16, 2016
Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. November 2, 2016
What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. September 4, 2013
Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. March 29, 2012
The medical student as a patient: attitudes towards involvement in the quality and safety of health care. October 30, 2013
Strategies for sustaining a quality improvement collaborative and its patient safety gains. July 11, 2012
Hospital patients' reports of medical errors and undesirable events in their health care. June 27, 2012
Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. June 20, 2012
Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. April 9, 2014
Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. December 7, 2022
Predictors of the perceived impact of a patient safety collaborative: an exploratory study. March 23, 2011
The natural lifespan of a safety policy: violations and system migration in anaesthesia. April 28, 2010
Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. June 29, 2011
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023
How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021
Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. November 12, 2014
Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. May 29, 2013
Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. August 1, 2012
Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care. July 25, 2012
Relationship between preventable hospital deaths and other measures of safety: an exploratory study. June 4, 2014
Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. July 8, 2009
Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative. July 21, 2010
The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. September 15, 2010
Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. April 7, 2010
Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. May 16, 2018
The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review. July 15, 2015
Information needs in operating room teams: what is right, what is wrong, and what is needed? January 12, 2011
Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. February 3, 2021
Interventions to engage patients and families in patient safety: a systematic review. January 20, 2021
WebM&M Cases Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. November 25, 2020
Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. September 16, 2020
Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing. June 3, 2020
WebM&M Cases Is that solution for IV or irrigation?: Fluid administration errors in the operating room. March 25, 2020
WebM&M Cases “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020
Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. March 27, 2019
Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. May 2, 2018
Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review. March 29, 2017
Situational awareness—what it means for clinicians, its recognition and importance in patient safety. August 24, 2016
Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. June 8, 2016
Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. May 18, 2016
Surgical count process for prevention of retained surgical items: an integrative review. May 11, 2016
Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. August 5, 2015
National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014
The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. September 10, 2014
Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. August 13, 2014
Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. July 30, 2014
Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. July 23, 2014
Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. July 16, 2014