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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.
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.
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.
NEWSPAPER/MAGAZINE ARTICLE
Wrong-site surgery.
Butcher L. Hosp Health Netw. November 2011.
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' surgeries on the rise.
Davis R. USA Today. April 17, 2006.
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.
STUDYclassic
Surgical team behaviors and patient outcomes.
Mazzocco K, Petitti DB, Fong KT, et al. Am J Surg. 2009;197:678-685.
BOOK/REPORT
Adverse Health Events in Minnesota: Tenth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2014.
COMMENTARY
Time out: an analysis.
Dillon KA. AORN J. 2008;88:437-442.
COMMENTARY
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
ORGANIZATIONAL POLICY/GUIDELINES
Preventing unintended retained foreign objects.
Sentinel Event Alert. October 17, 2013;(51):1-5.
NEWSPAPER/MAGAZINE ARTICLE
Doctor uses 'pre-flight' checklist.
Bernhard B. The Orange County Register. April 19, 2006.
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.
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.
NEWSPAPER/MAGAZINE ARTICLE
Patient safety in the OR.
Stempniak M. Hosp Health Netw. 2012 Oct;86:8 p following 40.
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