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Communication between Providers
PATIENT SAFETY PRIMERS
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Communication between Providers
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NEWSPAPER/MAGAZINE ARTICLE
Hospital tells of surgery on wrong side.
Smith S. Boston Globe. July 4, 2008;Metro section:1A.
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.
COMMENTARY
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
ORGANIZATIONAL POLICY/GUIDELINES
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
The Joint Commission.
NEWSPAPER/MAGAZINE ARTICLE
Medical mistakes unhappy reality.
Young A. The Atlanta Journal-Constitution. May 3, 2009:B1.
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
Wrong body part, wrong patient surgeries continue despite new procedures.
Rojas-Burke J. The Oregonian. May 25, 2011.
NEWSPAPER/MAGAZINE ARTICLE
Doctor uses 'pre-flight' checklist.
Bernhard B. The Orange County Register. April 19, 2006.
NEWSPAPER/MAGAZINE ARTICLE
The pain of wrong site surgery.
Boodman SG. Washington Post. June 21, 2011:E1.
NEWSPAPER/MAGAZINE ARTICLE
Surgeon operates on wrong knee at Miriam Hospital.
Freyer FJ. Providence Journal. September 20, 2008.
NEWSPAPER/MAGAZINE ARTICLE
Most surgery in wrong spot done on spine: 11 such cases found in state since 2006.
Smith S. Boston Globe. July 30, 2008;Metro section:1A.
COMMENTARY
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Gallagher TH. JAMA. 2009;302:669-677.
NEWSPAPER/MAGAZINE ARTICLE
Another wrong-site surgery at RI Hospital.
Freyer FJ. Providence Journal. October 24, 2009.
MEASUREMENT TOOL/INDICATOR
AORN Evaluation of the Universal Protocol.
Association of PeriOperative Registered Nurses.
NEWSPAPER/MAGAZINE ARTICLE
The wrong foot, and other tales of surgical error.
Altman LK. New York Times. December 11, 2001;1:1.
COMMENTARY
The Other Side.
Vincent C. AHRQ WebM&M [serial online]. October 2003.
COMMENTARY
Mark My Limb.
O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.
STUDY
Causes of near misses: perceptions of perioperative nurses.
Cohoon B. AORN J. 2011;93:551-565.
COMMENTARY
Right? Left? Neither!
Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.
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.
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