U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Retained Surgical Instruments and Sponges (60)
Wrong-Site Surgery (73)
Australia and New Zealand (4)
North America (174)
Clinical Guideline (3)
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Epidemiology of Errors and Adverse Events (59)
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Approach to Improving Safety
Quality Improvement Strategies (55)
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Error Reporting and Analysis (72)
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Setting of Care
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'Wrong site' surgeries on the rise.
Davis R. USA Today. April 17, 2006.
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
Surgical checklists: a systematic review of impacts and implementation.
Treadwell JR, Lucas S, Tsou AY. BMJ Qual Saf. 2014;23:299-318.
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
The Joint Commission.
When surgery goes wrong: weighing up the risks.
Feinmann J. The Independent. November 14, 2006.
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.
ASA Task Force on Intraoperative Awareness and Brain Function Monitoring. Park Ridge, IL: American Society of Anesthesiologists; July 2005.
When the bone flap hits the floor.
Jankowitz BT, Kondziolka DS. Neurosurgery. 2006;59:585-590.
Collegiality vs. Competence
Sagin T. AHRQ WebM&M [serial online]. March 2006.
Surgery fires spur need for new guidelines.
Collins D. Associated Press [MSNBC]. July 26, 2007.
Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.
Hu YY, Arriaga AF, Roth EM, et al. Ann Surg. 2012;256:203-210.
Role of intraoperative cholangiography in avoiding bile duct injury.
Massarweh NN, Flum DR. J Am Coll Surg. 2007;204:656-664.
Spinal surgery and patient safety: a systems approach.
Wong DA. J Am Acad Orthop Surg. 2006;14:226-232.
Using Six Sigma to improve patient safety in the perioperative process.
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.
Moorthy K, Munz Y, Forrest D, et al. Ann Surg. 2006;244:139-147.
Butcher L. Hosp Health Netw. November 2011.
Save a brain, make a checklist.
Hamblin J. The Atlantic. March 17, 2014.
The horror of awakening during surgery.
Foreman J. Boston Globe. February 8, 2005.
Surgical count practice variability and the potential for retained surgical items.
Edel EM. AORN J. 2012;95:228-238.
Clinic sued over towel left in patient.
McCarty JF. Plain Dealer. January 16, 2007:A1.
Tracking intraoperative complications.
Platz J, Hyman N. J Am Coll Surg. 2012;215:519-523.
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