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Selected Serious Events: References

Association for Safe Aseptic Practice (The-ASAP). Aseptic non touch technique: The ANTT clinical practice framework. London; The-ASAP; 2015.$FILE/ANTT%20Framework%20v4.0.pdf

Canadian Hemophilia Society. Commemoration of the tainted blood tragedy. Retrieved from website April 2021.

Canadian Institute for Health Information (CIHI), Canadian Patient Safety Institute. Measuring patient harm in Canadian hospitals. Ottawa, ON: CIHI; 2016.

Health Quality Ontario, Canadian Patient Safety Institute (CPSI). Never events for hospital care in Canada: Safer care for patients. Edmonton, AB: CPSI; 2015.

Healthcare Insurance Reciprocal of Canada (HIROC). Risk reference sheet: Unnecessary/obsolete procedures. Toronto, ON: HIROC; 2016. (accessed January 2018; inactive June 2021)

Healthcare Insurance Reciprocal of Canada (HIROC). Risk reference sheet: Surgical inadequate sterility. Toronto, ON: HIROC; 2012. (accessed January 2018; inactive June 2021)

Healthcare Insurance Reciprocal of Canada (HIROC). Risk reference sheet: Wrong patient/site/procedure. Toronto, ON: HIROC; 2016. (accessed January 2018; inactive June 2021)

Institute for Healthcare Improvement (IHI). How-to guide: Prevent harm from high-alert medications. Cambridge, MA: IHI; 2012.

Health Standards Organization Leading Practices. Utilization of safety crosses as a quality management tool in sterile processing department Markham Stouffville Hospital Corporation. Ottawa, ON: Health Standards Organization; 2013.

Minnesota Department of Health. Adverse health events in Minnesota: Tenth annual public report.  Minnesota Department of Health; 2014.

Mulloy DF, Huges RG. Chapter 36: Wrong-site surgery: A preventable medical error. In: Patient safety and quality: An evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008.

National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare. Commonwealth of Australia; 2019.

Öçgüder A., Medvecky M. (2018) Failure Modes of Knots and Sutures. In: Akgun U., Karahan M., Randelli P., Espregueira-Mendes J. (eds) Knots in Orthopedic Surgery. Springer, Berlin, Heidelberg.

Ontario Agency for Health Protection and Promotion, Public Health Ontario, Provincial Infectious Diseases Advisory Committee, Infection Prevention and Control. Best practices for cleaning, disinfection, and sterilization of medical equipment/devices in all health care settings (3rd ed.) Toronto, ON: Queen's Printer for Ontario; 2013.

Pennsylvania Patient Safety Authority. Distractions in the operating room. Pa Patient Saf Advis. 2014; 11 (2): 45-52.

Pennsylvania Patient Safety Authority. Patient safety topics – Wrong Site Surgery. 2018

Public Health Agency of Canada (PHAC). Routine practices and additional precautions for preventing the transmission of infection in healthcare settings. Ottawa, ON: PHAC; 2012.

Siegel JD, Rhinehart E, Jackson M, Chiarello L, Healthcare Infection Control Practices Advisory Committee. 2007 guideline for isolation precautions: Preventing transmission of infectious agents in healthcare settings. Centers for Disease Control and Prevention (CDC); 2007.

Sitzwohl C, Langheinrich A, Schober A, et al. Endobronchial intubation detected by insertion depth of endotracheal tube, bilateral auscultation, or observation of chest movements: randomised trial. BMJ. 2010; 341: c5943. doi: 10.1136/bmj.c5943.

Selected Serious Events

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Selected Serious Events

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