Organizational Change in the Face of Highly Public Errors—II. The Duke Experience
Frush K. AHRQ WebM&M [serial online]. May 2005.
In February 2003, 17-year-old Jessica Santillan died at Duke University Medical Center due to a mismatched heart-lung transplantation. As with the Dana-Farber experience, the death made headlines around the world and devastated the leaders and providers at...
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Association between implementation of a medical team training program and surgical mortality.
Neily J, Mills PD, Young-Xu Y, et al. JAMA
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Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
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Nashville, TN: Tennessee Center for Patient Safety; August 2011.
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