Read Back Protocols
PATIENT SAFETY PRIMERS
Device-related Complications (2)
Diagnostic Errors (3)
Identification Errors (49)
Discontinuities, Gaps, and Hand-Off Problems (14)
Medication Safety (14)
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Nonsurgical Procedural Complications (2)
Surgical Complications (75)
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Australia and New Zealand (1)
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Epidemiology of Errors and Adverse Events (17)
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Approach to Improving Safety
Read Back Protocols
Health Care Providers (78)
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Ambulatory Care (3)
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Wrong body part, wrong patient surgeries continue despite new procedures.
Rojas-Burke J. The Oregonian. May 25, 2011.
Medical mistakes unhappy reality.
Young A. The Atlanta Journal-Constitution. May 3, 2009:B1.
'Wrong-site' surgical mistakes are rare, preventable.
Stein L. St. Petersburg Times. June 21, 2010.
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
The Joint Commission.
Operating room briefings and wrong-site surgery.
Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
Avoiding wrong site surgery: a systematic review.
DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.
Wrong site surgery near misses and actual occurrences.
Blanco M, Clarke JR, Martindell D. AORN J. 2009;90:215-222.
Surgeon operates on wrong knee at Miriam Hospital.
Freyer FJ. Providence Journal. September 20, 2008.
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.
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.
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.
Minnesota Time Out Campaign.
Minnesota Safe Surgery Coalition. June 15, 2011.
Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature.
Conrardy JA, Brenek B, Myers S. AORN J. 2010;92:194-207.
The wrong foot, and other tales of surgical error.
Altman LK. New York Times. December 11, 2001;1:1.
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Gallagher TH. JAMA. 2009;302:669-677.
Time out: an analysis.
Dillon KA. AORN J. 2008;88:437-442.
Another wrong-site surgery at RI Hospital.
Freyer FJ. Providence Journal. October 24, 2009.
AORN Evaluation of the Universal Protocol.
Association of PeriOperative Registered Nurses.
Doctor removes ovaries from wrong patient.
Bramson K, Mooney T. Providence Journal. August 18, 2006.
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