Narrow Results Clear All
- Communication Improvement 2
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis 3
- Human Factors Engineering 3
- Legal and Policy Approaches 1
- Quality Improvement Strategies 3
- Teamwork 2
- Discontinuities, Gaps, and Hand-Off Problems 1
- Medical Complications 2
- Medication Safety 2
- Nonsurgical Procedural Complications 1
- Psychological and Social Complications 1
- Second victims 1
- Surgical Complications 9
Search results for "Audiovisual"
- Operating Room
Lantz F. WBUR. August 15, 2017.
Partnerships between physicians and patients can yield important outcomes that support safety improvements. This radio segment reports insights from both the patient and clinician involved in an adverse event and how this incident launched an organization that focuses on support for patients and clinicians that have been affected by medical errors.
Audiovisual > Commentary
Harden CS. Aesthet Surg J. 2013;33:443-448.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Health Care. Chicago, IL: American College of Surgeons. November 2012.
Some of the most prominent successes in the patient safety field have been achieved in preventing health care–associated infections. Sponsored by The Joint Commission Center for Transforming Healthcare and the American College of Surgeons, this effort used rigorous quality improvement methodology and a collaborative approach across seven participating hospitals to tackle the problem of surgical site infections (SSIs) in patients undergoing colorectal surgery. The project was a remarkable success, achieving a 32% reduction in SSIs during the study period. The Center for Transforming Healthcare is also sponsoring efforts to prevent wrong-site surgery and improve hand hygiene and handoff communications.
Snyderman N. NBC News. February 22, 2012.
This news video reports how inadequate sterilization of surgical instruments can affect patient safety.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; February 13, 2012.
This video presents a tool designed to help prevent wrong-site surgery and improve safety in hospitals.
Maminta J. News 8 WTNH. February 3, 2012.
This news video highlights one hospital's effort to improve teamwork and communication in surgery to prevent errors.
Hopperstad J. KCPQ-TV. December 5, 2011.
This news feature reports on an incident of surgical fire and its impact on the patient.
Audiovisual > Image/Poster
Nagpal K, Arora S, Abboudi M, et al. Ann Surg. 2010;252:171-176.
This qualitative study interviewed 18 providers and found that postoperative handovers are informal, unstructured, and fraught with inconsistent and incomplete information transfer. These data were used to develop and validate a formal handover protocol. Prior studies have used insights from Formula One auto racing to inform improvement strategies for postoperative handoffs, and the World Health Organization's Surgical Safety Checklist explicitly emphasizes structured handoffs at the time of patient transfer from the operating room to the postoperative area.
Bowser BA. PBS News Hour. February 8, 2010.
Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).
These testimonies addressed issues within the Veterans Affairs health system that contributed to recent sterilization and labeling lapses.
Audiovisual > Slideset
Denver, CO: Association of periOperative Registered Nurses (AORN); 2005.
This toolkit focuses on medication error in the surgical unit and includes self-assessments, a poster, pocket guide, and educational CD-ROM. Contact hours are available to nurses for successful completion.