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Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida.
Health Care Inspection. Washington, DC: VA Office of Inspector General; April 10, 2006. Report No. 06-01642-126.
This report shares the results of an inspection into two mistakes at a Veterans Affairs (VA) health facility involving appropriate sterilization of implantable medical devices.
Free full text (PDF)
Related Resources
CONGRESSIONAL TESTIMONY
Oversight hearing on recent patient safety issues.
Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).
COMMENTARY
Counting for patient safety.
Watson DS. AORN J. 2006;84:273-275.
ORGANIZATIONAL POLICY/GUIDELINES
AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.
AORN J. 2006;84:276-278, 280-283.
STUDY
Observational assessment of surgical teamwork: a feasibility study.
Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.
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Resource Type
Book/Report
Setting of Care
Operating Room
Target Audience
Nurses
Nurse Managers
Risk Managers
Quality and Safety Professionals
Clinical Area
Surgery
Safety Target
Prostheses and Implants
Preoperative Complications
Postoperative Surgical Complications
Approach to Improving Safety
Practice Guidelines
Human Factors Engineering
Checklists
Origin/Sponsor
Department of Veterans Affairs (VA)