BACKGROUND: Disruptions in surgical flow have the potential to increase the occurrence of
surgical errors; however, little is known about the frequency and nature of surgical flow …

BACKGROUND: Since the Institute of Medicine patient safety reports, a number of survey-
based measures of organizational climate safety factors (OCSFs) have been developed. The …

BACKGROUND: Wrong-site surgery can be a catastrophic event for a patient, caregiver, and
institution. Although communication breakdowns have been identified as the leading cause …

Objective: To identify the most prevalent patterns of technical errors in surgery, and evaluate
commonly recommended interventions in light of these patterns. Summary Background …

Background High‐reliability organizations have stressed the importance of nontechnical
skills for safety and of regularly providing such training to their teams. Recently safety skills …

Background Teamwork in surgical teams is at the forefront of good practice guidelines and
empirical research as an important aspect of safe surgery. We have developed a …

Background: To enhance safety in surgery, it is necessary to develop a variety of tools for
measuring and evaluating the system of work. One important consideration for safety in any …

Article-at-a-Glance Background Communication is a taken-for-granted human activity that is
recognized as important once it has failed. Communication failures are a major contributor to …

Objective: To assess the use of a synchronized video-based motion tracking device for
objective, instant, and automated assessment of laparoscopic skill in the operating room …

Background A complex chain of events underpins every clinical intervention, especially
those involving invasive procedures. Safety requires high levels of awareness and vigilance …