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Criscitelli T, Goodwin W. AORN J. 2017;105:408-412.
Criscitelli T ; Goodwin W.Applying human-centered design thinking to enhance safety in the OR. AORN J. 2017; 105: 408-412
Human-centered design is critical when producing innovations to improve patient safety. This commentary reviews how hospitals have applied design thinking to develop new processes to enhance safety in operating rooms.
Isolated Clot, Real Error
Anna Parks, MD, and Margaret C. Fang, MD, MPH
Holding out for an apology.
Interpersonal and organizational dynamics are key drivers of failure to rescue.
Smith ME, Wells E, Friese CR, Krein SL, Ghaferi AA. Health Aff (Millwood). 2018;37:1870-1976.
Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study.
Campbell RJ, El-Defrawy SR, Gill SS, et al. JAMA Ophthalmol. 2018 Oct 11; [Epub ahead of print].
A surgeon so bad it was criminal.
Biel L. ProPublica. October 2, 2018.
Quality, Value, and Patient Safety in Orthopedic Surgery.
Azar FM, ed. Orthop Clin North Am. 2018;49:A1-A8,389-552.
Lax oversight leaves surgery center regulators and patients in the dark.
Jewett C, Alesia M. Kaiser Health News. August 9, 2018.
Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis.
Curatolo CJ, McCormick PJ, Hyman JB, Beilin Y. Jt Comm J Qual Patient Saf. 2018;44:708-718.
Surgical fires: decreasing incidence relies on continued prevention efforts.
Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15.
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.
Is there evidence of a July effect among patients undergoing hysterectomy surgery?
Varma S, Mehta A, Hutfless S, Stone RL, Wethington SL, Fader AN. Am J Obstet Gynecol. 2018;219:176.e1-176.e9.
Good Catch Campaign: improving the perioperative culture of safety.
Lozito M, Whiteman K, Swanson-Biearman B, Barkhymer M, Stephens K. AORN J. 2018;107:705-714.
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018.
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.
Ban KA, Gibbons MM, Ko CY, et al. Anesth Analg. 2018 Apr 11; [Epub ahead of print].
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.
Resident hesitation in the operating room: does uncertainty equal incompetence?
Ott M, Schwartz A, Goldszmidt M, Bordage G, Lingard L. Med Educ. 2018;52:851-860.
Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry.
Chang B, Kaye AD, Diaz JH, Westlake B, Dutton RP, Urman RD. J Patient Saf. 2018;14:9-16.
Patient Safety in Surgery.
Stahel PF, ed. BioMed Central. ISSN: 1754-9493.
The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty.
Hamilton WG, Ho H, Parks NL, et al. J Arthroplasty. 2018;33(7S):S8-S12.
Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators.
Hassen Y, Singh P, Pucher PH, Johnston MJ, Darzi A. Surgery. 2018;163:1226-1233.
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.
In Conversation With… Karl Bilimoria, MD, MS
The Evolution of Patient Safety in Surgery
Robert M. Wachter, MD
Enhancing the quality and safety of the perioperative patient.
Staender S, Smith A. Curr Opin Anaesthesiol. 2017;30:730-735.
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.
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.
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