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Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).
These testimonies addressed issues within the Veterans Affairs health system that contributed to recent sterilization and labeling lapses.
Health Care Inspection. Washington, DC: VA Office of Inspector General; April 10, 2006. Report No. 06-01642-126.
This report shares the results of an inspection into two mistakes at a Veterans Affairs (VA) health facility involving appropriate sterilization of implantable medical devices.
Journal Article > Study
What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.
Burda SA, Hobson D, Pronovost PJ. Qual Saf Health Care. 2005;14:414-416.
The researchers compared postoperative intensive care unit admission records at one hospital to track differences between surgery and anesthesia preoperative medication histories. They found that 73% had at least one discrepancy.