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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.
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.
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.
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.
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
The wrong foot, and other tales of surgical error.
Altman LK. New York Times. December 11, 2001;1:1.
COMMENTARY
The Other Side.
Vincent C. AHRQ WebM&M [serial online]. October 2003.
STUDY
Application of human error theory in case analysis of wrong procedures.
Duthie EA. J Patient Saf. 2010;6:108-114.
COMMENTARY
Mark My Limb.
O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.
NEWSPAPER/MAGAZINE ARTICLE
When it's surgery, don't get it wrong.
Grant T. Washington Post. July 22, 2008:HE01
STUDYclassic
Incidence, patterns, and prevention of wrong-site surgery.
Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Arch Surg. 2006;141:353-358.
STUDY
Surgical confusions in ophthalmology.
Simon JW, Ngo Y, Khan S, Strogatz D. Arch Ophthalmol. 2007;125:1515-1522.
NEWSPAPER/MAGAZINE ARTICLE
Get me out alive.
Feldman R. The Washington Post. May 2, 2006:HE01.
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