The Quest to Eliminate "Never Events"

Ophthalmology

Volumn 116, Issue 6, 2009, Pages 1021-1022

  Lum, Flora ^a   Schachat, Andrew P ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

CATARACT EXTRACTION; CHECKLIST; EDITORIAL; HEALTH CARE COST; HEALTH PRACTITIONER; HUMAN; INFORMED CONSENT; LENS IMPLANT; MALPRACTICE; MEDICAL DOCUMENTATION; MEDICAL ERROR; OPERATING ROOM; PATIENT SAFETY; PRIORITY JOURNAL; SKIN INCISION; SURGICAL ERROR;

ACADEMIES AND INSTITUTES; DELIVERY OF HEALTH CARE; HEALTH PERSONNEL; HUMANS; MEDICAL ERRORS; OPHTHALMOLOGIC SURGICAL PROCEDURES; OPHTHALMOLOGY; QUALITY ASSURANCE, HEALTH CARE; SAFETY MANAGEMENT;

EID: 66049157009     PISSN: 01616420     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ophtha.2009.03.018     Document Type: Editorial

References (12)

1. National Patient Safety Foundation. http://www.npsf.org/au/ Accessed February 25, 2009
2. Committee on Quality of Health Care in America, Institute of Medicine. To Err is Human: Building a Safer Health System (2000), National Academy Press, Washington, DC 1-2
3. National Quality Forum Updates Endorsement of Serious Reportable Events in Healthcare (2002), National Quality Forum, Washington, DC 7-10
4. The Joint Commission Universal Protocol. http://www.jointcommission.org/PatientSafety/UniversalProtocol/ Accessed February 25, 2009
5. Michaels R.K., Makary M.A., Dahab Y., et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure and wrong patient operations. Ann Surg 245 (2007) 526-532
6. Clarke J.R., Johnston J., and Finley E.D. Getting surgery right. Ann Surg 246 (2007) 396-405
7. World Alliance for Patient Safety Implementation Manual Surgical Safety Checklist (First Edition) Safe Surgery Saves Lives. http://www.whoint/patientsafety/challenge/safe.surgery/en/ Accessed February 25, 2009
8. Haynes A.B., Weiser T.G., Berry W.R., et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 360 (2009) 491-499
9. Centers for Medicare and Medicaid Services. CMS issues three national coverage determinations to protect patients from preventable surgical errors. January 15, 2009. http://www.cms.hhs.gov/apps/media/press_releases.asp Accessed February 25, 2009
10. Seiden S.C., and Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?. Arch Surg 141 (2006) 931-939
11. Simon J.W., Ngo Y., Khan S., and Strogatz D. Surgical confusions in ophthalmology. Arch Ophthalmol 125 (2007) 1515-1522
12. Jin G.J.C., Crandall A.S., and Jones J.J. Intraocular lens exchange due to incorrect lens power. Ophthalmology 114 (2007) 417-424