PATIENT SAFETY PRIMERS
Device-related Complications (6)
Diagnostic Errors (1)
Identification Errors (13)
Discontinuities, Gaps, and Hand-Off Problems (7)
Medication Safety (15)
Medical Complications (10)
Nonsurgical Procedural Complications (6)
Surgical Complications (25)
Australia and New Zealand (4)
North America (55)
Journal Article (47)
Newspaper/Magazine Article (16)
Web Resource (1)
Epidemiology of Errors and Adverse Events (16)
Active Errors (19)
Latent Errors (4)
Near Miss (2)
Approach to Improving Safety
Health Care Providers (56)
Health Care Executives and Administrators (55)
Non-Health Care Professionals (14)
Setting of Care
Ambulatory Care (2)
Outpatient Surgery (4)
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Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
'Wrong site' surgeries on the rise.
Davis R. USA Today. April 17, 2006.
AORN Evaluation of the Universal Protocol.
Association of PeriOperative Registered Nurses.
Operating room briefings and wrong-site surgery.
Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.
National Time Out Day.
AORN Patient Safety First.
Doctor removes ovaries from wrong patient.
Bramson K, Mooney T. Providence Journal. August 18, 2006.
Expanded surgical time out: a key to real-time data collection and quality improvement.
Altpeter T, Luckhardt K, Lewis JN, Harken AH, Polk HC Jr. J Am Coll Surg. 2007;204:527-532.
Bringing surgeons down to earth.
Landro L. Wall Street Journal (Eastern edition). November 16, 2005:D1.
Doing the "right" things to correct wrong-site surgery.
PA-PSRS Patient Saf Advis. June 2007;4:29, 32-45.
Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives.
Styer KA, Ashley SW, Schmidt S, Zive EM, Eappen S. AORN J. 2011;94:590-598.
Safety in ASCs: putting patients first.
Dix K. Today's Surgicenter. December 1, 2006.
Surgical confusions in ophthalmology.
Simon JW, Ngo Y, Khan S, Strogatz D. Arch Ophthalmol. 2007;125:1515-1522.
Mark My Limb.
O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
Mark My Tooth
Smith RA. AHRQ WebM&M [serial online]. July 2007.
A pinpoint beam strays invisibly, harming instead of healing.
Bogdanich W, Rebelo K. New York Times. December 28, 2010;A1.
Safe Site Invasive Procedure—Non-Operating Room.
Bloomington, MN: Institute for Clinical Systems Improvement; 2010.
Crises in clinical care: an approach to management.
Runciman WB, Merry AF. Qual Saf Health Care. 2005;14:156-163.
Perfusion safety: new initiatives and enduring principles.
Kurusz M. Perfusion. 2011;26(suppl 1):6-14.
Preventing medication errors during codes.
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2011;16:1-3.
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