Newspaper/Magazine Article Surgical mistakes persist in Bay State: still a tiny fraction of total procedures. Citation Text: Kowalczyk L. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL November 7, 2007 Kowalczyk L. View more articles from the same authors. This article investigates the causes of surgical errors reported in recent years by Massachusetts hospitals, and identifies team training and instrument bar-coding as solutions for improvement. Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Kowalczyk L. Copy Citation Related Resources From the Same Author(s) Surgical error at Tufts prompts widespread changes. September 10, 2014 MGH death spurs review of patient monitors. March 3, 2010 Patient alarms often unheard, unheeded. February 23, 2011 'Alarm fatigue’ a factor in 2nd death. October 5, 2011 5 cataract surgeries, 5 people blinded: what went wrong? August 24, 2016 Brigham and Women's airing medical mistakes. April 24, 2013 Report faults Children's Hospital for medication errors. June 6, 2018 Maternal deaths at MetroWest hospital prompt state probes. August 9, 2017 MGH halts a pediatric program: Heart surgeries on hold after errors. April 29, 2009 Five hospitals release data on inspections. May 2, 2007 Beth Israel cited for improving obstetrics care. April 11, 2007 Hospitals study when to apologize to patients. August 3, 2005 Beth Israel cited for residents' long hours—facing review for accreditation. September 24, 2008 Hospitals try to calm doctors' outbursts: medical road rage affecting patient safety, group says. August 27, 2008 Many Mass. hospitals will pay for errors. October 3, 2007 Fires during surgeries a bigger risk than thought. November 21, 2007 Hospitals try to break a deadly 'code.' December 14, 2005 Hospitals cutting nurses' long shifts. September 28, 2005 Doctors say they need protection to apologize. 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Hospitals try to calm doctors' outbursts: medical road rage affecting patient safety, group says. August 27, 2008
Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. January 23, 2008
Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. May 6, 2015
Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. January 25, 2017
Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. October 23, 2019
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures. August 5, 2009
Patient safety and health information technology conference: A newsmaker interview with Carolyn M. Clancy, MD. June 22, 2005
An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. March 6, 2005
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study. June 25, 2008
Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. October 25, 2023
Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. July 26, 2023
Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. July 12, 2023
Factors contributing to preventing operating room "never events": a machine learning analysis. May 10, 2023
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years. February 8, 2023
WebM&M Cases To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room October 27, 2021
Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. August 18, 2021
WebM&M Cases Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough April 28, 2021
Using radiofrequency technology to prevent retained sponges and improve patient outcomes. October 28, 2020
Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. December 5, 2018
The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. August 24, 2016
Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. June 15, 2016
Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. June 24, 2015