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Wrong-Site Surgery
PATIENT SAFETY PRIMERS
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
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Wrong-Site Surgery
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NEWSPAPER/MAGAZINE ARTICLE
Surgeon operates on wrong knee at Miriam Hospital.
Freyer FJ. Providence Journal. September 20, 2008.
NEWSPAPER/MAGAZINE ARTICLE
The pain of wrong site surgery.
Boodman SG. Washington Post. June 21, 2011:E1.
NEWSPAPER/MAGAZINE ARTICLE
Wrong body part, wrong patient surgeries continue despite new procedures.
Rojas-Burke J. The Oregonian. May 25, 2011.
NEWSPAPER/MAGAZINE ARTICLE
Medical mistakes unhappy reality.
Young A. The Atlanta Journal-Constitution. May 3, 2009:B1.
NEWSPAPER/MAGAZINE ARTICLE
Another wrong-site surgery at RI Hospital.
Freyer FJ. Providence Journal. October 24, 2009.
MULTI-USE WEBSITE
Minnesota Time Out Campaign.
Minnesota Safe Surgery Coalition. June 15, 2011.
COMMENTARY
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Gallagher TH. JAMA. 2009;302:669-677.
REVIEW
Spinal surgery and patient safety: a systems approach.
Wong DA. J Am Acad Orthop Surg. 2006;14:226-232.
COMMENTARY
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.
NEWSPAPER/MAGAZINE ARTICLE
Medical culture about errors may be changing.
Gulliver D. Herald Tribune. September 3, 2007.
STUDY
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.
STUDY
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.
ORGANIZATIONAL POLICY/GUIDELINES
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
The Joint Commission.
STUDY
Wrong-site craniotomy: analysis of 35 cases and systems for prevention.
Cohen FL, Mendelsohn D, Bernstein M. J Neurosurg. 2010;113:461-473.
REVIEW
Avoiding wrong site surgery: a systematic review.
DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.
COMMENTARY
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
NEWSPAPER/MAGAZINE ARTICLE
Third wrong-sided brain surgery at R.I. hospital.
Associated Press. MSNBC. November 27, 2007.
STUDY
Operating room briefings and wrong-site surgery.
Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.
STUDY
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Seiden SC, Barach P. Arch Surg. 2006;141:931-939.
STUDY
Getting surgery right.
Clarke JR, Johnston J, Finley ED. Ann Surg. 2007;246:395-405.
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