PATIENT SAFETY PRIMERS
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
North America (44)
Journal Article (37)
Newspaper/Magazine Article (9)
Web Resource (2)
Epidemiology of Errors and Adverse Events (20)
Active Errors (29)
Latent Errors (8)
Near Miss (2)
Approach to Improving Safety
Quality Improvement Strategies (13)
Legal and Policy Approaches (4)
Error Reporting and Analysis (14)
Communication Improvement (21)
Human Factors Engineering (11)
Logistical Approaches (3)
Culture of Safety (3)
Technologic Approaches (17)
Education and Training (9)
Health Care Providers (35)
Health Care Executives and Administrators (39)
Non-Health Care Professionals (18)
Setting of Care
Ambulatory Care (5)
Outpatient Surgery (2)
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Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
The Joint Commission.
National Time Out Day.
AORN Patient Safety First. June 12, 2013.
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Seiden SC, Barach P. Arch Surg. 2006;141:931-939.
Doctor removes ovaries from wrong patient.
Bramson K, Mooney T. Providence Journal. August 18, 2006.
'Wrong-site' surgical mistakes are rare, preventable.
Stein L. St. Petersburg Times. June 21, 2010.
Doing the "right" things to correct wrong-site surgery.
PA-PSRS Patient Saf Advis. June 2007;4:29, 32-45.
Wrong-patient, wrong-site procedures persist despite safety protocol.
O'Reilly KB. American Medical News; Nov. 1, 2010.
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.
Right? Left? Neither!
Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.
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.
Variation in surgical time-out and site marking within pediatric otolaryngology.
Shah RK, Arjmand E, Roberson DW, Deutsch E, Derkay C. Arch Otolaryngol Head Neck Surg. 2011;137:69-73.
Patient misidentification in the neonatal intensive care unit: quantification of risk.
Gray JE, Suresh G, Ursprung R, et al. Pediatrics. 2006;117:e43-e47.
How to avoid falling victim to a hospital mistake.
Cohen E. Empowered Patient. CNN.com. November 13, 2009.
Speak Up: Help Avoid Mistakes in Your Surgery.
Oakbrook Terrace, IL: Joint Commission.
Incorrect surgical procedures within and outside of the operating room.
Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034.
Application of human error theory in case analysis of wrong procedures.
Duthie EA. J Patient Saf. 2010;6:108-114.
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.
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.
Mix-up: baby nursed by wrong mother.
Cisneros N. ABC-7/KGO-TV. June 10, 2006.
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.
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