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| 1. |  Study: Operating room briefings and wrong-site surgery. |
| | Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243. |
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| 2. | Study: Incidence, patterns, and prevention of wrong-site surgery. |
| | Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Arch Surg. 2006;141:353-358. |
| |
| 3. | Multi-use Website: Joint Commission Center for Transforming Healthcare. |
| | The Joint Commission. |
| |
| 4. | Study: Incorrect surgical procedures within and outside of the operating room. |
| | Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034. |
| |
| 5. | Study: Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.
|
| | Rhodes P, Giles SJ, Cook GA, et al. Qual Saf Health Care. 2008;17:409-415.
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| 6. | Review: Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. |
| | Michaels RK, Makary MA, Dahab Y, et al. Ann Surg. 2007;245:526-532. |
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| 7. | Book/Report: Improving America's Hospitals: A Report on Quality and Safety. |
| | Oakbrook Terrace, IL: The Joint Commission; March 2007. |
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| 8. | Book/Report: Adverse Health Events in Minnesota: Third Annual Public Report. |
| | St. Paul, MN: Minnesota Department of Health; January 2007. |
| |
| 9. | Study: Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? |
| | Seiden SC, Barach P. Arch Surg. 2006;141:931-939. |
| |
| 10. | Study: Hospitalized patients' attitudes about and participation in error prevention. |
| | Waterman AD, Gallagher TH, Garbutt J, Waterman BM, Fraser V, Burroughs TE. J Gen Intern Med. 2006;21:367-370. |
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| 11. | Study: How surgeons disclose medical errors to patients: a study using standardized patients. |
| | Chan DK, Gallagher TH, Reznick R, Levinson W. Surgery. 2005;138:851-858. |
| |
| 12. | Multi-use Website: Washington Patient Safety Coalition. |
| | Foundation for Health Care Quality, 705 2nd Avenue, Suite 703, Seattle, WA 98104. Phone: 206-682-2811 ext. 20. Email: help@wapatientsafety.org. |
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| 13. | Tools/Toolkit: PHA Correct Site Surgery. |
| | Partnership for Health & Accountability, Georgia Hospital Association. |
| |
| 14. | Multi-use Website: Medical error. |
| | Wikipedia. |
| |
| 15. | Book/Report: Adverse Health Events in Minnesota: Sixth Annual Public Report. |
| | St. Paul, MN: Minnesota Department of Health; January 2010. |
| |
| 16. | Newspaper/Magazine Article: How to avoid falling victim to a hospital mistake. |
| | Cohen E. Empowered Patient. CNN.com. November 13, 2009. |
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| 17. | Study: Surgical site signing and "time out": issues of compliance or complacence. |
| | Johnston G, Ekert L, Pally E. J Bone Joint Surg Am. 2009;91:2577-2580. |
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| 18. | Newspaper/Magazine Article: Another wrong-site surgery at RI Hospital. |
| | Freyer FJ. Providence Journal. October 24, 2009. |
| |
| 19. | Study: Wrong site surgery near misses and actual occurrences. |
| | Blanco M, Clarke JR, Martindell D. AORN J. 2009;90:215-222. |
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| 20. | Commentary: A 62-year-old woman with skin cancer who experienced wrong-site surgery. |
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Gallagher TH. JAMA. 2009;302:669-677. |
