State University System of Florida Board of Governors Self-Insurance Programs

Patient Safety Act   Presented by: The Florida Professional Liability Self-Insurance Programs   Disclosure Statement: The Florida Professional Liability Self-Insurance Program has disclosed that they have no relevant financial relationships.  No one else in a position to control content has any financial relationships to disclose.   Requirements for Successful Completion: This CME activity consists of an educational component (slides, audio/online lecture) which is followed by an online post-test.  Certificates are awarded upon successful completion (80% proficiency) of the post-test.  In order to receive credit, participants must view the presentation in its entirety.   Release Date: 07/01/2021 Expiration Date: 12/31/2023   Target Audience: Physicians, Specialty Physicians, Residents, and Physician Assistants.   Learning Objectives: As a result of the participation in this activity, participants should be able to:  1. Evolution of Patient Safety and the Patient Safety Act. 2. Benefits of Patient Safety Organizations. 3. Elements of a Patient Safety Organization. 4. Structure of a Patient Safety Organization. 5. Legal challenges. 6. Lessons learned.   CME Advisory Committee Disclosure: Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.  All relevant financial relationships have been mitigated.   Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.   Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.    Contact: If you have any questions please feel free to contact SIPHELP at (352) 273-7006 or at SIPHELP@ad.ufl.edu.   Bibliographic Sources: 1. Institute of Medicine: To Err is Human: Building a Safer Health System. 2. National Center for Patient Safety. 3. Agency for Healthcare Research and Quality (AHRQ). 4. 2004, Amendment 7 to the Florida Constitution, now identified as Article 10, Section 25, known as the Patients’ Right to Know About Adverse Medical Incidents. 5. Patient Safety Improvement Act. 6. Patient Safety and Quality Improvement Act of 2005 (PSQIA or Patient Safety Act). 7. Aon Insurance and ASHRM’s Hospital and Physician Professional Liability Benchmark Analysis. 8. Kentucky Supreme Court, Tibbs v. Bunnell. 9. Florida District Court of Appeal, Southern Baptist v. Charles. Read more

Recognizing Impairment in the Workplace   Presented by: The Florida Professional Liability Self-Insurance Programs: Francys C. Martin, Esq., LHRM Beth W. Munz, Esq. CPHRM Stephanie Gann, BS Ryan Copenhaver   Disclosure Statement: Francys C. Martin, Esq., LHRM, Beth W. Munz, Esq. CPHRM, Stephanie Gann, BS, and Ryan Copenhaver have disclosed that they have no relevant financial relationships.  No one else in a position to control content has any financial relationships to disclose.   Requirements for Successful Completion: This CME activity consists of an educational component (slides, audio/online lecture) which is followed by an online post-test.  Certificates are awarded upon successful completion (80% proficiency) of the post-test.  In order to receive credit, participants must view the presentation in its entirety.   Release Date: 12/01/2022 Expiration Date: 12/31/2024   Target Audience: Physicians, Specialty Physicians, Physician Assistants, Residents, Nurses, Pharmacists, Dentists, Dental Hygienists.   Learning Objectives: As a result of the participation in this activity, participants should be able to:  1. Identify risk factors and signs of impairment in the workplace 2. Analyze barriers to early identification of impairment in the workplace 3. Review behaviors that may indicate diversion of controlled substances 4. Understand regulatory mandates that govern discipline and treatment of impairment in the workplace 5. Know the essential steps to report or refer a practitioner who may be impaired 6. Understand employer initiatives aimed at prevention and early identification of impairment in the workplace   CME Advisory Committee Disclosure: Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.  All relevant financial relationships have been mitigated.   Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.    Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.   This 2-hour course has been approved by the Florida Board of Nursing as satisfying the Recognition of Impairment in the Workplace licensure renewal requirement.   Contact: If you have any questions please feel free to contact SIPHELP at (352) 273-7006 or at SIPHELP@ad.ufl.edu.   Bibliographic Sources: 1. § 456.076 Florida Statutes – Impaired practitioner programs 2. § 458.331 Florida Statutes – Board of Medicine 3. § 464.018 Florida Statutes – Board of Nursing 4. The American Nurses Association (ANA) 5. American Medical Association (AMA): Code of Medical Ethics Opinion 9.3.1: Physician Health and Wellbeing and Code of Medical Ethics Opinion 9.3.2: Physician Responsibilities to Impaired Colleagues 6. The American Academy of Physician Assistants (AAPA): Ethical Conduct Guidelines includes a section on impairment 7. National Organization of Alternative Programs (NOAP) http://www.alternativeprograms.org/ 8. Narcotics Anonymous (NA) https://www.na.org/ 9. Alcoholics Anonymous (AA) https://www.aa.org/pages/en_US 10. Substance Abuse and Mental Health Services Administration SAMHSA https://www.samhsa.gov/find-help/national-helpline 1-800-662-HELP (4357) 11. The Intervention Project for Nurses (IPN)                 Contact Information:                 P.O. Box 49130 Jacksonville Beach, FL 32240-9130                 Toll Free: (800) 840-2720                 Telephone Number: (904) 270-1620                 FAX: (904) 270-1633                 Website: IPNFL.org 12. The Professionals Resource Network (PRN)                 Contact Information:                 P.O. Box 1020 Fernandina Beach, Florida 32035-1020                 Toll Free: (800) 888-8PRN (8776)                 Telephone Number: 904-277-8004                 Fax: 904-261-3996         E-Mail: admin@flprn.org                 Website: FLPRN.org   Website Resources: https://www.nursingcenter.com/cearticle?an=00152258-201705000-00009&Journal_ID=417221&Issue_ID=4087617 https://wildirismedicaleducation.com/courses/fl-recognizing-impairment-in-the-workplace          http://www.netce.com/coursecontent.php?courseid=1317 https://www.aappublications.org/news/2018/11/28/law112818 https://www.ama-assn.org/delivering-care/ethics/physician-responsibilities-impaired-colleagues https://www.aapa.org/wp-content/uploads/2017/02/16-EthicalConduct.pdf https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/substance-use-among-nurses-and-nursing-students/ https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/abuse-of-prescription-drugs/ https://flboardofmedicine.gov/help-center/does-the-department-have-assistance-programs-for-impaired-health-care-professionals/ http://www.flprn.org/about https://www.addictioncenter.com/addiction/medical-professionals/ https://www.ncbi.nlm.nih.gov/books/NBK507774/?report=printable     Read more

Sexual Misconduct Allegations in Healthcare: Clinical Considerations   Presented by: The Florida Professional Liability Self-Insurance Programs: Randall C. Jenkins, Esq. Beth W. Munz, Esq., CPHRM Francys C. Martin, Esq., LHRM Daniel J. D'Alesio, Jr., Esq. Stephanie C. Gann, BS Garrett R. Hall, MAMC   Disclosure Statement: Randall C. Jenkins, Esq., Beth W. Munz, Esq., CPHRM, Francys C. Martin, Esq., LHRM, Daniel J. D'Alesio, Jr., Esq., Stephanie C. Gann, BS, and Garrett R. Hall, MAMC have disclosed that they have no relevant financial relationships.  No one else in a position to control content has any financial relationships to disclose.   Requirements for Successful Completion: This CME activity consists of an educational component (slides, audio/online lecture) which is followed by an online post-test.  Certificates are awarded upon successful completion (80% proficiency) of the post-test.  In order to receive credit, participants must view the presentation in its entirety.   Release Date: 09/01/2022 Expiration Date: 12/31/2024   Target Audience: Physicians, Specialty Physicians, Physician Assistants, Residents, Nurses, Pharmacists, Dentists, Dental Hygienists.   Learning Objectives: As a result of the participation in this activity, participants should be able to:  1. Define Healthcare Professional Sexual Misconduct Liabilities (PSML). 2. Understand Range of Provider Behavior that may rise to the level of Professional Sexual Misconduct in a Healthcare Setting and Healthcare Regulations. 3. Learn about boundary violations that may lead to PSML. 4. Recognize the steps of the investigation process of an allegation and the impact on the provider. 5. Understand Title IX and its limited application to patient care situations. 6. Identify Loss Prevention Best Practices to prevent PSML.   CME Advisory Committee Disclosure: Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.  All relevant financial relationships have been mitigated.   Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.    Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Contact: If you have any questions, please feel free to contact SIPHELP at (352) 273-7006 or at SIPHELP@ad.ufl.edu.   Bibliographic Sources: 1. Florida Statute, Section 456.063 Sexual Misconduct; Disqualification for license, certificate, or registration 2. F.S. 395.0197(9) Sexual Misconduct Reporting 3. Davis v. Monroe City Board of Education, 526 U.S. 629 (1999) 4. Bayer T, Coverdale J, Chiang E. A National Survey of Physician’s Behaviors Regarding Sexual Contact with Patients, SMJ October 1996, http://www.fsmb.org/pdf/GRPOL_Sexual %20 Boundaries .pdf 5. King PA, Chaudhry HJ, Staz ML, State Medical Board Recommendations for Stronger Approaches to Sexual Misconduct by Physicians, 2021, JAMA, April 27, 2021 Volume 325, number 16. 6. FSMB Workgroup on Physician Sexual Misconduct, Federation of State Medical Boards, Adopted as policy May 2020. 7. Clemens V, Brahler E, Fegert JM, #patients too – Professional sexual misconduct by healthcare professionals towards patients: a representative study, Epidemiology and Psychiatric Sciences, Cambridge University Press, May 22, 2021. 8. Florida Administrative Code, Section 64B9-8.005 9. Title IX of the Education Amendments of 1972, 20 U.S.C. §1681 et seq. 10. Doe v Mercy Catholic Medical Center, 850 F3d 545 (3rd Cir 2017) Read more

SIP 101: Partners in Protection   Presented by: The Florida Board of Governors Self-Insurance Programs   Faculty Disclosure: The Florida Board of Governors Self-Insurance Program has disclosed that there are no relevant financial relationships.  No one else in a position to control content has any financial relationships to disclose.   Program Description: This course supplies the fundamentals for understanding the protections provided by the Florida Board of Governor’s Self Insurance Programs. It discusses relevant aspects of Florida tort law as related to academic health care providers and defines the coverage provided by the SIPs to their participants. The importance of each participant’s role in reporting events to their SIP is explained and emphasized.   Release Date: 07/01/2022 Expiration Date: 06/30/2024   Target Audience: Self-Insurance Program Healthcare providers.   Contact: If you have any questions please feel free to contact SIPHELP at (352) 273-7006 or at SIPHELP@ad.ufl.edu. Read more

Supervising Resident Physician Medical Education   Presented by: The Florida Professional Liability Self-Insurance Programs: Randall C. Jenkins, Esq. Beth W. Munz, Esq., CPHRM Stephanie Gann, BS Ryan Copenhaver   Disclosure Statement: Randall C. Jenkins, Esq., Beth W. Munz, Esq., CPHRM, Stephanie Gann, BS, and Ryan Copenhaver have disclosed that they have no relevant financial relationships.  No one else in a position to control content has any financial relationships to disclose.   Requirements for Successful Completion: This CME activity consists of an educational component (slides, audio/online lecture) which is followed by an online post-test.  Certificates are awarded upon successful completion (80% proficiency) of the post-test.  In order to receive credit, participants must view the presentation in its entirety.   Release Date: 07/01/2022 Expiration Date: 12/31/2024   Target Audience: Primary Care Physicians, Specialty Physicians, Physician Assistants, Nurses, and Residents.   Learning Objectives: As a result of the participation in this activity, participants should be able to:  1. Categorize the requirements that Florida Law, the Accreditation Council for Graduate Medical Education, the Joint Commission and sponsoring institutions place upon teaching physicians who supervisor resident. 2. Identify and differentiate the CMA and ACGME supervisory levels teaching physicians should employ when supervising resident physicians. 3. Recognize the basic elements of medical malpractice, sovereign immunity and appreciate the role negligent supervision plays in malpractice actions. 4. Apply techniques to avoid supervision related claims and provide appropriate resident supervision.   CME Advisory Committee Disclosure: Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.  All relevant financial relationships have been mitigated.   Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for continuing Medical Education (ACCME) to provide continuing medical education for physicians.   Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.    Contact: If you have any questions please feel free to contact SIPHELP at (352) 273-7006 or at SIPHELP@ad.ufl.edu.   Bibliographic Sources: 1. Florida Statute § 1012.965 2. Martin v Drylie, 560 So.2d 1285 (Fl Dist Ct App 1990). 3. Variety Children's Hospital v Perkins (Fl Ct App 1980). 4. King JH. The standard of care for residents and other medical school graduates in training. Am. U.L. Rev. 2006; 55:683, 751. 5. Hanford E (2012, January 1). Physicists Seek to Lose the Lecture as Teaching Tool. Retrieved January 4, 2012, from www.npr.org 6. Kilminster S, Cottrell D, Grant J, Jolly B. Effective educational and clinical supervision. AMEE Guide No. 27. 2007;29:2-19. 7. Frawley-Birdwell A (2011, December 21). New UF master's Degree to Help Doctors Become Better Teachers. Retrieved from University of Florida www.ufl.edu 8. Kesselheim A, Barnett SR, H, Shapiro J (2009 January). Risk Management Basics: Protection and Pitfalls. Retrieved December 8, 2011, from CRICO/RMF of the Harvard Medical Institutions; www.rmfcme.com 9. Reuter SR. Professional liability in postgraduate medical education. J Leg Med. 1994;15:485-531. 10. Gantous A. Negligent Supervision of Medical Residents Causes Serious Injuries to Patients (2011, February 1). Retrieved from Pierce & Thornton, P.A. www.pierceandthornton.com 11. Baldwin DC, Daugherty SR, Ryan P. How residents view their clinical supervision: a reanalysis of classic national survey data. J Grad Med Educ. 2010 March;2(1):37-45. 12. Kachalia A, Studdert OM. Professional liability issues in graduate medical education. JAMA. 2004;292(9):1051-1056. 13. Bush RW. Supervision in medical education: logical fallacies and clear choices. J Grad Med Educ. 2010 March;141-143. 14. Supervising Medical Students and Residents (2009, April 19). Retrieved from LSU Law Center www.biotech.law.lsu.edu 15. Byington M, Ostergard N. The changing landscape of supervision. Risk Management Forum (Foundation of the Harvard Medical Institutions). 1999 March;19(5):1-11. 16. Woods SK, Burgess L, Kaminetzky C, McNeil! C, Pinheiro S, Heflin MT. Defining the roles of advisors and mentors in postgraduate medical education: faculty perceptions, roles, responsibilities, and resource needs. J Grad Med Educ. 2010 June;2(2):195-200. 17. Nissen K, Angus SV, Miller W, Silverman AR. Teaching risk management: addressing ACGME core competencies. J Grad Med Educ. 2010 December;2(4):589-594. 18. Cappel! MS. A resident or fellow's dilemma: a medically incorrect order by a direct clinical supervisor. Dig Dis Sci. 2010;55:212-214.  19. Phillibert I. Supervision, preoccupation with failure, and the cultural shift in patient handover. J Grad Med Educ. 2010 March;2(1}:144-145. 20. Hochberg M, Seib C, Berman R, Kalet A, Zabar S, Pachter L. Malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Academic Medicine. 2011 March;86{3}:365-368. 21. Recupero PR, Rainey SE. Liability and risk management in outpatient psychotherapy supervision. J Am Acad Psychiatry Law. 2007;35(2):188-195. 22. Health Law Alert: 2007 Medical Education Checklist (2007, May 8). Retrieved from Hall, Render, Killian, Heath & Lyman www.hallrender.com 23. The Lexicon of Supervision: CMS Versus ACGME Defined Terms (2011, July 5). Retrieved February 22, 2011, from Hall, Render, Killian, Heath & Lyman; www.hallrender.com 24. CMS Again Revises Supervision Requirements for Hospital Outpatient Services (2010, November 22). Retrieved February 22, 2011, from Hall, Render, Killian, Heath & Lyman; www.hallrender.com 25. Ashley RC. The liability of preceptors. Crit Care Nurse. 2004;24:98-99. 26. Butters JM, Strope JL. Legal standards of conduct for students and residents: implications for health professions educators. Academic Medicine. 1996;71:583-590. 27. Fitzpatrick JM. Are you liable for a resident's mistake? Medical Economics. 2005;82(11):62. 28. Johnson LI. Your liability when you teach residents. Medical Economics. 2000;77:187- 188. 29. Johns MM. Ensuring an effective physician workforce for America: recommendations for an accountable graduate medical education system. 2011 April. Proceedings of a conference chaired by Michael M.E. Johns, M.D. 30. Residency (medicine) (2011, August 12). Retrieved from www.en.wikipedia.org 31. Dalia S, Schiffman FJ. Who's my doctor? First-year residents and patient care: hospitalized patients' perception of their "main physician." J Grad Med Educ. 2010. June:201-205. 32. Institutional Requirements -Graduate Medical Education: ACGME Approved 2/11/03, effective 7 /3/03. Retrieved from www.acgme.org 33. Supervision Protocols for Residents/Fellows: University of Florida College of Medicine Jacksonville Office of Educational Affairs {2001, September 2). Retrieved from www.hscj.ufl.edu/medicine/educational-affairs.asp 34. Common Program Requirements: General Competencies (2007, February 13). Retrieved from Accreditation Council for Graduate Medical Education www.acgme.org 35. Resident as Teacher - Giving Effective Feedback Module. Retrieved October 19, 2011, from http://housestaff.medinfo.ufl.edu 36. Accreditation Council for Graduate Medical Education (ACGME) Bulletin (2011 March). Retrieved from Accreditation Council for Graduate Medical Education; http://www.acgme.org/acWebsite/bulletin-e/ebu index.asp 37. Henry, K. Implementation of duty hours regulations: exploring new models from New York to the nation. 38. Resident Supervision - MUSC GME Resident Handbook (2011-2012). Retrieved from Medical University of South Carolina; http://www.musc.edu/gmehandbook 39. Committee on Medical Liability. Policy statement - American academy of pediatrics: professional liability coverage for residents and fellows. Pediatrics. 2000;106(3):605- 609. 40. Expected Communication Practices for Residents, Fellows and Mid-level Providers. Retrieved from Faulkner Hospital www.faulkner.org 41. ACGME Institutional Requirements (2007, July 1) Retrieved from Accreditation Council for Graduate Medical Education www.acgme.org 42. Famiglio LM. AAMC Teleconference on Medicare and ACGME Rules for Resident Supervision (2011, September 21). Retrieved from Geisinger Health System www.geisinger.org Read more

Taking Time Out to Avoid Wrong Site Surgery   Presented by: The Florida Professional Liability Self-Insurance Programs   Disclosure Statement: The Florida Professional Liability Self-Insurance Program has disclosed that they have no relevant financial relationships.  No one else in a position to control content has any financial relationships to disclose.   Requirements for Successful Completion: This CME activity consists of an educational component (slides, audio/online lecture) which is followed by an online post-test.  Certificates are awarded upon successful completion (80% proficiency) of the post-test.  In order to receive credit, participants must view the presentation in its entirety.   Release Date: 07/01/2021 Expiration Date: 12/31/2023   Target Audience: Physicians, Specialty Physicians, Residents, Physician Assistants, Nurses and Specialty Nurses.    Learning Objectives: As a result of the participation in this activity, participants should be able to:  1. Describe the Florida Board of Medicine definition of surgery/procedure and what constitutes wrong-site surgery. 2. Recite pertinent state and federal standards relative to wrong surgeries, associated medico-legal and potential practitioner implications as well as prevalence data.   3. Relate common risk factors of wrong site, wrong patient, wrong procedure surgery and apply nationally recognized practices and preventive strategies.   CME Advisory Committee Disclosure: Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.  All relevant financial relationships have been mitigated.   Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.   Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.    Approved for by the Florida Board of Nursing as satisfying, 1 CNE hour, licensure requirement.  Course participants should claim only the credit commensurate with the extent of their participation in the activity.   Contact: If you have any questions please feel free to contact SIPHELP at (352) 273-7006 or at SIPHELP@ad.ufl.edu.   Bibliographic Sources: 1. Doing the “Right” Things to Correct Wrong-Site Surgery; 2007 Pennsylvania Patient Safety Authority, Pennsylvania Patient Safety Recording System. 2. Why Wrong Site Surgery; Joint Commission Center for Transforming Healthcare. 3. Samuel C. Seiden, MD; Paul Barach, ME< MPH: Wrong-Side/Wrong-Site, Wrong Procedure and Wrong Patient Adverse Advents-Are they preventable? ARCH SURG/VOL 141, SEP 2006, www.ARCHSURG.COM. 4. Madeline Ulrich, MD, MS; Sarah McClain, MHS: Coverage Decision Memorandum for a Surgical or Other Invasive Procedure Performed on the Wrong Patient.  January 15, 2009.  www.cms.gov 5. Wrong-Site Surgery: AAOS-American Academy of Orthopaedic Surgeons/American Association of Orthopaedic Surgeons.  6. Summary Data of Sentinel Events Reviewed by The Joint Commission 1995-2012. www.jointcommission.org 7. The Universal Protocol, Speak Up.   www.jointcomossion.org 8. Lawrence L. Faltz, MD, FACP; John N. Morley, MD, FACP; Ellen Flink, MBD; Peg DeHont Dameron, BSN 9. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures 10. Suzanne C. Beyea, PhD, RN, FAAN, Distractions and Interruptions in the OR: Evidence for Practice. September 2007, Vol 86, No. 3 AORN Journal      11. Reducing the Risk of Wrong Site Surgery, Joint Commission Center for Transforming Healthcare  http://www.centerfortransforminghealthcare.org 12. Mary R Kwann, MD,MPH;  David M. studdlers, LLB, ScD; Michael J. Zinner, MD; Atul  A. Gawande, MD, MPH, Incidence, Patterns and Prevention of Wrong Site  Surgery, ARCH Surg/Vol. 141, APR 2006. 13. Deborah F. Mulloy; Rhonda G. Hughes: Wrong-Site Surgery: A Preventable Medical Error.  http://www.ncbi.nlm.nih.gov/books/NBK2678/ 14. Winta T. Mehtsun, MD, MPH; Andrew M. Ibrahim, MD; Marie Diener-West, PhD; Peter J. Pronovost, MD, PhD and Martin Makary, MD, MPH: Surgical never events in the United States.  http://dx.doi.org/10.1016/jsurg.2012.10.005. 15. Patient Safety Solutions,  WHO Collaborating Centre for Patient Safety Solutions, Volume 1, Solution 4, May 2007 16. Preventing Wrong Site Surgery, Patient Safety & Quality Healthcare, September/October 2010  www.psqh.com 17. Melody F. Dickerson, MSN, RN, Targeting: Wrong Site Surgery Risks, The OR Connection, Joint Commission Center for Transforming Healthcare 18. Sandra Boodman, Effort to End Surgeries on Wrong Patient or Body Part Falters, http://www.kaiserhealthnews.org/stories/2011/june/21/wrong-site-surgery-errors.aspx        19. Martin Makary, MD, MPH, Arnab Mukherjee, BA, J Bryan Sexton, PhD, Dora Syin, BS, Emmanuelle Goodrisk MPH, Emily Hartmann, MSS, Lisa Rowen, RN, DScN, Drew Behrens, Michael Marohn, DO, FACS, Peter J. Pronovost, MD, PhD., erating Room Briefings and Wrong Site Surgery, doi:10.1016/j.jamcollsurg.2006.10.018  20. Safe Practice 26: Wrong-Site, Wrong-Procedure, Wrong-Person Surgery Prevention, National Quality Forum Read more