U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Hamlin L. AORN J. 2009;90:495-498.
Hamlin L.The OR and a "just culture.". AORN J. 2009; 90: 495-498
To illustrate the value of just culture implementation, this piece describes a hypothetical scenario involving the WHO Safe Surgery Checklist.
Improving operating room safety.
Hurlbert SN, Garrett J. Patient Saf Surg. 2009;3:25.
Surgical checklists unused in 10% of hospitals, CMS data shows.
Clark C. HealthLeaders Media. July 24, 2014.
The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability.
Huang LC, Conley D, Lipsitz S, et al. BMJ Qual Saf. 2014;23:639-650.
Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members.
Porter AJ, Narimasu JY, Mulroy MF, Koehler RP. Jt Comm J Qual Patient Saf. 2014;40:3-9.
Do safety checklists improve teamwork and communication in the operating room? A systematic review.
Russ S, Rout S, Sevdalis N, Moorthy K, Darzi A, Vincent C. Ann Surg. 2013;258:856-871.
Surgical safety checklist compliance: a job done poorly!
Sparks EA, Wehbe-Janek H, Johnson RL, Smythe WR, Papaconstantinou HT. J Am Coll Surg. 2013;217:867-873.
Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit.
Boat AC, Spaeth JP. Paediatr Anaesth. 2013;23:647-654.
Thirty-day outcomes support implementation of a surgical safety checklist.
Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. J Am Coll Surg. 2012;215:766-776.
Perfusion safety: new initiatives and enduring principles.
Kurusz M. Perfusion. 2011;26(suppl 1):6-14.
Engineering the system of communication for safer surgery.
Healey AN, Nagpal K, Moorthy K, Vincent CA. Cogn Tech Work. 2011;13:1-10.
Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.
Ring DC, Herndon JH, Meyer GS. N Engl J Med. 2010;363:1950-1957.
Increasing patient safety and surgical team communication by using a count/time out board.
Edel EM. AORN J. 2010;92:420-424.
Avoiding wrong site surgery: a systematic review.
DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.
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.
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.
AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.
AORN J. 2006;84:276-278, 280-283.
Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.
Lingard L, Espin S, Rubin B, et al. Qual Saf Health Care. 2005;14:340-346.
Using good catches to promote a just culture and perioperative patient safety.
Monahan JJ. AORN J. 2018;108:548-552.
Current issues in patient safety in surgery: a review.
Kim FJ, da Silva RD, Gustafson D, Nogueira L, Harlin T, Paul DL. Patient Saf Surg. 2015;9:26.
Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties.
Biffl WL, Gallagher AW, Pieracci FM, Berumen C. Patient Saf Surg. 2015;9:5.
Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass.
Petrik EW, Ho D, Elahi M, et al. J Cardiothorac Vasc Anesth. 2014;28:1484-1489.
Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.
Gagliardi AR, Straus SE, Shojania KG, Urbach DR. PLoS One. 2014;9:e108585.
Back to basics: preventing surgical site infections.
Spruce L. AORN J. 2014;99:600-611.
Often overlooked problems with handoffs: from the intensive care unit to the operating room.
Evans AS, Yee MS, Hogue CW. Anesth Analg. 2014;118:687-689.
Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety.
Lyons VE, Popejoy LL. West J Nurs Res. 2014;36:245-261.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364