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- Error Reporting and Analysis 2
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Search results for "Surgical Oncology"
Journal Article > Commentary
Gallagher TH. JAMA. 2009;302:669-677.
This case presentation describes a wrong-site surgery incident, provides perspectives from the patient, clinician, and includes reader responses to the case.
Journal Article > Study
A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.
Rodriguez-Paz JM, Mark LJ, Herzer KR, et al. Anesth Analg. 2009;108:202-210.
This study describes the use of a systematic process, similar to a failure mode effects analysis, that anticipates potential safety issues before introducing a new intraoperative radiation therapy. The authors suggest their process can be applied to the introduction of any new technologies, treatments, or procedures.
Cases & Commentaries
- Spotlight Case
- Web M&M
Charles Vincent, PhD; October 2003
Trusting his memory more than the chart, a surgeon directs a resident to remove the wrong side on a patient with unilateral vulvar cancer.