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Wrong-Site Surgery
PATIENT SAFETY PRIMERS
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Wrong-Site Surgery
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REVIEW
Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Zahiri HR, Stromberg J, Skupsky H, et al. Surg Innov. 2011;18:55-60.
NEWSPAPER/MAGAZINE ARTICLE
Wrong-site surgery.
Butcher L. Hosp Health Netw. November 2011.
NEWSPAPER/MAGAZINE ARTICLE
'Wrong site' surgeries on the rise.
Davis R. USA Today. April 17, 2006.
STUDY
Operating room briefings and wrong-site surgery.
Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.
NEWSPAPER/MAGAZINE ARTICLE
Surgical mistakes persist in Bay State: still a tiny fraction of total procedures.
Kowalczyk L. Boston Globe. October 26, 2007;Metro section:1A.
COMMENTARY
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
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.
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.
STUDY
Incidence, patterns, and prevention of wrong-site surgery.
Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Arch Surg. 2006;141:353-358.
NEWSPAPER/MAGAZINE ARTICLE
The wrong foot, and other tales of surgical error.
Altman LK. New York Times. December 11, 2001;1:1.
CLINICAL GUIDELINE
Prevention of wrong-site tooth extraction: clinical guidelines.
Lee JS, Curley AW, Smith RA. J Oral Maxillofac Surg. 2007;65:1793-1799.
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
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).
NEWSPAPER/MAGAZINE ARTICLE
The pain of wrong site surgery.
Boodman SG. Washington Post. June 21, 2011:E1.
NEWSPAPER/MAGAZINE ARTICLE
Wrong-patient, wrong-site procedures persist despite safety protocol.
O'Reilly KB. American Medical News; Nov. 1, 2010.
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.
NEWSPAPER/MAGAZINE ARTICLE
Preventing surgical errors.
Frenzel JC, Kelly T. HHN Magazine Online. January 6, 2009.
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