Anne van Dalen

p. 1235-1240. 9. Anderson, O., et al., Surgical adverse events: a systematic review. The American Journal ofSurgery, 2013. 206(2): p. 253-262. 10. Makary, M.A. and M. Daniel, Medical error—thethird leadingcauseofdeath in theUS. BMJ, 2016. 353. 11. Rodrigues, S.P., et al., Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Surg Endosc, 2012. 26(2): p. 350-6. 12. Sentinel Event Data, Root Causes by Event Type, 2004 – 2014. 2014 June 6, 2016]; Available from: http://www. jointcommission.org/Sentinel_Event_Policy_ and_Procedures/. 13. Rogers, S.O., Jr., et al., Analysis of surgical errors in closedmalpractice claims at 4 liability insurers. Surgery, 2006. 140(1): p.25-33. 14. ElBardissi, A.W. and T.M. Sundt, Human factors and operating room safety. SurgClinNorthAm, 2012. 92(1): p. 21-35. 15. Bonrath, E.M., L.E. Gordon, and T.P. Grantcharov, Characterising ‘near miss’ events in complex laparoscopic surgery through video analysis. BMJQual Saf, 2015. 24(8): p. 516-21. 16. Graafland, M. and M.P. Schijven, [Situational awareness: you won’t see it unless you understand it]. Ned Tijdschr Geneeskd, 2015. 159: p. A8656. 17. Wahr, J.A., et al., Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. Circulation, 2013. 128(10): p. 1139-69. REFERENCES 1. Brennan, T.A., et al., Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. Quality and Safety inHealth Care, 2004. 13(2): p. 145-151. 2. Donaldson, M.S., J.M. Corrigan, and L.T. Kohn, To err is human: building a safer health system. Vol. 6. 2000: National Academies Press. 3. Baker, G.R., HARVARD MEDICALPRACTICESTUDY.Qualityand Safety in Health Care, 2004. 13(2): p. 151- 152. 4. Haynes, A.B., et al., Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ quality & safety, 2011. 20(1): p. 102-107. 5. Eddy, K., Z. Jordan, and M. Stephenson, Health professionals’ experience of teamwork education in acute hospital settings: A systematic review of qualitative literature. JBIDatabaseofSystematicReviews and Implementation Reports, 2016. 14(4): p. 96-137. 6. WHO, World Health Organization (2009) guidelines for safe surgery: “safe surgery saves lives”. 2009. 7. Zegers, M., et al., Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study. Quality and Safety in HealthCare, 2009. 18(4): p. 297-302. 8. Forster, A.J., et al., Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CanadianMedical Association Journal, 2004. 170(8):

RkJQdWJsaXNoZXIy ODAyMDc0