Learning from adverse events and near misses.
Greenberg CC. J Gastrointest Surg. 2008;13:3-5.
This commentary explains how identifying
and system vulnerabilities in the operating room can help prevent future errors.
Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments.
Linkin DR, Sausman C, Santos L, et al. Clin Infect Dis. 2005;41:1014-1019.
Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients.
Privette AR, Shackford SR, Osler T, Ratliff J, Sartorelli K, Hebert JC. Ann Surg. 2009;250:316-321.
The competent surgeon: individual accountability in the era of "systems" failure.
Whittemore AD. Ann Surg. 2009;250:357-362.
Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.
Kreckler S, Catchpole KR, New SJ, Handa A, McCulloch PG. Ann Surg. 2009;250:1035-1040.
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