AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (8)

•Intraoperative Complications (143)

•Postoperative Surgical Complications (52)

Origin/Sponsor

•Africa (1)

•Asia (8)

•Australia and New Zealand (19)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (545)

•Legislation/Regulation (14)

•Meeting/Conference (1)

•Newspaper/Magazine Article (83)

•Special or Theme Issue (17)

•Tools/Toolkit (9)

•Web Resource (19)

Error Types

•Epidemiology of Errors and Adverse Events (181)

•Active Errors (135)

•Latent Errors (45)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (172)

•Legal and Policy Approaches (67)

•Error Reporting and Analysis (204)

•Communication Improvement (227)

•Human Factors Engineering (181)

•Teamwork (138)

•Specialization of Care (23)

•Logistical Approaches (40)

•Culture of Safety (103)

•Technologic Approaches (67)

•Education and Training (185)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (570)

•Health Care Executives and Administrators (533)

•Non-Health Care Professionals (229)

•Patients (87)

Setting of Care

•Hospitals (645)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (20)

•Outpatient Surgery (31)

•Patient Transport (2)

1 - 20 of 731

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STUDY

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.

Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

COMMENTARY

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

STUDY

Surgical team behaviors and patient outcomes.

Mazzocco K, Petitti DB, Fong KT, et al. Am J Surg. 2009;197:678-685.

STUDY

Discrepant perceptions of communication, teamwork and situation awareness among surgical team members.

Wauben LS, Dekker-van Doorn CM, van Wijngaarden JD, et al. Int J Qual Health Care. 2011;23:159-166.

NEWSPAPER/MAGAZINE ARTICLE

The day Joy died.

Brandeland GP. Med Econ. 2006 Oct 20;83:50, 52-53.

STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

STUDY

Interruptions and miscommunications in surgery: an observational study.

Gillespie BM, Chaboyer W, Fairweather N. AORN J. 2012;95:576-590.

STUDY

Attitudes to teamwork and safety in the operating theatre.

Flin R, Yule S, McKenzie L, Paterson-Brown S, Maran N. Surgeon. June 2006;4:145-151.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

STUDY

Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.

Forsythe L. Simul Healthc. 2009;4:143-148.

STUDY

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?

Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM. Am J Surg. 2009;198:70-75.

STUDY

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

BOOK/REPORT

Safe Surgery Guide.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404073.

STUDY

A surgical safety checklist to reduce morbidity and mortality in a global population.

Haynes AB, Weiser TG, Berry WR, et al; for the Safe Surgery Saves Lives Study Group. N Engl J Med. 2009;360:491-499.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

STUDY

The impact of organisational and individual factors on team communication in surgery: a qualitative study.

Gillespie BM, Chaboyer W, Longbottom P, Wallis M. Int J Nurs Stud. 2010;47:732-741.

COMMENTARY

Barbers of civility.

Klein AS, Forni PM. Arch Surg. 2011;146:774-777.

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