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Wrong-Site Surgery
PATIENT SAFETY PRIMERS
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Wrong-Site Surgery
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NEWSPAPER/MAGAZINE ARTICLE
Scariest hospital risks.
Herper M, Lindner M. Forbes. August 25, 2008.
BOOK/REPORT
Adverse Health Events in Minnesota: Ninth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2013.
STUDY
Hospitalized patients' attitudes about and participation in error prevention.
Waterman AD, Gallagher TH, Garbutt J, Waterman BM, Fraser V, Burroughs TE. J Gen Intern Med. 2006;21:367-370.
BOOK/REPORT
National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.
National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.
BOOK/REPORT
Improving America's Hospitals: A Report on Quality and Safety.
Oakbrook Terrace, IL: The Joint Commission; March 2007.
NEWSPAPER/MAGAZINE ARTICLE
'Wrong site' surgeries on the rise.
Davis R. USA Today. April 17, 2006.
NEWSPAPER/MAGAZINE ARTICLE
A girl dies during restraint at hospital already criticized for problems.
Bernhard B, Kohler J. St. Louis Post-Dispatch. August 1, 2010:A1
NEWSPAPER/MAGAZINE ARTICLE
How to avoid falling victim to a hospital mistake.
Cohen E. Empowered Patient. CNN.com. November 13, 2009.
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.
COMMENTARY
X-ray Flip.
Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.
MULTI-USE WEBSITE
Minnesota Time Out Campaign.
Minnesota Safe Surgery Coalition. June 15, 2011.
NEWSPAPER/MAGAZINE ARTICLE
Global goal: reduce medical errors.
Szabo L. USA Today. August 23, 2005.
NEWSPAPER/MAGAZINE ARTICLE
Third wrong-sided brain surgery at R.I. hospital.
Associated Press. MSNBC. November 27, 2007.
COMMENTARY
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
REVIEW
Patient safety in dermatology: a review of the literature.
Cao LY, Taylor JS, Vidimos A. Dermatol Online J. 2010;16:3.
ORGANIZATIONAL POLICY/GUIDELINES
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
The Joint Commission.
AUDIOVISUAL
Using the Targeted Solutions Tool for wrong site surgery: is your organization at risk?
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; February 13, 2012.
COMMENTARY
What Can the Rest of the Health Care System Learn from the VA’s Quality and Safety Transformation?
Jha AK. AHRQ WebM&M [serial online]. September 2006.
REVIEW
Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.
Michaels RK, Makary MA, Dahab Y, et al. Ann Surg. 2007;245:526-532.
STUDY
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.
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