Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. | AHRQ Patient Safety Network

Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. | AHRQ Patient Safety Network

• Book/Report
 
• Published October 2017

Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.

Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.

Proactive analysis can help uncover process weaknesses and ensure improvements are implemented before patients experience harm. This guide provides insights for organizations who seek to implement proactive analysis strategies. Tools and models discussed include Reason's Swiss cheese model and Systems Engineering Initiative for Patient Safety.

InformationFree full text (PDF)

Related Resources

JOURNAL ARTICLE › STUDY

Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.

Liu JB, Berian JR, Ban KA, et al. Ann Surg. 2017;266:411-420.

JOURNAL ARTICLE › COMMENTARY

Using data to enhance performance and improve quality and safety in surgery.

Goldenberg MG, Jung J, Grantcharov TP. JAMA Surg. 2017 Aug 16; [Epub ahead of print].

JOURNAL ARTICLE › REVIEW

Team-based care: the changing face of cardiothoracic surgery.

Crawford TC, Conte JV, Sanchez JA. Surg Clin North Am. 2017;97:801-810.

BOOK/REPORT

Improving the Working Environment for Safe Surgical Care.

Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017.

NEWSPAPER/MAGAZINE ARTICLE

Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit.

Hamilton WL. Patient Saf Qual Healthc. July 31, 2017.

View More