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Overly, F.L.1
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34
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Educating anesthesiology residents to perform percutaneous cricothyrotomy, retrograde intubation, and fiberoptic bronchoscopy using preserved cadavers
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A structured program to organize and teach advanced airway rescue techniques
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Hatton KW, Price S, Craig L, Grider JS. Educating anesthesiology residents to perform percutaneous cricothyrotomy, retrograde intubation, and fiberoptic bronchoscopy using preserved cadavers. Anesth Analg 2006; 103:1205-1208. A structured program to organize and teach advanced airway rescue techniques.
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Hatton, K.W.1
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Kaissi A. An organizational approach to understanding patient safety and medical errors. Healthcare Manager 2006; 25:292-305. A balanced review and explanation of the how to approach patient safety and medical errors.
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Clancy CM. Emergency departments in crisis: implications for accessibility, quality, and safety. Am J Med Qual 2007; 22:59-62. A short paper dealing with quality and safety in the emergency department.
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Clancy, C.M.1
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Arnold E, Pulich M. Improving safety management in healthcare organizations. Healthcare Manager 2006; 25:321-326. Addresses key concerns regarding today's problems in hospital safety.
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Arnold, E.1
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46
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Explanation of the key elements to learn from litigation
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Vincent C, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract 2006; 12:665-674. Explanation of the key elements to learn from litigation.
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Vincent, C.1
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47
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Another excellent review in the long list of closed claim publications
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Cheney FW, Posner KL, Lee LA, et al. Trends in anesthesia-related death and brain damage: A closed claims analysis. Anesthesiology 2006; 105:1081-1086. Another excellent review in the long list of closed claim publications.
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Cheney, F.W.1
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Closed claims review of anesthesia for procedures outside the operating room
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Excellent overview of potential risk sinkholes outside the operating room
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Robbertze, R.1
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49
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Another excellent review in the long list of closed claim publications
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Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology 2006; 104:228-234. Another excellent review in the long list of closed claim publications.
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Bhananker, S.M.1
Posner, K.L.2
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50
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Goodyear MDE. Further lessons from the TGN1412 tragedy. Br Med J 2006; 333:270-271. An excellent nonmedical review of human and system errors.
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When good doctors go bad: A systems problem
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Dr Leape is one of the country's premier advocates for patient safety
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Leape LL. When good doctors go bad: a systems problem. Ann Surg 2006; 244:649-652. Dr Leape is one of the country's premier advocates for patient safety.
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Five years after To Err Is Human: What have we learned?
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The impact of organizational practices on safety in manufacturing: A review and reappraisal
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Wilson-Donnelly KA, Priest HA, Salas E, Burke CS. The impact of organizational practices on safety in manufacturing: A review and reappraisal. Hum Factors Ergon Manuf 2005; 15:133-176.
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Human error: Models and management
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Reason J. Human error: models and management. Br Med J 2000; 320:768-770.
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Reason J. Human Error. New York: Cambridge University Press; 1990. pp. 15-45.
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Reason J. Human Error. New York: Cambridge University Press; 1990. pp. 15-45.
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65
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Persistence of unsafe practice in everyday work: An exploration of organizational and psychological factors constraining safety in the operating room
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A very good review of operating room safety with suggestions on how and why we should confront them
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Espin S, Lingard L, Baker GR, Regehr G. Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. Qual Saf Heath Care 2006; 15:165-170. A very good review of operating room safety with suggestions on how and why we should confront them.
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Qual Saf Heath Care
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Espin, S.1
Lingard, L.2
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Taking responsibility for closing the holes
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Reinertsen JL. Taking responsibility for closing the holes. Healthc Pap 2001; 2:44-47.
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Healthc Pap
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A Human error approach to aviation accident analysis: The human factors analysis and classification system
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Wiegmann DA, Shappell SA. A Human error approach to aviation accident analysis: the human factors analysis and classification system. Aviat Space Environ Med 2001; 72:1006-1016.
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Present initiatives and future directions: How best to serve our patients and members - North American Spine Society Presidential Address, San Diego, CA
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Wong D. Present initiatives and future directions: how best to serve our patients and members - North American Spine Society Presidential Address, San Diego, CA. Spine J 2006; 4:8-14.
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Wong, D.1
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Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room
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A very good paper explaining human and system difficulties in the specialty operating room
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ElBardissi AW, Wiegmann DA, Dearani JA, et al. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Ann Thorac Sureg 2007; 83:1412-1418. A very good paper explaining human and system difficulties in the specialty operating room.
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Ann Thorac Sureg
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ElBardissi, A.W.1
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Schuman S, editor. Creating a Culture of Collaboration. San Francisco: Jossey-Bass; 2006. pp. 435-449. An excellent review of collaboration: how to set it up and implement a program of change.
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Schuman S, editor. Creating a Culture of Collaboration. San Francisco: Jossey-Bass; 2006. pp. 435-449. An excellent review of collaboration: how to set it up and implement a program of change.
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