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Master of Public Health

Examining Wrong Eye Implant Adverse Events in the Veterans Health Administration With a Focus on Prevention: A Preliminary Report.

AUTHORS

Neily J , Chomsky A , Orcutt J , Paull DE , Mills PD , Gilbert C , Hemphill RR , Gunnar W , . Journal of patient safety. 2015 3 16; ().

ABSTRACT

The study goals were to examine wrong intraocular lens (IOL) implant adverse events in the Veterans Health Administration (VHA), identify root causes and contributing factors, and describe system changes that have been implemented to address this challenge.

The study goals were to examine wrong intraocular lens (IOL) implant adverse events in the Veterans Health Administration (VHA), identify root causes and contributing factors, and describe system changes that have been implemented to address this challenge.

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