General Resources
AHRQ PS Net Patient Safety Network
AHRQ WebM&M
Includes monthly expert analysis of medical errors
American Academy of Orthopaedic Surgeons
American College of Surgeons National Surgical Quality Improvement Program
American College of Surgeons: Partners in Care
American Hospital Association Quality and Patient Safety
American Society of Anesthesiologists
AnesthesiaPatientSafety
A sister website to the American Association of Nurse Anesthetists site
Anesthesia Patient Safety Foundation
Australian Patient Safety Foundation
ECRI Institute
Patient Safety, Quality and Risk Management
HealthGrades Patient Safety in American Hospitals Study [pdf]
Institute for Clinical Systems Improvement
Minnesota organization for quality improvement
Institute for Healthcare Improvement
IHI's 100,000 Lives Campaign
Institute of Medicine
IOM statistics on medical errors are very frequently cited. Read or order IOM reports.
Joint Commission International Center for Patient Safety
Joint Commission Patient Safety
The Leapfrog Group
Medical Library Association Health Literacy Resources
National Patient Safety Foundation
National Quality Forum
The Patient Safety Group
Patient Safety Institute
Premier Safety Institute
Safest in America
Minnesota collaborative working to improve patient safety
SafetyNet: Lessons Learned from Close Calls in the OR
Thank You to the Industry Partners who supported this Patient Safety Supplement with an education grant to the AORN Foundation.
AORN Journal Supplement, July 2006
Surgical Care Improvement Project
US Pharmacopeia Medication Safety
VA National Center for Patient Safety
wrong-side.org
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Healthcare Professional Resources
AORN RESOURCES AND JOURNAL ARTICLE REFERENCES
AORN Just Culture Tool Kit
AORN Patient Hand-Off Tool Kit
AORN Fire Safety Tool Kit 2006 (download)
(order Fire Safety Tool Kit)
AORN Guidance Statement on Patient Safety Culture 2006 (pdf)
AORN Correct Site Surgery Position Statement 2005 (pdf)
AORN Position Statement on Fire Prevention 2005 (pdf)
AORN Position Statement on Patient Safety 2004 (pdf)
AORN Correct Site Surgery Tool Kit
AORN Safe Medication Administration Tool Kit
Order Safe Medication Administration Tool Kit
Update on correct site surgery
AORN J. 2007 Feb;85(2):415-7
The National Patient Safety Goals: a focus for action
AORN J. 2006 Sep;84(3):485-8
Using medical-error reporting to drive patient safety efforts.
AORN J. 2006 Sep;84(3):406-8, 411-4, 417-20, 421-4
AORN Journal Vol. 84 No. 1 Supplement
SafetyNet: Lessons Learned from Close Calls in the OR
Evolution of wrong site surgery prevention strategies
AORN J. 2006 May;83(5):1115-8, 1121-2
Revised National Patient Safety Goal on medication handling
AORN J. 2006 Apr;83(4):955-7
AORN guidance statement: creating a patient safety culture
AORN J. 2006 Apr;83(4):936-42
Perioperative patient safety: a multisite qualitative analysis
AORN J. 2006 Apr;83(4):871-4, 877-88, 891-7
OTHER RESOURCES
TeamSTEPPS™: Strategies and Tools to Enhance Performance and Patient Safety
2007 Joint Commission National Patient Safety Goals
List of Patient Safety Journals and Newsletters [pdf]
List of Patient Safety Books and Media [pdf]
New Joint Commission Patient Safety Practices online resource
A Clinician's Guide to Surgical Fires (ECRI)
Medication Errors in the Operating Room (USP Poster)
JOURNAL ARTICLE REFERENCES
NSQIP patient safety in surgery study
J Am Coll Surg 2007 June;204(6):1087-1300
Surgeon leads effort for safer surgery
OR Manager 2007 May;23(5):9-10
Patterns of communication breakdowns resulting in injury to surgical patients
J Am Coll Surg 2007 Apr;204(4):533-40.
Read abstract
Expanded surgical time out
J Am Coll Surg 2007 Apr;204(4):527-32.
Read abstract
An Apgar score for surgery
J Am Coll Surg 2007 Feb;204(2):201-8.
Read abstract
Surgeon information transfer and communication
Ann Surg 2007 Feb;245(2):159-69.
Read abstract
Operating room briefings and wrong-site surgery
J Am Coll Surg 2007 Feb;204(2):236-43.
Read abstract
Fire in the operating room
Plast Reconstr Surg 2007 Feb;119(2):770-3.
Read abstract
The business case for patient safety
Clin Orthop Relat Res 2007 Jan 25
Read abstract
PLoS Medicine 2006 December; 3(12).
Root cause analysis and nursing management responsibilities in wrong-site
surgery.
Dimens Crit Care Nurs. 2006 September/October;25(5):221-225.
Read abstract
Preventing operating room fire: an alternate approach.
Anesth Analg. 2006 Oct;103(4):1051-2. No abstract available
Root cause analysis and nursing management responsibilities in wrong-site surgery.
Dimens Crit Care Nurs. 2006 Sep/Oct;25(5):221-5.
Read abstract
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Arch Surg. 2006 Sep;141(9):931-9.
Read abstract
Wrong-side.org
Medication safety within the perioperative environment.
Annu Rev Nurs Res 2006 24:127-56 (entire volume devoted to patient safety)
no abstract available
Tracking progress in patient safety.
JAMA 2006 Aug 9;296(6):696-9
Read extract
Time of day effects on the incidence of anesthetic adverse events.
Qual Saf Health Care 2006 Aug;15(4):258-63
Read extract
Wrong site surgery.
Br J Ophthalmol. 2006 Jul;90(7):814-6
Read extract
Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room.
Qual Saf Health Care 2006 Jun:15(3):165-70
Read abstract
Stop going through the motions: using human factors engineering to comply with the Universal Protocol
Jt Comm Perspect Patient Saf 2006 Jun;6(6):1-2,8
Read abstract
Patient safety in surgery
Ann Surg. 2006 May;243(5):628-635
Read abstract
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder
J Am Coll Surg. 2006 May;202(5):746-52
Read abstract
Incidence, patterns, and prevention of wrong-site surgery
Arch Surg. 2006 Apr;141(4):353-7; discussion 357-8
Read abstract
Electrocautery-induced fire during adenotonsillectomy: report of two cases.
J Clin Anesth. 2006 Mar;18(2):129-31.
Read abstract
Comment
A prospective study of patient safety in the operating room
Surgery. 2006 Feb;139(2):159-73
Read abstract
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