Skip Navigation
The Collection >
Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.
Hu YY, Arriaga AF, Roth EM, et al. Ann Surg. 2012;256:203-210.

Analysis of video recordings of 10 complex surgical procedures identified an average of 3 deviations (delays or patient safety concerns) per procedure, most often due to problems with communication or environmental design.

PubMed citation icon indicating hyperlink to external website
Available at icon indicating hyperlink to external website
white box
Related Resources
STUDY
Failures in communication and information transfer across the surgical care pathway: interview study.
Nagpal K, Arora S, Vats A, et al. BMJ Qual Saf. 2012;21:843-849.
STUDY
Operating room briefings and wrong-site surgery.
Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.
STUDY
Surgical specimen identification errors: a new measure of quality in surgical care.
Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.
View all related resources...
white box
Download: Adobe Reader   email icon Email
tan box
Find Related Resources by...
Resource Type   
 style=
Setting of Care  
 style=
Target Audience  
 style=
Clinical Area  
 style=
Safety Target  
 style=
Error Types  
 style=
Approach to Improving Safety  
 style=
Origin/Sponsor  
white box