PATIENT SAFETY PRIMERS
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
North America (37)
Journal Article (36)
Newspaper/Magazine Article (7)
Web Resource (2)
Epidemiology of Errors and Adverse Events (19)
Active Errors (31)
Latent Errors (8)
Near Miss (2)
Approach to Improving Safety
Quality Improvement Strategies (11)
Legal and Policy Approaches (3)
Error Reporting and Analysis (15)
Communication Improvement (19)
Human Factors Engineering (12)
Logistical Approaches (3)
Culture of Safety (3)
Technologic Approaches (19)
Education and Training (5)
Health Care Providers (33)
Health Care Executives and Administrators (39)
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.
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.
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.
An intervention to decrease patient identification band errors in a children's hospital.
Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.
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.
Minimizing electronic health record patient–note mismatches.
Wilcox AB, Chen YH, Hripcsak G. J Am Med Inform Assoc. 2011;18:511-514.
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety.
Scobie S, Thomson R. London, England: National Patient Safety Agency; 2005.
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.
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.
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