Abstract
Universal protocol is a process designed by the Joint Commission to prevent wrong site surgeries. In August 1998, the Joint Commission issued a Sentinel Event Alert examining the problem of wrong site surgery, including a review of 15 cases that had been reported to them.
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Joint commission Sentinel Event Alert, 5 Dec 2001.
Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable. Arch Surg. 2006;141:931–9.
Makary M, Sexon J, Frieshlag J, Holzmueller C, Millman E, Rowen L, Pronovost P. J Am Coll Surg. 2006;202 N5:746–52.
The link between safety attitudes and observed performance in flight operations. In: Proceedings of the Eleventh International Symposium on Aviation Psychology, Columbus, OH: The Ohio State University; 2001. pp 7–13.
Leonard M, Frankel A, Simmonds T, Vega K. Achieving Safe and Reliable Healthcare strategies and solutions. 2004 Foundation of the American College of Healthcare Executives.
Dellinger EP, Hausmann SM, Bratzler DW, Johnson RM, Daniel DM, Bunt KM, et al. Hospitals collaborate to decrease surgical site infections. Am J Surg. 2005;190:9–15.
Wald HL, Ma A, Bratzler DW, Kramer AM. Indwelling urinary catheter use in the postoperative period: analysis of the national surgical infection prevention project data. Arch Surg. In press.
Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. N Engl J Med. 1996;334:1209–15.
G Miller, SCIP’s SSI Benchmarks likely unattainable, studies indicate, General Surgery News, V3, 9/2009.
The Checklist. If something so simple can transform intensive care, what else can it do? The New Yorker, 10/2007.
World Health Organization, Safe Surgery Saves Lives, The Second Global Patient Safety Challenge.
Hales B, Pronovost P. The checklist – a tool for error management and performance improvement. J Critical Care. 2006;21:241–35.
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Greif, W., Fuchshuber, P. (2012). National Patient Safety Guidelines. In: Tichansky, MD, FACS, D., Morton, MD, MPH, J., Jones, D. (eds) The SAGES Manual of Quality, Outcomes and Patient Safety. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-7901-8_14
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