U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (1)
Diagnostic Errors (2)
Identification Errors (6)
Fatigue and Sleep Deprivation (2)
Medication Safety (1)
Surgical Complications (20)
North America (19)
Journal Article (21)
Newspaper/Magazine Article (3)
Special or Theme Issue (1)
Epidemiology of Errors and Adverse Events (9)
Active Errors (5)
Latent Errors (2)
Approach to Improving Safety
Quality Improvement Strategies (3)
Legal and Policy Approaches (3)
Error Reporting and Analysis (8)
Communication Improvement (4)
Human Factors Engineering (9)
Specialization of Care (1)
Logistical Approaches (3)
Technologic Approaches (2)
Education and Training (4)
Health Care Providers (19)
Health Care Executives and Administrators (17)
Non-Health Care Professionals (5)
Setting of Care
Outpatient Surgery (1)
Patient Transport (1)
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Save a brain, make a checklist.
Hamblin J. The Atlantic. March 17, 2014.
When the bone flap hits the floor.
Jankowitz BT, Kondziolka DS. Neurosurgery. 2006;59:585-590.
Spinal surgery and patient safety: a systems approach.
Wong DA. J Am Acad Orthop Surg. 2006;14:226-232.
Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.
Jagannathan J, Vates GE, Pouratian N, et al. J Neurosurg. 2009;110:820-827.
Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery.
Grady MS, Batjer HH, Dacey RG. J Neurosurg. 2009;110:828-836.
Feud between Cedars-Sinai and surgeon puts focus on patient safety.
Zarembo A. Los Angeles Times. April 6, 2010.
Third wrong-sided brain surgery at R.I. hospital.
Associated Press. MSNBC. November 27, 2007.
Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice.
McConnell DJ, Fargen KM, Mocco J. Surg Neurol Int. 2012;3:2.
Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery.
Latimer K, Pendleton C, Olivi A, Cohen-Gadol AA, Brem H, Quiñones-Hinojosa A. Arch Surg. 2011;146:226-232.
"Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients.
Oszvald Á, Vatter H, Byhahn C, Seifert V, Güresir E. Neurosurg Focus. 2012;33:E6.
SPECIAL OR THEME ISSUE
Risk Prevention and Surgical Checklists.
Neurosurg Focus. 2012;33:E1-E16.
Eight-year experience with a neurosurgical checklist.
Lyons MK. Am J Med Qual. 2010;25:285-288.
Wrong-site craniotomy: analysis of 35 cases and systems for prevention.
Cohen FL, Mendelsohn D, Bernstein M. J Neurosurg. 2010;113:461-473.
Results of a national neurosurgery resident survey on duty hour regulations.
Fargen KM, Chakraborty A, Friedman WA. Neurosurgery. 2011;69:1162-1170.
Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?
Smith ER, Butler WE, Barker FG 2nd. J Neurosurg. 2006;105(suppl 3):169-176.
Side errors in neurosurgery.
Mitchell P, Nicholson CL, Jenkins A. Acta Neurochir (Wien). 2006;148:1289-92.
Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis.
Srinivasan J, Scala S, Jones HR, Saleh F, Russell JA. Muscle Nerve. 2006;34:359-360.
Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.
Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.
The prevalence of wrong level surgery among spine surgeons.
Mody MG, Nourbakhsh A, Stahl DL, Gibbs M, Alfawareh M, Garges KJ. Spine. 2008;33:194-198.
To err is human: quality and safety issues in spine care.
Wong DA, Watters WC 3rd. Spine. 2007;32(suppl 11):S2-S8.
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