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
Spruce L. AORN J. 2016;103:297-303.
Spruce L.Back to basics: counting soft surgical goods. AORN J. 2016; 103: 297-303
Despite heightened awareness of hazards associated with retained surgical items, this never event continues to occur. This commentary explores improvement efforts that focus on the role of teams in performing surgical counts to prevent retained surgical items.
Guideline for prevention of retained surgical items.
Putnam K. AORN J. 2015;102:P11-P13.
Patient Safety: A Health Affairs Briefing.
Washington, DC: Project Hope. November 6, 2018
Scaling safety: the South Carolina Surgical Safety Checklist experience.
Berry WR, Edmondson L, Gibbons LR, et al. Health Aff (Millwood). 2018;37:1779-1786.
Emergency department checklist: an innovation to improve safety in emergency care.
Redfern E, Hoskins R, Gray J, et al. BMJ Open Qual. 2018;7:e000325.
Guideline implementation: team communication.
Link T. AORN J. 2018;108:165-177.
Evaluation of a patient safety programme on Surgical Safety Checklist compliance: a prospective longitudinal study.
Gillespie BM, Harbeck EL, Lavin J, et al. BMJ Open Qual. 2018;7:e000362.
Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool.
Bereknyei Merrell S, Gaba DM, Agarwala AV, et al. Jt Comm J Qual Patient Saf. 2018;44:477-484.
Safety stop: a valuable addition to the pediatric universal protocol.
Caruso TJ, Munshey F, Aldorfer B, Sharek PJ. Jt Comm J Qual Patient Saf. 2018;44:552-556.
Surgical checklists save lives—but once in a while, they don't. Why?
Mukherjee S. New York Times Magazine. May 9, 2018.
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial.
Freund Y, Goulet H, Leblanc J, et al. JAMA Intern Med. 2018;178:812-819.
Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers.
Alidina S, Goldhaber-Fiebert SN, Hannenberg AA, et al. Implement Sci. 2018;13:50.
Perceptions of rounding checklists in the intensive care unit: a qualitative study.
Hallam BD, Kuza CC, Rak K, et al. BMJ Qual Saf. 2018;27:836-843.
Advances in perioperative quality and safety.
Anderson KT, Appelbaum R, Bartz-Kurycki MA, Tsao K, Browne M. Semin Pediatr Surg. 2018;27:92-101.
Seen through the patients' eyes: surgical safety and checklists.
Bergs J, Lambrechts F, Desmedt M, et al. Int J Qual Health Care. 2018;30:118-123.
Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK.
Papoutsi C, Poots A, Clements J, Wyrko Z, Offord N, Reed JE. Age Ageing. 2018;47:311-317.
Enhancing the quality and safety of the perioperative patient.
Staender S, Smith A. Curr Opin Anaesthesiol. 2017;30:730-735.
The role of checklists and human factors for improved patient safety in plastic surgery.
Oppikofer C, Schwappach D. Plast Reconstr Surg. 2017;140:812e-817e.
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis.
Abbott TEF, Ahmad T, Phull MK, et al; International Surgical Outcomes Study (ISOS) Group. Br J Anaesth. 2018;120:146-155.
The checklist: recognize limits, but harness its power.
Alspach JG. Crit Care Nurse. 2017;37:12-18.
The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials.
Boyd JM, Wu G, Stelfox HT. J Hosp Med. 2017;12:675-682.
More than a tick box: medical checklist development, design, and use.
Burian BK, Clebone A, Dismukes K, Ruskin KJ. Anesth Analg. 2018;126:223–232.
Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.
Mitchell B, Cristancho S, Nyhof BB, Lingard LA. BMJ Qual Saf. 2017;26:837-844.
Enhanced time out: an improved communication process.
Nelson PE. AORN J. 2017;105:564-570.
The development and implementation of checklists in obstetrics.
Society for Maternal-Fetal Medicine, Bernstein PS, Combs CA, Shields LE, Clark SL, Eppes CS; SMFM Patient Safety and Quality Committee. Am J Obstet Gynecol. 2017;217:B2-B6.
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