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Todd DW, Bennett JD, eds. Oral Maxillofac Surg Clin North Am. 2017;29:121-244.
Articles in this special issue provide insights into how human error can affect the safety of oral and maxillofacial surgery, a primarily ambulatory environment. The authors cover topics such as simulation training, wrong-site surgery, and the safety of office-based anesthesia.
Critical role of the surgeon–anesthesiologist relationship for patient safety.
Cooper JB. Anesthesiology. 2018;129:402-405.
Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles.
Lee SH, Khanuja HS, Blanding RJ, et al. J Patient Saf. 2017 Oct 30; [Epub ahead of print].
Time-out and checklists: a survey of rural and urban operating room personnel.
Lyons VE, Popejoy LL. J Nurs Care Qual. 2017;32:E3-E10.
How to perform a root cause analysis for workup and future prevention of medical errors: a review.
Charles R, Hood B, Derosier JM, et al. Patient Saf Surg. 2016;10:20.
Use of a surgical safety checklist to improve team communication.
Cabral RA, Eggenberger T, Keller K, Gallison BS, Newman D. AORN J. 2016;104:206-216.
Safety culture and complications after bariatric surgery.
Birkmeyer NJ, Finks JF, Greenberg CK, et al. Ann Surg. 2013;257:260-265.
Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality.
Anderson CI, Nelson CS, Graham CF, et al. J Surg Res. 2012;177:43-48.
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.
Quality of Anesthesia Care.
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
What happens when things go wrong?
Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.
Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.
Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.
Learning from adverse events and near misses.
Greenberg CC. J Gastrointest Surg. 2008;13:3-5.
Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.
Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.
Doctor uses 'pre-flight' checklist.
Bernhard B. The Orange County Register. April 19, 2006.
Safe medication management at ambulatory surgery centers.
Ubaldi K. AORN J. 2019;109:435-442.
Surgical checklists save lives—but once in a while, they don't. Why?
Mukherjee S. New York Times Magazine. May 9, 2018.
Isolated Clot, Real Error
Anna Parks, MD, and Margaret C. Fang, MD, MPH
Chasing the 6-sigma: drawing lessons from the cockpit culture.
Hickey EJ, Halvorsen F, Laussen PC, Hirst G, Schwartz S, Van Arsdell GS. J Thorac Cardiovasc Surg. 2018;155:690-696.e1.
Public reporting of surgical outcomes: surgeons, hospitals, or both?
Jha AK. JAMA. 2017;318:1429-1430.
Surgical residents' work hours and well-being in year 2 of the FIRST trial.
Dahlke AR, Quinn CM, Chung JW, Bilimoria KY. N Engl J Med. 2017;377:192-194.
Monitoring teamwork: a narrative review.
Rutherford JS. Anaesthesia. 2017;72(suppl 1):84-94.
Latest Results From the "FIRST" Trial.
J Am Coll Surg. 2017;224:103-159.
Using standardized OR checklists and creating extended time-out checklists.
Hey LA, Turner TC. AORN J. 2016;104:248-253.
The aging surgeon.
Katlic MR, Coleman J. Adv Surg. 2016;50:93-103.
Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.
Molina G, Jiang W, Edmondson L, et al. J Am Coll Surg. 2016;222:725-736.e5.
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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