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Volumn 92, Issue 1, 2012, Pages 51-63

A Comprehensive Unit-Based Safety Program (CUSP) in Surgery: Improving Quality Through Transparency

Author keywords

Transparency; Universal protocols; Wrong patient; Wrong site

Indexed keywords

BETA ADRENERGIC RECEPTOR BLOCKING AGENT; HEPARIN;

EID: 84856173121     PISSN: 00396109     EISSN: 15583171     Source Type: Journal    
DOI: 10.1016/j.suc.2011.11.008     Document Type: Review
Times cited : (13)

References (42)
  • 2
    • 78649439268 scopus 로고    scopus 로고
    • Temporal trends in rates of patient harm resulting from medical care
    • Landrigan C.P., Parry G.J., Bones C.B., et al. Temporal trends in rates of patient harm resulting from medical care. NEngl J Med 2010, 363(22):2124-2134.
    • (2010) NEngl J Med , vol.363 , Issue.22 , pp. 2124-2134
    • Landrigan, C.P.1    Parry, G.J.2    Bones, C.B.3
  • 3
    • 34147141336 scopus 로고    scopus 로고
    • Achieving the National Quality Forum's " Never Events": prevention of wrong site, wrong procedure, and wrong patient operations
    • 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 2007, 245(4):526-532.
    • (2007) Ann Surg , vol.245 , Issue.4 , pp. 526-532
    • Michaels, R.K.1    Makary, M.A.2    Dahab, Y.3
  • 5
    • 33748763555 scopus 로고    scopus 로고
    • Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
    • Seiden S.C., Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?. Arch Surg 2006, 141(9):931-939.
    • (2006) Arch Surg , vol.141 , Issue.9 , pp. 931-939
    • Seiden, S.C.1    Barach, P.2
  • 6
    • 84856204397 scopus 로고    scopus 로고
    • Doing the " right" things to correct wrong-site surgery
    • Pennsylvania Patient Safety Reporting System (PA-PSRS)
    • Pennsylvania Patient Safety Reporting System (PA-PSRS) Doing the " right" things to correct wrong-site surgery. Patient Safety Advisory 2007, 4(1).
    • (2007) Patient Safety Advisory , vol.4 , Issue.1
  • 7
    • 33645866776 scopus 로고    scopus 로고
    • Incidence, patterns, and prevention of wrong-site surgery
    • [discussion: 357-8]
    • Kwaan M.R., Studdert D.M., Zinner M.J., et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg 2006, 141(4):353-357. [discussion: 357-8].
    • (2006) Arch Surg , vol.141 , Issue.4 , pp. 353-357
    • Kwaan, M.R.1    Studdert, D.M.2    Zinner, M.J.3
  • 9
    • 0035236282 scopus 로고    scopus 로고
    • Making health care safer: a critical analysis of patient safety practices
    • 1-668
    • Shojania K.G., Duncan B.W., McDonald K.M., et al. Making health care safer: a critical analysis of patient safety practices. Evid Rep Technol Assess (Summ) 2001, (43):i-x. 1-668.
    • (2001) Evid Rep Technol Assess (Summ) , Issue.43
    • Shojania, K.G.1    Duncan, B.W.2    McDonald, K.M.3
  • 10
    • 0035814574 scopus 로고    scopus 로고
    • Afollow up review of wrong site surgery
    • Joint Commission
    • Joint Commission Afollow up review of wrong site surgery. Sentinel event alert 2001, 24:1-3.
    • (2001) Sentinel event alert , vol.24 , pp. 1-3
  • 11
    • 33645648896 scopus 로고    scopus 로고
    • Promoting correct site surgery: a national approach
    • Edwards P. Promoting correct site surgery: a national approach. JPerioper Pract 2006, 16(2):80-86.
    • (2006) JPerioper Pract , vol.16 , Issue.2 , pp. 80-86
    • Edwards, P.1
  • 12
    • 33749382629 scopus 로고    scopus 로고
    • Surgical site verification: a through Z
    • [quiz: 329-31]
    • Dunn D. Surgical site verification: a through Z. JPerianesth Nurs 2006, 21(5):317-328. [quiz: 329-31].
    • (2006) JPerianesth Nurs , vol.21 , Issue.5 , pp. 317-328
    • Dunn, D.1
  • 14
    • 33747197784 scopus 로고    scopus 로고
    • Evolution of wrong site surgery prevention strategies
    • 1121-22
    • Carney B.L. Evolution of wrong site surgery prevention strategies. AORN J 2006, 83(5):1115-1118. 1121-22.
    • (2006) AORN J , vol.83 , Issue.5 , pp. 1115-1118
    • Carney, B.L.1
  • 15
    • 84856174382 scopus 로고    scopus 로고
    • Pensylvania Patient Safety Reporting System (PA-PSRS)
    • Proceedings Annual Report 2010. Patient safety advisory. Harrisburg (PA)
    • Pensylvania Patient Safety Reporting System (PA-PSRS). Proceedings Annual Report 2010. Patient safety advisory. Harrisburg (PA) 2010.
    • (2010)
  • 16
    • 33748094815 scopus 로고    scopus 로고
    • Patient safety in surgery
    • [discussion: 632-5]
    • Makary M.A., Sexton J.B., Freischlag J.A., et al. Patient safety in surgery. Ann Surg 2006, 243(5):628-632. [discussion: 632-5].
    • (2006) Ann Surg , vol.243 , Issue.5 , pp. 628-632
    • Makary, M.A.1    Sexton, J.B.2    Freischlag, J.A.3
  • 17
    • 0003875678 scopus 로고    scopus 로고
    • Joint Commission of health care organizations, Oakbrook Terrace (IL), Joint Commission
    • Joint Commission Sentinel events: evaluating cause and planning improvement 1998, Joint Commission of health care organizations, Oakbrook Terrace (IL).
    • (1998) Sentinel events: evaluating cause and planning improvement
  • 18
    • 1642412836 scopus 로고    scopus 로고
    • Systems approaches to surgical quality and safety: from concept to measurement
    • Vincent C., Moorthy K., Sarker S.K., et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg 2004, 239(4):475-482.
    • (2004) Ann Surg , vol.239 , Issue.4 , pp. 475-482
    • Vincent, C.1    Moorthy, K.2    Sarker, S.K.3
  • 19
    • 27744545260 scopus 로고    scopus 로고
    • How surgeons disclose medical errors to patients: a study using standardized patients
    • Chan D.K., Gallagher T.H., Reznick R., et al. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery 2005, 138(5):851-858.
    • (2005) Surgery , vol.138 , Issue.5 , pp. 851-858
    • Chan, D.K.1    Gallagher, T.H.2    Reznick, R.3
  • 20
    • 0034681797 scopus 로고    scopus 로고
    • Error, stress, and teamwork in medicine and aviation: cross sectional surveys
    • Sexton J.B., Thomas E.J., Helmreich R.L. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ 2000, 320(7237):745-749.
    • (2000) BMJ , vol.320 , Issue.7237 , pp. 745-749
    • Sexton, J.B.1    Thomas, E.J.2    Helmreich, R.L.3
  • 21
    • 17844392604 scopus 로고    scopus 로고
    • Five system barriers to achieving ultrasafe health care
    • Amalberti R., Auroy Y., Berwick D., et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med 2005, 142(9):756-764.
    • (2005) Ann Intern Med , vol.142 , Issue.9 , pp. 756-764
    • Amalberti, R.1    Auroy, Y.2    Berwick, D.3
  • 22
    • 33646084599 scopus 로고    scopus 로고
    • Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder
    • Makary M.A., Sexton J.B., Freischlag J.A., et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. JAm Coll Surg 2006, 202(5):746-752.
    • (2006) JAm Coll Surg , vol.202 , Issue.5 , pp. 746-752
    • Makary, M.A.1    Sexton, J.B.2    Freischlag, J.A.3
  • 23
    • 23644460736 scopus 로고    scopus 로고
    • Implementing and validating a comprehensive unit-based safety program
    • Pronovost P., Weast B., Rosenstein B., et al. Implementing and validating a comprehensive unit-based safety program. JPatient Saf 2005, 1:33-40.
    • (2005) JPatient Saf , vol.1 , pp. 33-40
    • Pronovost, P.1    Weast, B.2    Rosenstein, B.3
  • 24
    • 6344263875 scopus 로고    scopus 로고
    • Communication failures in the operating room: an observational classification of recurrent types and effects
    • Lingard L., Espin S., Whyte S., et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care 2004, 13(5):330-334.
    • (2004) Qual Saf Health Care , vol.13 , Issue.5 , pp. 330-334
    • Lingard, L.1    Espin, S.2    Whyte, S.3
  • 25
    • 31644440599 scopus 로고    scopus 로고
    • Aprospective study of patient safety in the operating room
    • Christian C.K., Gustafson M.L., Roth E.M., et al. Aprospective study of patient safety in the operating room. Surgery 2006, 139(2):159-173.
    • (2006) Surgery , vol.139 , Issue.2 , pp. 159-173
    • Christian, C.K.1    Gustafson, M.L.2    Roth, E.M.3
  • 26
    • 33746344296 scopus 로고    scopus 로고
    • Creating high reliability in health care organizations
    • Pronovost P.J., Berenholtz S.M., Goeschel C.A., et al. Creating high reliability in health care organizations. Health Serv Res 2006, 41(4 Pt 2):1599-1617.
    • (2006) Health Serv Res , vol.41 , Issue.4 PART. 2 , pp. 1599-1617
    • Pronovost, P.J.1    Berenholtz, S.M.2    Goeschel, C.A.3
  • 27
    • 33846290354 scopus 로고    scopus 로고
    • Operating room briefings and wrong-site surgery
    • Makary M.A., Mukherjee A., Sexton J.B., et al. Operating room briefings and wrong-site surgery. JAm Coll Surg 2007, 204(2):236-243.
    • (2007) JAm Coll Surg , vol.204 , Issue.2 , pp. 236-243
    • Makary, M.A.1    Mukherjee, A.2    Sexton, J.B.3
  • 28
    • 56549117938 scopus 로고    scopus 로고
    • Impact of preoperative briefings on operating room delays: a preliminary report
    • Nundy S., Mukherjee A., Sexton J.B., et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg 2008, 143(11):1068-1072.
    • (2008) Arch Surg , vol.143 , Issue.11 , pp. 1068-1072
    • Nundy, S.1    Mukherjee, A.2    Sexton, J.B.3
  • 29
    • 33947326291 scopus 로고    scopus 로고
    • Surgical specimen identification errors: a new measure of quality in surgical care
    • Makary M.A., Epstein J., Pronovost P.J., et al. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery 2007, 141(4):450-455.
    • (2007) Surgery , vol.141 , Issue.4 , pp. 450-455
    • Makary, M.A.1    Epstein, J.2    Pronovost, P.J.3
  • 30
  • 31
    • 34247641088 scopus 로고    scopus 로고
    • AHRQ, Rockville (MD), Agency for Healthcare Research, and Quality
    • Agency for Healthcare Research, and Quality Patient safety indicators overview 2006, AHRQ, Rockville (MD).
    • (2006) Patient safety indicators overview
  • 32
    • 34249336719 scopus 로고    scopus 로고
    • The surgical infection prevention and surgical care improvement projects: promises and pitfalls
    • [discussion: 1021-30, 1133-48]
    • Bratzler D.W. The surgical infection prevention and surgical care improvement projects: promises and pitfalls. Am Surg 2006, 72(11):1010-1016. [discussion: 1021-30, 1133-48].
    • (2006) Am Surg , vol.72 , Issue.11 , pp. 1010-1016
    • Bratzler, D.W.1
  • 33
    • 84856147035 scopus 로고    scopus 로고
    • Accessed November 21
    • Available at: Accessed November 21, 2011. http://www.jointcommision.org/surgical_care_improvement_project.
    • (2011)
  • 34
    • 46749136921 scopus 로고    scopus 로고
    • Surgical care improvement project
    • Hackney C. Surgical care improvement project. AORN J 2008, 87(1):17.
    • (2008) AORN J , vol.87 , Issue.1 , pp. 17
    • Hackney, C.1
  • 35
    • 0033227053 scopus 로고    scopus 로고
    • The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs
    • Kirkland K.B., Briggs J.P., Trivette S.L., et al. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infect Control Hosp Epidemiol 1999, 20(11):725-730.
    • (1999) Infect Control Hosp Epidemiol , vol.20 , Issue.11 , pp. 725-730
    • Kirkland, K.B.1    Briggs, J.P.2    Trivette, S.L.3
  • 36
    • 2342647455 scopus 로고    scopus 로고
    • Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991
    • [discussion: 151-2]
    • Brennan T.A., Leape L.L., Laird N.M., et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991. Qual Saf Health Care 2004, 13(2):145-151. [discussion: 151-2].
    • (2004) Qual Saf Health Care , vol.13 , Issue.2 , pp. 145-151
    • Brennan, T.A.1    Leape, L.L.2    Laird, N.M.3
  • 37
    • 0344222164 scopus 로고    scopus 로고
    • Prophylactic atenolol reduces postoperative myocardial ischemia. McSPI Research Group
    • Wallace A., Layug B., Tateo I., et al. Prophylactic atenolol reduces postoperative myocardial ischemia. McSPI Research Group. Anesthesiology 1998, 88(1):7-17.
    • (1998) Anesthesiology , vol.88 , Issue.1 , pp. 7-17
    • Wallace, A.1    Layug, B.2    Tateo, I.3
  • 38
    • 22844447051 scopus 로고    scopus 로고
    • Perioperative beta-blocker therapy and mortality after major noncardiac surgery
    • Lindenauer P.K., Pekow P., Wang K., et al. Perioperative beta-blocker therapy and mortality after major noncardiac surgery. NEngl J Med 2005, 353(4):349-361.
    • (2005) NEngl J Med , vol.353 , Issue.4 , pp. 349-361
    • Lindenauer, P.K.1    Pekow, P.2    Wang, K.3
  • 39
    • 0023886431 scopus 로고
    • Reduction in fatal pulmonary embolism and venous thrombosis by perioperative administration of subcutaneous heparin. Overview of results of randomized trials in general, orthopedic, and urologic surgery
    • Collins R., Scrimgeour A., Yusuf S., et al. Reduction in fatal pulmonary embolism and venous thrombosis by perioperative administration of subcutaneous heparin. Overview of results of randomized trials in general, orthopedic, and urologic surgery. NEngl J Med 1988, 318(18):1162-1173.
    • (1988) NEngl J Med , vol.318 , Issue.18 , pp. 1162-1173
    • Collins, R.1    Scrimgeour, A.2    Yusuf, S.3
  • 40
    • 0037187892 scopus 로고    scopus 로고
    • Duration of prophylaxis against venous thromboembolism with enoxaparin after surgery for cancer
    • Bergqvist D., Agnelli G., Cohen A.T., et al. Duration of prophylaxis against venous thromboembolism with enoxaparin after surgery for cancer. NEngl J Med 2002, 346(13):975-980.
    • (2002) NEngl J Med , vol.346 , Issue.13 , pp. 975-980
    • Bergqvist, D.1    Agnelli, G.2    Cohen, A.T.3
  • 41
    • 84856187537 scopus 로고    scopus 로고
    • Accessed November 21
    • Available at: Accessed November 21, 2011. http://www.acsnsqip.org.
    • (2011)
  • 42
    • 34547580254 scopus 로고    scopus 로고
    • Safety, quality, and the National Surgical Quality Improvement Program
    • [discussion: 1021-30, 1133-48]
    • Khuri S.F. Safety, quality, and the National Surgical Quality Improvement Program. Am Surg 2006, 72(11):994-998. [discussion: 1021-30, 1133-48].
    • (2006) Am Surg , vol.72 , Issue.11 , pp. 994-998
    • Khuri, S.F.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.