Tracking intraoperative complications.

Joseph Platz; Neil Hyman

Study

Tracking intraoperative complications.

November 28, 2012

Platz J, Hyman N. J Am Coll Surg. 2012;215(4):519-23.

View more articles from the same authors.

This cohort study found that a prospective, real-time method for recording intraoperative complications was more complete and more accurate than traditional discharge summaries or operative reports.

PubMed citation

Available at

Related Resources From the Same Author(s)

Attending work hour restrictions: is it time?

January 28, 2009

Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program.

June 12, 2019

The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution?

November 16, 2005

Evaluation of critical incidents in general surgery.

November 5, 2008

A mediation skills model to manage disclosure of errors and adverse events to patients.

September 21, 2005

Does applying technology throughout the medication use process improve patient safety with antineoplastics?

February 5, 2014

The use of patient pictures and verification screens to reduce computerized provider order entry errors.

June 13, 2012

Implementing a patient safety and quality program across two merged pediatric institutions.

January 21, 2009

Association of past and future paid medical malpractice claims.

March 1, 2023

Costly issues of an uncommunicative OR.

May 3, 2006

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis.

December 5, 2018

Innovative use of the electronic health record to support harm reduction efforts.

May 24, 2017

ASPEN parenteral nutrition safety consensus recommendations: translation into practice.

May 14, 2014

The pros and cons of electronic prescribing for children.

July 27, 2011

Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.

January 25, 2006

Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy.

July 29, 2020

Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model.

June 20, 2018

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

November 9, 2022

ASPEN parenteral nutrition safety consensus recommendations.

December 11, 2013

Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without.

February 5, 2020

Defining and classifying terminology for medication harm: a call for consensus.

December 19, 2018

Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013.

February 14, 2018

Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.

April 11, 2012

September 19, 2012

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.

August 29, 2012

System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model.

January 20, 2016

Surgeon agreement at the time of handover, a prospective cohort study.

April 27, 2016

Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams.

March 16, 2016

Internal medicine work hours: trends, associations, and implications for the future.

February 13, 2008

Influences observed on incidence and reporting of medication errors in anesthesia.

May 9, 2012

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.

August 10, 2022

What do hospital staff in the UK think are the causes of penicillin medication errors?

April 17, 2013

Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.

December 2, 2015

Chasing zero harm in radiation oncology: using pre-treatment peer review.

May 22, 2019

Use of an electronic information system to identify adverse events resulting in an emergency department visit.

December 22, 2010

Errors in drug computations during newborn intensive care.

March 27, 2005

Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture.

April 24, 2019

The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study.

October 9, 2013

Clinical information technologies and inpatient outcomes: a multiple hospital study.

February 4, 2009

An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events.

April 13, 2022

How do physicians conduct medication reviews?

December 16, 2009

Making patient safety event data actionable: understanding patient safety analyst needs.

October 4, 2017

Speaking the same language. AHRQ seeks common method of safety reporting.

August 31, 2005

Improving medication-related clinical decision support.

March 7, 2018

Patient harm from cardiovascular medications.

August 25, 2021

Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies.

June 2, 2021

Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method.

December 7, 2016

A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period.

July 17, 2013

Confirming delivery: understanding the role of the hospitalized patient in medication administration safety.

May 28, 2014

Uptake of quality-related event standards of practice by community pharmacies.

April 30, 2014

Potentially inappropriate medications and adverse drug effects in elders in the ED.

July 23, 2008

Physician communication when prescribing new medications.

October 11, 2006

For 4 days, the hospital thought he had just pneumonia. It was coronavirus.

March 25, 2020

Administering and monitoring high-alert medications in acute care.

August 9, 2017

Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service?

June 13, 2012

A piece of my mind. From shame to guilt to love.

January 6, 2016

Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.

April 28, 2021

Medical error reduction and tort reform through private contractually-based quality medicine societies.

March 17, 2010

The architecture of safety: hospital design.

November 28, 2007

Predictive combinations of monitor alarms preceding in-hospital code blue events.

January 9, 2013

Modern palliative radiation treatment: do complexity and workload contribute to medical errors?

November 14, 2012

Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls.

August 3, 2011

Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.

April 3, 2019

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

March 21, 2012

The ethical imperative to think about thinking.

August 6, 2014

A new frontier in patient safety.

June 1, 2011

Improving patient safety using interactive, evidence-based decision support tools.

December 14, 2005

Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.

November 1, 2006

Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life.

May 10, 2006

Association of overlapping cardiac surgery with short-term patient outcomes.

March 3, 2020

Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative.

August 3, 2016

A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital.

July 9, 2014

Effect of communication errors during calls to an antimicrobial stewardship program.

March 26, 2008

Patient Safety in the Traditional and Evolving Nontraditional Office Setting

October 2, 2019

The architecture of safety: an emerging priority for improving patient safety.

November 21, 2018

Blinding or information control in diagnosis: could it reduce errors in clinical decision-making?

December 5, 2018

Apology and unintended harm in global health.

July 17, 2019

Diagnosing crime and diagnosing disease—part 1 and part 2.

February 28, 2018

Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.

August 17, 2011

Teaching medical students about medical errors and patient safety: evaluation of a required curriculum.

June 15, 2005

Embedding quality improvement and patient safety - the UCLA value analysis experience.

April 18, 2007

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care.

September 9, 2020

Uncharted territory: measuring costs of diagnostic errors outside the medical record.

July 25, 2012

Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment.

March 17, 2010

A trigger tool to detect harm in pediatric inpatient settings.

June 3, 2015

Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).

September 15, 2021

Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study.

May 24, 2023

Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training.

June 10, 2020

Effect of barcode-assisted medication administration on emergency department medication errors.

October 2, 2013

Analyzing communication errors in an air medical transport service.

May 29, 2013

Interruptions and medication administration in critical care.

July 29, 2015

"It is the left eye, right?"

June 11, 2014

The human factors of home health care: a conceptual model for examining safety and quality concerns.

December 9, 2009

Miles to go: an introduction to the 5 Million Lives Campaign.

August 8, 2007

Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit.

May 30, 2007

Factors associated with potentially missed diagnosis of appendicitis in the emergency department.

April 8, 2020

Pharmacist work stress and learning from quality related events.

November 9, 2016

Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment.

April 26, 2023

Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study.

January 11, 2023

Proactive patient safety: focusing on what goes right in the perioperative environment.

May 24, 2023

Related Resources

Intraoperative communications between pathologists and surgeons: do we understand each other?

September 6, 2023

Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events.

June 28, 2023

International perspectives on modifications to the surgical safety checklist.

June 21, 2023

Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center.

June 21, 2023

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.

June 14, 2023

Proactive patient safety: focusing on what goes right in the perioperative environment.

May 24, 2023

Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment.

April 26, 2023

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

April 19, 2023

Patient safety in the operating room.

March 31, 2023

Surgical fire in the United States: 2000-2020.

March 15, 2023

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation.

October 26, 2022

Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture.

August 31, 2022

Nonopioid directives: unintended consequences in the operating room.

June 29, 2022

Fire safety in the operating room.

May 25, 2022

Patient falls in the operating room setting: an analysis of reported safety events.

May 11, 2022

Five-year audit of adherence to an anaesthesia pre-induction checklist.

March 30, 2022

Intraoperative deaths: who, why, and can we prevent them?

March 9, 2022

Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons.

March 2, 2022

Leading causes of anesthesia-related liability claims in ambulatory surgery centers.

October 6, 2021

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

August 25, 2021

Maryland Hospital Patient Safety Program Annual Report.

August 1, 2021

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

June 23, 2021

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

March 3, 2021

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

February 10, 2021

Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study.

December 23, 2020

Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.

October 7, 2020

Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study.

August 12, 2020

The effects of harm events on 30-day readmission in surgical patients.

April 15, 2020

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

April 1, 2020

How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties.

March 18, 2020

See More About The Topic

Operating Room

Health Care Executives and Administrators

Safety Scientists

Surgery

Intraoperative Complications

Tracking intraoperative complications.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Tracking intraoperative complications.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site