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. June 12, 2013.
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.
Safety in ASCs: putting patients first.
Dix K. Today's Surgicenter. December 1, 2006.
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.
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.
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.
Mark My Tooth
Smith RA. AHRQ WebM&M [serial online]. July 2007.
Perfusion safety: new initiatives and enduring principles.
Kurusz M. Perfusion. 2011;26(suppl 1):6-14.
Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.
Runciman WB, Kluger MT, Morris RW, Paix AD, Watterson LM, Webb RK. Qual Saf Health Care. 2005;14:e1.
Identifying opportunities for quality improvement in surgical site infection prevention.
Gagliardi AR, Eskicioglu C, McKenzie M, Fenech D, Nathens A, McLeod R. Am J Infect Control. 2009;37:398-402.
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