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Abelson J, Saltzman J, Kowalcyzk L, Allen S. Boston Globe. October 26, 2015.
Scheduling concurrent surgeries can have negative effects on staff and patients. This investigative news article explores the practice of overlapping procedures at a leading hospital, potential risks associated with double-booked cases, lack of transparency with patients involved, as well as the potential impact on patient safety.
Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27.
Wrong-site surgeries are considered never events by the National Quality Forum and sentinel events by The Joint Commission. Drawing from data submitted to the Pennsylvania Patient Safety Authority, this article analyzes 83 wrong-site extremity procedures in orthopedic surgery reported over 9 years and recommends site marking and time outs as strategies to prevent these incidents.
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Rosemont, IL: American Academy of Orthopaedic Surgeons.
Patient engagement is a promising strategy for error reduction and has become a priority of influential regulatory and governmental organizations. This Web site offers tips to help patients improve their safety, including bringing a friend or family member to appointments, asking questions prior to surgery, and keeping an accurate medication list.
Egerton B. Dallas Morning News. November 14, 2010;A01.
This newspaper article investigates how surgical errors and postoperative complications affected one woman's life and discusses factors that contributed to the errors, including ineffective trainee supervision.
Freyer FJ. Providence Journal. September 20, 2008.
This story reports on an incident involving wrong-side surgery and describes how the hospital responded to the event.
Smith S. Boston Globe. July 30, 2008;Metro section:1A.
This article reports on the incidence of wrong site surgeries in Massachusetts and describes complex factors that may contribute to such errors occurring in spinal surgery.