PATIENT SAFETY PRIMERS
Device-related Complications (1)
Identification Errors (6)
Fatigue and Sleep Deprivation (2)
Medication Safety (1)
Surgical Complications (19)
North America (17)
Journal Article (18)
Newspaper/Magazine Article (3)
Special or Theme Issue (1)
Epidemiology of Errors and Adverse Events (8)
Active Errors (4)
Latent Errors (2)
Approach to Improving Safety
Quality Improvement Strategies (2)
Legal and Policy Approaches (4)
Error Reporting and Analysis (7)
Communication Improvement (4)
Human Factors Engineering (8)
Specialization of Care (1)
Logistical Approaches (3)
Technologic Approaches (1)
Education and Training (4)
Health Care Providers (18)
Health Care Executives and Administrators (16)
Non-Health Care Professionals (6)
Setting of Care
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Spinal surgery and patient safety: a systems approach.
Wong DA. J Am Acad Orthop Surg. 2006;14:226-232.
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.
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.
SPECIAL OR THEME ISSUE
Risk Prevention and Surgical Checklists.
Neurosurg Focus. 2012;33:E1-E16.
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.
Quantitative analysis of adverse events in neurosurgery.
Houkin K, Baba T, Minamida Y, Nonaka T, Koyanagi I, Iiboshi S. Neurosurgery. 2009;65:587-594.
Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases.
Stone S, Bernstein M. Neurosurgery. 2007;60:1075-1080; discussion 1080-1082.
When the bone flap hits the floor.
Jankowitz BT, Kondziolka DS. Neurosurgery. 2006;59:585-590.
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.
"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.
A multicenter trial of aviation-style training for surgical teams.
Catchpole KR, Dale TJ, Hirst DG, Smith JP, Giddings TA. J Patient Saf. 2010;6:180-186.
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.
Side errors in neurosurgery.
Mitchell P, Nicholson CL, Jenkins A. Acta Neurochir (Wien). 2006;148:1289-92.
Reused devices, surgery's deadly suspects.
Klein A. The Washington Post. December 30, 2005:A3.
To err is human: quality and safety issues in spine care.
Wong DA, Watters WC 3rd. Spine. 2007;32(suppl 11):S2-S8.
Results of a national neurosurgery resident survey on duty hour regulations.
Fargen KM, Chakraborty A, Friedman WA. Neurosurgery. 2011;69:1162-1170.
Third wrong-sided brain surgery at R.I. hospital.
Associated Press. MSNBC. November 27, 2007.
Feud between Cedars-Sinai and surgeon puts focus on patient safety.
Zarembo A. Los Angeles Times. April 6, 2010.
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.
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