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STUDY
Surgical never events in the United States.
Mehtsun WT, Ibrahim AM, Diener-West M, Pronovost PJ, Makary MA. Surgery. 2013;153:465-472.
AUDIOVISUAL
Using the Targeted Solutions Tool for wrong site surgery: is your organization at risk?
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; February 13, 2012.
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.
ORGANIZATIONAL POLICY/GUIDELINES
Preventing unintended retained foreign objects.
Sentinel Event Alert. October 17, 2013;(51):1-5.
STUDY
Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.
Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.
COMMENTARY
Time out: an analysis.
Dillon KA. AORN J. 2008;88:437-442.
NEWSPAPER/MAGAZINE ARTICLE
Hospital tells of surgery on wrong side.
Smith S. Boston Globe. July 4, 2008;Metro section:1A.
NEWSPAPER/MAGAZINE ARTICLE
Surgical mistakes persist in Bay State: still a tiny fraction of total procedures.
Kowalczyk L. Boston Globe. October 26, 2007;Metro section:1A.
COMMENTARY
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
NEWSPAPER/MAGAZINE ARTICLE
'Wrong site' surgeries on the rise.
Davis R. USA Today. April 17, 2006.
NEWSPAPER/MAGAZINE ARTICLE
Wrong-site surgery.
Butcher L. Hosp Health Netw. November 2011.
COMMENTARY
Video technology to advance safety in the operating room and perioperative environment.
Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.
STUDYclassic
Surgical team behaviors and patient outcomes.
Mazzocco K, Petitti DB, Fong KT, et al. Am J Surg. 2009;197:678-685.
STUDYclassic
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.
Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.
REVIEW
Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Zahiri HR, Stromberg J, Skupsky H, et al. Surg Innov. 2011;18:55-60.
COMMENTARYclassic
Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.
Ring DC, Herndon JH, Meyer GS. N Engl J Med. 2010;363:1950-1957.
NEWSPAPER/MAGAZINE ARTICLE
Doctor uses 'pre-flight' checklist.
Bernhard B. The Orange County Register. April 19, 2006.
BOOK/REPORT
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project.
Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint Commission Center for Transforming Healthcare; 2014.
COMMENTARY
The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited.
Stahel PF, Mehler PS, Clarke TJ, Varnell J. Patient Saf Surg. 2009;3:14.
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