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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.
REVIEW
Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events.
Hempel S, Maggard-Gibbons M, Nguyen DK, et al. JAMA Surg. 2015 Jun 10; [Epub ahead of print].
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.
NEWSPAPER/MAGAZINE ARTICLE
Tomorrow's operating room to harness Net, RFID.
Olsen S. CNET News.com; October 19, 2005.
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.
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.
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.
BOOK/REPORTclassic
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.
NEWSPAPER/MAGAZINE ARTICLE
The wrong foot, and other tales of surgical error.
Altman LK. New York Times. December 11, 2001;1:1.
NEWSPAPER/MAGAZINE ARTICLE
'Wrong site' surgeries on the rise.
Davis R. USA Today. April 17, 2006.
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.
NEWSPAPER/MAGAZINE ARTICLE
Wrong-site surgery.
Butcher L. Hosp Health Netw. November 2011.
REVIEW
Concept analysis: wrong-site surgery.
Watson DS. AORN J. 2015;101:650-656.
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.
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.
STUDY
Surgical never events and contributing human factors.
Thiels CA, Lal TM, Nienow JM, et al. Surgery. 2015;58:515-521.
NEWSPAPER/MAGAZINE ARTICLE
Hospital tells of surgery on wrong side.
Smith S. Boston Globe. July 4, 2008;Metro section:1A.
COMMENTARY
Time out: an analysis.
Dillon KA. AORN J. 2008;88:437-442.
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