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) Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. December 17, 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 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 The WHO surgical safety checklist: survey of patients' views. August 6, 2014 Surgical technology and operating-room safety failures: a systematic review of quantitative studies. August 7, 2013 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 A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. December 7, 2005 An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. October 24, 2012 Postoperative handover: problems, pitfalls, and prevention of error. June 16, 2010 Engineering the system of communication for safer surgery. February 23, 2011 An evaluation of information transfer through the continuum of surgical care: a feasibility study. August 11, 2010 Information transfer and communication in surgery: a systematic review. August 11, 2010 A systematic quantitative assessment of risks associated with poor communication in surgical care. June 30, 2010 Failures in communication and information transfer across the surgical care pathway: interview study. July 25, 2012 Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety. May 9, 2012 How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. April 25, 2012 Is health care getting safer? November 26, 2008 Practical challenges of introducing WHO surgical checklist: UK pilot experience. January 27, 2010 Patients' and health care professionals' attitudes towards the PINK patient safety video. June 29, 2011 A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. April 17, 2013 Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. May 30, 2012 Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. February 1, 2012 The impact of nontechnical skills on technical performance in surgery: a systematic review. January 30, 2005 Multidisciplinary crisis simulations: the way forward for training surgical teams. July 18, 2007 The problem of engaging hospital doctors in promoting safety and quality in clinical care. March 21, 2007 Teamwork in the operating theatre: cohesion or confusion? March 29, 2006 Reliability of a revised NOTECHS scale for use in surgical teams. July 16, 2008 The human face of simulation: patient-focused simulation training. October 18, 2006 Observational assessment of surgical teamwork: a feasibility study. October 4, 2006 A surgical safety checklist to reduce morbidity and mortality in a global population. January 21, 2009 How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory. October 19, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. January 26, 2011 Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. March 10, 2021 Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic. January 12, 2022 Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. July 27, 2022 Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. July 8, 2020 Enhancing safety culture through improved incident reporting: a case study in translational research. December 12, 2018 International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. February 1, 2017 Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. February 14, 2018 Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. February 26, 2020 Transforming concepts in patient safety: a progress report. August 1, 2018 The impact of racism on child and adolescent health. July 1, 2019 Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023 Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review. April 20, 2022 Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. February 23, 2022 Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). November 29, 2023 The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. October 5, 2022 The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. August 31, 2022 Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study. September 27, 2023 Five reasons for optimism on World Patient Safety Day. October 23, 2019 Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. December 17, 2014 Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. August 5, 2015 A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. May 20, 2015 Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. January 6, 2016 Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. August 27, 2014 Effectiveness of interventions to improve patient handover in surgery: a systematic review. June 17, 2015 Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. June 24, 2015 Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. July 23, 2014 Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. June 18, 2014 The impact of mobile technology on teamwork and communication in hospitals: a systematic review. March 20, 2019 Factors compromising safety in surgery: stressful events in the operating room. February 10, 2010 The impact of stress on surgical performance: a systematic review of the literature. February 3, 2010 Surgical ward round quality and impact on variable patient outcomes. March 19, 2014 Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. February 26, 2014 Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. October 16, 2013 Simulation for ward processes of surgical care. April 17, 2013 Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. July 11, 2012 Identifying and addressing preventable process errors in trauma care. June 26, 2013 Simulation to enhance patient safety: why aren't we there yet? October 19, 2011 Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. May 2, 2018 Interventions to improve employee health and well-being within health care organizations: a systematic review. June 20, 2018 Patient safety in inpatient mental health settings: a systematic review. February 5, 2020 International evaluation of an AI system for breast cancer screening. January 29, 2020 Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. December 18, 2019 Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. November 13, 2019 Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. May 20, 2020 Surgical skill is predicted by the ability to detect errors. May 25, 2005 Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. June 12, 2019 Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017 COVID-19: the dark side and the sunny side for patient safety. October 14, 2020 The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review. July 15, 2015 Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. June 29, 2011 Patient reports of preventable problems and harms in primary health care. March 6, 2005 Early diagnosis of cancer: systems approach to support clinicians in primary care. April 5, 2023 Supporting the emotional well-being of health care workers during the COVID-19 pandemic. August 5, 2020 How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021 First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. March 3, 2021 Mitigating the July effect. July 7, 2021 Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021 Transformational improvement in quality care and health systems: the next decade. November 25, 2020 Action on patient safety can reduce health inequalities. April 13, 2022 Embracing multiple aims in healthcare improvement and innovation. March 23, 2022 Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023 COVID-19: patient safety and quality improvement skills to deploy during the surge. June 24, 2020 Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? February 15, 2017 Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. December 14, 2016 Carers' medication administration errors in the domiciliary setting: a systematic review. February 8, 2017 Rethinking medical ward quality. November 9, 2016 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 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 Distractions in the operating room. June 18, 2014 View More See More About The Topic Physicians Nurses Quality and Safety Professionals Surgery Quality Improvement Strategies
Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. December 17, 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
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 technology and operating-room safety failures: a systematic review of quantitative studies. August 7, 2013
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
A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. December 7, 2005
An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. October 24, 2012
An evaluation of information transfer through the continuum of surgical care: a feasibility study. August 11, 2010
A systematic quantitative assessment of risks associated with poor communication in surgical care. June 30, 2010
Failures in communication and information transfer across the surgical care pathway: interview study. July 25, 2012
Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety. May 9, 2012
Patients' and health care professionals' attitudes towards the PINK patient safety video. June 29, 2011
A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. April 17, 2013
Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. May 30, 2012
Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. February 1, 2012
The impact of nontechnical skills on technical performance in surgery: a systematic review. January 30, 2005
The problem of engaging hospital doctors in promoting safety and quality in clinical care. March 21, 2007
A surgical safety checklist to reduce morbidity and mortality in a global population. January 21, 2009
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory. October 19, 2022
Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. January 26, 2011
Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. March 10, 2021
Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic. January 12, 2022
Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. July 27, 2022
Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. July 8, 2020
Enhancing safety culture through improved incident reporting: a case study in translational research. December 12, 2018
International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. February 1, 2017
Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. February 14, 2018
Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. February 26, 2020
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023
Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review. April 20, 2022
Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. February 23, 2022
Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). November 29, 2023
The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. October 5, 2022
The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. August 31, 2022
Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study. September 27, 2023
Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. December 17, 2014
Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. August 5, 2015
A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. May 20, 2015
Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. January 6, 2016
Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. August 27, 2014
Effectiveness of interventions to improve patient handover in surgery: a systematic review. June 17, 2015
Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. June 24, 2015
Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. July 23, 2014
Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. June 18, 2014
The impact of mobile technology on teamwork and communication in hospitals: a systematic review. March 20, 2019
The impact of stress on surgical performance: a systematic review of the literature. February 3, 2010
Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. February 26, 2014
Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. October 16, 2013
Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. July 11, 2012
Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. May 2, 2018
Interventions to improve employee health and well-being within health care organizations: a systematic review. June 20, 2018
Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. December 18, 2019
Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. November 13, 2019
Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. May 20, 2020
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. June 12, 2019
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review. July 15, 2015
Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. June 29, 2011
Supporting the emotional well-being of health care workers during the COVID-19 pandemic. August 5, 2020
How to do no harm: empowering local leaders to make care safer in low-resource settings. March 3, 2021
First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. March 3, 2021
Moving beyond the weekend effect: how can we best target interventions to improve patient care? June 30, 2021
Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023
Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? February 15, 2017
Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. December 14, 2016
Carers' medication administration errors in the domiciliary setting: a systematic review. February 8, 2017
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
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