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- Communication Improvement 18
- Culture of Safety 4
- Education and Training 6
- Error Reporting and Analysis 14
- Human Factors Engineering 11
- Legal and Policy Approaches 16
- Logistical Approaches 1
- Quality Improvement Strategies 9
- Teamwork 4
- Technologic Approaches 5
- Transparency and Accountability 1
- Device-related Complications 4
- Identification Errors 18
- Medical Complications 5
- Medication Safety 4
- Nonsurgical Procedural Complications 1
- Psychological and Social Complications 3
- Surgical Complications
- Medicine 46
- Nursing 1
Search results for "Intraoperative Complications"
- Newspaper/Magazine Article
- Intraoperative Complications
ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3.
Accidental administration of irrigation solutions are a wrong-route error that can result in harm. This newsletter article reviews factors that contribute to these incidents in the operating room, such as unlabeled solutions, look-alike labeling, and line connection issues. Recommendations to reduce risks include communicating during transitions, safe storage, and immediate labeling.
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
Hoffman M. Military Times. July 30, 2009.
This news article on a surgical mistake illustrates the compounded impact of medical error on patients and their families.
ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.
Levine S. Washington Post. July 18, 2006:B01.
This article reports on the efforts of one woman, whose mother was severely burned during a tracheostomy, to educate others about and reduce the risk of surgical fires.
Baertlein L. USA Today. May 24, 2006.
This article reports on a study that found that playing video games before surgery enhanced surgical dexterity and minimized errors.
Cohen E. CNN. March 24, 2016.
Poor communication regarding medical errors can contribute to patient and family frustration and fear. Reporting on a case involving disclosure of a wrong-site surgery, this news article describes a resolution program to help patients cope after a preventable error. The program includes apology, disclosure, and explanation of what occurred as well as financial compensation.
Luthra S. Kaiser Health News. July 14, 2015.
O'Donnell J. USA Today. August 6, 2014.
This newspaper article reports on changes to publicly reported data on the Hospital Compare Web site. Several avoidable hospital-acquired conditions, such as air embolism or retained foreign objects, are no longer included. Working with the National Quality Forum, the Centers for Medicare and Medicaid Services (CMS) decided to modify the list to make it easier for consumers to use and understand.
Hamblin J. The Atlantic. March 17, 2014.
Reporting on the use of checklists, this magazine article describes studies that identified benefits, such as reduced complication rates, along with research that questioned the effectiveness of checklists in improving safety. The article also discusses how these assessments may influence checklist application in health care over time.
Natt TM Jr. The Pilot. August 9, 2013.
This news article reports how a hospital was placed on "immediate jeopardy" status and revised its policy for fire safety in the operating room after a patient was injured during a surgical fire.
Eisler P. USA Today. March 8, 2013.
Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34.
Stempniak M. Hosp Health Netw. 2012 Oct;86:8 p following 40.
Messina I. Toledo Blade. August 24, 2012.
This newspaper article discusses an incident in which a transplant organ was mistakenly discarded.
Miller R. News-Times. July 25, 2012.
This newspaper article details the complications and errors a patient experienced following a routine surgery.
Hopperstad J. KCPQ-TV. December 5, 2011.
This news feature reports on an incident of surgical fire and its impact on the patient.
Butcher L. Hosp Health Netw. November 2011.
This article discusses wrong-site surgeries and efforts to prevent them.
Boodman SG. Washington Post. June 21, 2011:E1.
Rojas-Burke J. The Oregonian. May 25, 2011.