PATIENT SAFETY PRIMERS
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
North America (37)
Journal Article (37)
Newspaper/Magazine Article (7)
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Epidemiology of Errors and Adverse Events (20)
Active Errors (30)
Latent Errors (8)
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Approach to Improving Safety
Quality Improvement Strategies (12)
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Error Reporting and Analysis (15)
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Health Care Providers (33)
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Non-Health Care Professionals (19)
Setting of Care
Ambulatory Care (5)
Outpatient Surgery (2)
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Incorrect surgical procedures within and outside of the operating room: a follow-up report.
Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2011;146 1235-1239.
Incorrect surgical procedures within and outside of the operating room.
Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034.
Preventing wrong site, procedure, and patient events using a common cause analysis.
Mallett R, Conroy M, Saslaw LZ, Moffatt-Bruce S. Am J Med Qual. 2012;27:21-29.
Specimen labeling errors in surgical pathology: an 18-month experience.
Layfield LJ, Anderson GM. Am J Clin Pathol. 2010;134:466-470.
Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery.
Knight N, Aucar J. Am J Surg. 2010;200:803-807.
Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.
Stahel PF, Sabel AL, Victoroff MS, et al. Arch Surg. 2010;145:978-984.
Barcode technology: its role in increasing the safety of blood transfusion.
Turner CL, Casbard AC, Murphy MF. Transfusion. 2003;43:1200-1209.
Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics.
Lippi G, Blanckaert N, Bonini P, et al. Clin Chem Lab Med. 2009;47:143-153.
Decreasing patient misidentification before chemotherapy administration.
Spruill A, Eron B, Coghill A, Talbert G. Clin J Oncol Nurs. 2009;13:716-717.
EMR Entry Error: Not So Benign
Koppel R. AHRQ WebM&M [serial online]. April 2009.
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.
Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.
Smith AF, Casey K, Wilson J, Fischbacher-Smith D. Int J Qual Health Care. 2011;23:590-599.
Hall LW. AHRQ WebM&M [serial online]. October 2008.
Is the test result correct? A questionnaire study of blood collection practices in primary health care.
Söderberg J, Wallin O, Grankvist K, Brulin C. J Eval Clin Pract. 2010;16:707-711.
Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography.
Tridandapani S, Ramamurthy S, Galgano SJ, Provenzale JM. AJR Am J Roentgenol. 2013;200:W345-W352.
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety.
Scobie S, Thomson R. London, England: National Patient Safety Agency; 2005.
Minimizing electronic health record patient–note mismatches.
Wilcox AB, Chen YH, Hripcsak G. J Am Med Inform Assoc. 2011;18:511-514.
Medical errors in orthopaedics. Results of an AAOS member survey.
Wong DA, Herndon JH, Canale ST, et al. J Bone Joint Surg Am. 2009;91:547-557.
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.
ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.
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