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Hopperstad J. KCPQ-TV. December 5, 2011.
This news feature reports on an incident of surgical fire and its impact on the patient.
Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass.
Petrik EW, Ho D, Elahi M, et al. J Cardiothorac Vasc Anesth. 2014;28:1484-1489.
Operating-room fire at hospital burns patient, prompts changes.
Natt TM Jr. The Pilot. August 9, 2013.
UTMC nurse tossed out kidney, ruined it. National experts say error is rare.
Messina I. Toledo Blade. August 24, 2012.
Fires during surgeries a bigger risk than thought.
Kowalczyk L. Boston Globe. November 7, 2007;Health/Science section:1A.
Surgery fires spur need for new guidelines.
Collins D. Associated Press [MSNBC]. July 26, 2007.
Simulation techniques for teaching time-outs: a controlled trial.
Paull DE, Williams L, Sine DM. Patient Saf Qual Healthc. March/April 2016;13:28-37.
Do cell phones belong in the operating room?
Luthra S. Kaiser Health News. July 14, 2015.
The SAGES FUSE program: bridging a patient safety gap.
Fuchshuber PR, Robinson TN, Feldman LS, Jones DB, Schwaitzberg SD. Bull Am Coll Surg. 2014;99:18-27.
Save a brain, make a checklist.
Hamblin J. The Atlantic. March 17, 2014.
Using simulation to improve root cause analysis of adverse surgical outcomes.
Slakey DP, Simms ER, Rennie KV, Garstka ME, Korndorffer JR Jr. Int J Qual Health Care. 2014;26:144-150.
Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence.
Larson JA, Johnson MH, Bhayani SB. J Am Coll Surg. 2014;218:290-293.
Checklist implementation for office-based surgery: a team effort.
Shapiro FE, Punwani N, Urman RD. AORN J. 2013;98:305-309.
Surgical checklists: a systematic review of impacts and implementation.
Treadwell JR, Lucas S, Tsou AY. BMJ Qual Saf. 2014;23:299-318.
Using Six Sigma to improve patient safety in the perioperative process.
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
Methodology and bias in assessing compliance with a surgical safety checklist.
Poon SJ, Zuckerman SL, Mainthia R, et al. Jt Comm J Qual Patient Saf. 2013;39:77-82.
A simple surgery with harrowing complications.
Miller R. News-Times. July 25, 2012.
The role of surgeon error in withdrawal of postoperative life support.
Schwarze ML, Redmann AJ, Brasel KJ, Alexander GC. Ann Surg. 2012;256:10-15.
Tracking intraoperative complications.
Platz J, Hyman N. J Am Coll Surg. 2012;215:519-523.
Deconstructing intraoperative communication failures.
Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. J Surg Res. 2012;177:37-42.
Surgeons don't know what they don't know about the safe use of energy in surgery.
Feldman LS, Fuchshuber P, Jones DB, Mischna J, Schwaitzberg SD; FUSE (Fundamental Use of Surgical Energy) Task Force. Surg Endosc. 2012;26:2735-2739.
How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
Chard R. AORN J. 2010;91:132-145.
Fatal outcome after inadvertent injection of topical epinephrine.
ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.
Role of intraoperative cholangiography in avoiding bile duct injury.
Massarweh NN, Flum DR. J Am Coll Surg. 2007;204:656-664.
When surgery goes wrong: weighing up the risks.
Feinmann J. The Independent. November 14, 2006.
The day Joy died.
Brandeland GP. Med Econ. 2006 Oct 20;83:50, 52-53.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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