AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (8)

•Intraoperative Complications (142)

•Postoperative Surgical Complications (63)

Origin/Sponsor

•Africa (1)

•Asia (8)

•Australia and New Zealand (17)

Resource Types

•Clinical Guideline (2)

•Journal Article (580)

•Legislation/Regulation (13)

•Newspaper/Magazine Article (88)

•Special or Theme Issue (19)

•Tools/Toolkit (8)

•Web Resource (19)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (197)

•Active Errors (136)

•Latent Errors (43)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (196)

•Legal and Policy Approaches (76)

•Error Reporting and Analysis (216)

•Communication Improvement (219)

•Human Factors Engineering (177)

•Teamwork (123)

•Specialization of Care (24)

•Logistical Approaches (49)

•Culture of Safety (107)

•Technologic Approaches (60)

•Education and Training (181)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (579)

•Health Care Executives and Administrators (565)

•Non-Health Care Professionals (231)

•Patients (89)

Setting of Care

•Hospitals (659)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (25)

•Outpatient Surgery (44)

•Patient Transport (2)

1 - 20 of 772

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NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

COMMENTARY

Patient safety in the office-based setting.

Horton JB, Reece EM, Broughton G 2nd, Janis JE, Thornton JF, Rohrich RJ. Plast Reconstr Surg. 2006;117:61e-80e.

NEWSPAPER/MAGAZINE ARTICLE

Surgical errors: new products, protocols help slash the risks.

Williamson JE. Healthcare Purchasing News. January 2006;30:22-25.

STUDY

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

COMMENTARY

Creating a culture of safety by using checklists.

Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

SPECIAL OR THEME ISSUE

Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.

Amer Surg. 2006;72:985-1149

MULTI-USE WEBSITE

Patient Safety First.

AORN, Inc., 2170 South Parker Rd, Suite 300, Denver, CO 80231-5711.

COMMENTARY

The perianesthesia nurse's role in the prevention of opioid-related sentinel events.

Pasero C. J Perianesth Nurs. 2013;28:31-37.

STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

STUDY

Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.

Gordon NA, Koch ME. Arch Facial Plast Surg. 2006;8:47-53.

STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

SPECIAL OR THEME ISSUE

Patient Safety.

Plastic Surg Nurs. 2006;26:111-170.

NEWSPAPER/MAGAZINE ARTICLE

Trends influencing the cost of care and patient safety.

Clark R. Health Manage Tech. July 2006:18, 20-21.

STUDY

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

STUDY

A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting.

Oken A, Rasmussen MD, Slagle JM, et al. Anesthesiology. 2007;107:909-922.

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