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Spruce L. AORN J. 2016;103:297-303.
Spruce L.Back to basics: counting soft surgical goods. AORN J. 2016; 103: 297-303
Despite heightened awareness of hazards associated with retained surgical items, this never event continues to occur. This commentary explores improvement efforts that focus on the role of teams in performing surgical counts to prevent retained surgical items.
Guideline for prevention of retained surgical items.
Putnam K. AORN J. 2015;102:P11-P13.
Inpatient notes: just what the doctor ordered—checklists to improve diagnosis.
Gupta A, Graber ML. Ann Intern Med. 2019;170:HO2-HO3.
Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.
Ramsay G, Haynes AB, Lipsitz SR, et al. Br J Surg. 2019 Apr 16; [Epub ahead of print].
Impact of the World Health Organization surgical safety checklist on patient safety.
Haugen AS, Sevdalis N, Søfteland E. Anesthesiology. 2019 Apr 3; [Epub ahead of print].
Debriefing in the OR: a quality improvement project.
Finch EP, Langston M, Erickson D, Pereira K. AORN J. 2019;109:336-344.
Operating room fires.
Jones TS, Black IH, Robinson TN, Jones EL. Anesthesiology. 2019;130:492-501.
Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting.
Chew KS, van Merrienboer JJG, Durning SJ. BMC Med Educ. 2019;19:18.
Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist.
Kanjia MK, Adler AC, Buck D, Varughese AM. Paediatr Anaesth. 2019;29:258-264.
Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.
Davis KK, Mahishi V, Singal R, et al. J Clin Med Res. 2019;11:7-14.
The Joint Commission Big Book of Checklists. 2nd Edition.
Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598.
Patient Safety: A Health Affairs Briefing.
Washington, DC: Project Hope. November 6, 2018
Scaling safety: the South Carolina Surgical Safety Checklist experience.
Berry WR, Edmondson L, Gibbons LR, et al. Health Aff (Millwood). 2018;37:1779-1786.
Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps.
Agarwala AV, McRichards LK, Rao V, Kurzweil V, Goldhaber-Fiebert SN. Jt Comm J Qual Patient Saf. 2019;45:170-179.
Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.
Roybal J, Tsao K, Rangel S, Ottosen M, Skarda D, Berman L. Pediatr Qual Saf. 2018;3:e108.
Emergency department checklist: an innovation to improve safety in emergency care.
Redfern E, Hoskins R, Gray J, et al. BMJ Open Qual. 2018;7:e000325.
Guideline implementation: team communication.
Link T. AORN J. 2018;108:165-177.
Evaluation of a patient safety programme on Surgical Safety Checklist compliance: a prospective longitudinal study.
Gillespie BM, Harbeck EL, Lavin J, et al. BMJ Open Qual. 2018;7:e000362.
Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool.
Bereknyei Merrell S, Gaba DM, Agarwala AV, et al. Jt Comm J Qual Patient Saf. 2018;44:477-484.
Safety stop: a valuable addition to the pediatric universal protocol.
Caruso TJ, Munshey F, Aldorfer B, Sharek PJ. Jt Comm J Qual Patient Saf. 2018;44:552-556.
Surgical checklists save lives—but once in a while, they don't. Why?
Mukherjee S. New York Times Magazine. May 9, 2018.
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial.
Freund Y, Goulet H, Leblanc J, et al. JAMA Intern Med. 2018;178:812-819.
Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers.
Alidina S, Goldhaber-Fiebert SN, Hannenberg AA, et al. Implement Sci. 2018;13:50.
Perceptions of rounding checklists in the intensive care unit: a qualitative study.
Hallam BD, Kuza CC, Rak K, et al. BMJ Qual Saf. 2018;27:836-843.
Advances in perioperative quality and safety.
Anderson KT, Appelbaum R, Bartz-Kurycki MA, Tsao K, Browne M. Semin Pediatr Surg. 2018;27:92-101.
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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