AORN Journal
Volume 89, Issue 6 , Pages 969-970 , June 2009

Using Safety Tools to Prevent System-Related Errors

References 

  1. Sentinel event statistics as of: March 31, 2009. The Joint Commission . http://www.jointcommission.org/NR/rdonlyres/241CD6F3-6EF0-4E9C-90AD-7FEAE5EDCEA5/0/SE_Stats_3_09.pdf Accessed May 8, 2009.
  2. Wachter RM , Shojania KG . Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes . New York, NY: Rugged Land; 2004;
  3. The Universal Protocol  . Accreditation Program: Hospitals. The Joint Commission . http://www.jointcommission.org/NR/rdonlyres/AEA17A06-BB67-4C4E-B0FC-DD195FE6BF2A/0/UP_HAP_20080616.pdf Accessed May 8, 2009.
  4. AORN, Inc  . National Time Out Day . http://www.aorn.org/NationalTimeOutDay Accessed May 8, 2009.
  5. World Alliance for Patient Safety  . Implementation Manual: Surgical Safety Checklist . 1st ed.. Geneva, Switzerland: World Health Organization; 2008; http://www.who.int/patientsafety/safesurgery/tools_resources/SSSL_Manual_finalJun08.pdf Accessed May 8, 2009.
  6. Checklist helps reduce surgical complications, deaths [news release] . Geneva, Switzerland: World Health Organization; January 14, 2009; http://www.who.int/mediacentre/news/releases/2009/safe_surgery_20090114/en/index.html Accessed May 8, 2009.

 Editor's note: The Universal Protocol is a trademark of the Joint Commission, Oakbrook Terrace, IL.

PII: S0001-2092(09)00343-3

doi: 10.1016/j.aorn.2009.05.019

AORN Journal
Volume 89, Issue 6 , Pages 969-970 , June 2009

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