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Wrong-Site Surgery
PATIENT SAFETY PRIMERS
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Wrong-Site Surgery
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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
Wrong-site craniotomy: analysis of 35 cases and systems for prevention.
Cohen FL, Mendelsohn D, Bernstein M. J Neurosurg. 2010;113:461-473.
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.
STUDY
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.
STUDY
Eight-year experience with a neurosurgical checklist.
Lyons MK. Am J Med Qual. 2010;25:285-288.
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.
REVIEW
Avoiding wrong site surgery: a systematic review.
DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.
STUDY
Patient safety in North America: beyond "operate through your initials" and "sign your site."
Wong DA, Lewis B, Herndon J, Martin C Jr, Brooks R. J Bone Joint Surg Am. 2009;91:1534-1541.
COMMENTARY
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
COMMENTARY
Wrong site surgery.
Fraser SG, Adams W. Br J Ophthalmol. 2006;90:814-816.
STUDY
Application of human error theory in case analysis of wrong procedures.
Duthie EA. J Patient Saf. 2010;6:108-114.
STUDY
Surgical site signing and "time out": issues of compliance or complacence.
Johnston G, Ekert L, Pally E. J Bone Joint Surg Am. 2009;91:2577-2580.
STUDY
Side errors in neurosurgery.
Mitchell P, Nicholson CL, Jenkins A. Acta Neurochir (Wien). 2006;148:1289-92.
NEWSPAPER/MAGAZINE ARTICLE
Surgeon operates on wrong knee at Miriam Hospital.
Freyer FJ. Providence Journal. September 20, 2008.
STUDY
Incidence, patterns, and prevention of wrong-site surgery.
Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Arch Surg. 2006;141:353-358.
STUDY
The prevalence of wrong level surgery among spine surgeons.
Mody MG, Nourbakhsh A, Stahl DL, Gibbs M, Alfawareh M, Garges KJ. Spine. 2008;33:194-198.
STUDY
The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery.
James MA, Seiler JG 3rd, Harrast JJ, Emery SE, Hurwitz S. J Bone Joint Surg Am. 2012;94:e2(1-12).
STUDY
Getting surgery right.
Clarke JR, Johnston J, Finley ED. Ann Surg. 2007;246:395-405.
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