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O'Reilly KB. American Medical News. June 14, 2010.
This news piece discusses how the health care industry can apply aviation safety methodologies to guide improvement.
Special or Theme Issue
Simmons D, ed. Crit Care Nurs Clin North Am. 2010;22:161-290.
Articles in this special issue discuss safe practices, effective staffing, teamwork, and event analysis to enhance patient safety in the critical care setting.
Journal Article > Study
Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2011;146 1235-1239.
This analysis of incorrect surgical procedures in the Veterans Affairs (VA) system found an overall decline in the number of reported wrong-site, wrong-patient, and wrong-procedure errors compared with the authors' prior study. As in the earlier report, half of the incorrect procedures occurred outside of the operating room. Root cause analyses of errors revealed that lack of standardization and human factors issues were major contributing factors. During the time period of this study, the VA implemented a teamwork training program that has been associated with a significant decline in surgical mortality. The authors propose that additional, focused team training may be one solution to this persistent problem.