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- Communication Improvement 6
- Culture of Safety 1
- Education and Training 2
- Error Reporting and Analysis 1
- Human Factors Engineering 2
- Legal and Policy Approaches 1
- Quality Improvement Strategies 2
- Specialization of Care 1
- Teamwork 3
- Technologic Approaches 2
- Discontinuities, Gaps, and Hand-Off Problems 1
- Identification Errors 3
- Interruptions and distractions 1
- Medication Safety 1
- Surgical Complications 5
Search results for "Operating Room"
- Operating Room
- State Governments and Agencies
Feil M. PA-PSRS Patient Saf Advis. June 2014;11:45-52.
Operating rooms are complex environments with particular risks regarding interruptions and distractions. This article draws from data reported to the Patient Safety Authority to explore how distractions affect surgeons and other team members. The author reviews strategies to limit distractions, including applying sterile cockpit principles, performing preoperative briefings, and utilizing checklists.
PA-PSRS Patient Saf Advis. June 2009;6:39-45.
This piece identifies risk factors associated with retention of foreign objects and suggests several tactics to prevent its occurrence.
Special or Theme Issue
Expert panel on weight loss surgery. Betsy Lehman Center for Patient Safety and Medical Error Reduction. Evidence-based recommendations for best practices in weight loss surgery.
Obes Res. 2005;13: 203-305.
A report from an expert panel convened to study surgical weight loss programs and procedures from a patient safety perspective. Relevant literature was collected and reviewed to provide evidence-based recommendations.
Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS. Patient Saf Advis. 2018;15(4).
The operating room environment harbors particular patient safety hazards. Drawing from 1137 perioperative medication error reports submitted over a 1-year period, this analysis found that more than half of the recorded incidents reached the patient and the majority of those stemmed from communication breakdowns during transitions or handoffs. The authors provide recommendations to reduce risks of error, including using barcode medication administration, standardizing handoff procedures, and stocking prefilled syringes.
Journal Article > Study
Blanco M, Clarke JR, Martindell D. AORN J. 2009;90:215-222.
PA-PSRS Patient Saf Advis. December 2007;4:109, 112-123.
This article summarizes a state-level analysis that used site visits along with near miss and error reports to evaluate wrong-site surgeries.
PA-PSRS Patient Saf Advis. June 2007;4:29, 32-45.
This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results of other studies, and provides suggestions to reduce this type of error.
PA-PSRS Patient Saf Advis. March 2006;3:13-19.
This article addresses strategies for minimizing patient safety risks related to interactions with health care industry representatives, as well as the role they can play in promoting safety.