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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Video technology to advance safety in the operating room and perioperative environment.
Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.
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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Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
Tennessee Center for Patient Safety.
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