U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Retained Surgical Instruments and Sponges (58)
Wrong-Site Surgery (72)
Australia and New Zealand (4)
North America (168)
Clinical Guideline (3)
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Epidemiology of Errors and Adverse Events (54)
Active Errors (96)
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Approach to Improving Safety
Quality Improvement Strategies (53)
Legal and Policy Approaches (23)
Error Reporting and Analysis (67)
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Setting of Care
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Outpatient Surgery (7)
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'Wrong site' surgeries on the rise.
Davis R. USA Today. April 17, 2006.
Surgical checklists: a systematic review of impacts and implementation.
Treadwell JR, Lucas S, Tsou AY. BMJ Qual Saf. 2014;23:299-318.
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
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.
Collegiality vs. Competence
Sagin T. AHRQ WebM&M [serial online]. March 2006.
Role of intraoperative cholangiography in avoiding bile duct injury.
Massarweh NN, Flum DR. J Am Coll Surg. 2007;204:656-664.
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.
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.
Surgery fires spur need for new guidelines.
Collins D. Associated Press [MSNBC]. July 26, 2007.
Spinal surgery and patient safety: a systems approach.
Wong DA. J Am Acad Orthop Surg. 2006;14:226-232.
Butcher L. Hosp Health Netw. November 2011.
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.
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.
Save a brain, make a checklist.
Hamblin J. The Atlantic. March 17, 2014.
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.
Fires during surgeries a bigger risk than thought.
Kowalczyk L. Boston Globe. November 7, 2007;Health/Science section:1A.
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