Right? Left? Neither!
Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.
A woman with a fractured right foot receives spinal anesthesia and nearly has surgery for trimalleolar fracture and dislocation of the left ankle. Only immediately prior to surgery did the team realize that the x-ray was not hers.
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Observational assessment of surgical teamwork: a feasibility study.
Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Seiden SC, Barach P. Arch Surg. 2006;141:931-939.
Governing the surgical count through communication interactions: implications for patient safety.
Riley R, Manias E, Polglase A. Qual Saf Health Care. 2006;15:369-374.
Safety in ASCs: putting patients first.
Dix K. Today's Surgicenter. December 1, 2006.
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