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| 1. | Study: Operating room briefings and wrong-site surgery. |
| | Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243. |
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| 2. | Study: Incidence, patterns, and prevention of wrong-site surgery. |
| | Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Arch Surg. 2006;141:353-358. |
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| 3. | Multi-use Website: Joint Commission Center for Transforming Healthcare. |
| | The Joint Commission. |
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| 4. | Study: Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit. |
| | Frey B, Ersch J, Bernet V, Baenziger O, Enderli L, Doell C. Qual Saf Health Care. 2009;18:446-449. |
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| 5. | Study: Incorrect surgical procedures within and outside of the operating room. |
| | Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034. |
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| 6. | Study: Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.
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| | Rhodes P, Giles SJ, Cook GA, et al. Qual Saf Health Care. 2008;17:409-415.
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| 7. | Book/Report: Adverse Health Events in Minnesota: Third Annual Public Report. |
| | St. Paul, MN: Minnesota Department of Health; January 2007. |
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| 8. | 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. |
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| 9. | Study: Hospitalized patients' attitudes about and participation in error prevention. |
| | Waterman AD, Gallagher TH, Garbutt J, Waterman BM, Fraser V, Burroughs TE. J Gen Intern Med. 2006;21:367-370. |
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| 10. | Book/Report: Adverse Health Events in Minnesota: Sixth Annual Public Report. |
| | St. Paul, MN: Minnesota Department of Health; January 2010. |
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| 11. | Newspaper/Magazine Article: How to avoid falling victim to a hospital mistake. |
| | Cohen E. Empowered Patient. CNN.com. November 13, 2009. |
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| 12. | Study: Surgical site signing and "time out": issues of compliance or complacence. |
| | Johnston G, Ekert L, Pally E. J Bone Joint Surg Am. 2009;91:2577-2580. |
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| 13. | Newspaper/Magazine Article: Another wrong-site surgery at RI Hospital. |
| | Freyer FJ. Providence Journal. October 24, 2009. |
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| 14. | Study: Wrong site surgery near misses and actual occurrences. |
| | Blanco M, Clarke JR, Martindell D. AORN J. 2009;90:215-222. |
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| 15. | Commentary: A 62-year-old woman with skin cancer who experienced wrong-site surgery. |
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Gallagher TH. JAMA. 2009;302:669-677. |
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| 16. | Multi-use Website: National Time Out Day. |
| | AORN Patient Safety First. |
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| 17. | Newspaper/Magazine Article: Time out! Conducting a final verification before surgery. |
| | Jt Comm Perspect Patient Saf. June 2009;9:1,3-4,11. |
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| 18. | Study: Patient safety in North America: beyond "operate through your initials" and "sign your site." |
| | Wong DA, Lewis B, Herndon J, Martin C Jr, Brooks R. J Bone Joint Surg Am. 2009;91:1534-1541. |
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| 19. | Audiovisual: First, do no harm: parts 1-3. |
| | Hall M. WRNI Rhode Island Public Radio. June 30-July 2, 2009. |
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| 20. | Commentary: Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. |
| | Cook J, D'Amato C, Garrett G, Ruhnau-Gee B, Hyde L, Novak N. J AHIMA. 2009;80:62-64. |