Product and System Information

  1. Introduction to the StartBox System (presentation)
  2. The StartBox System (brochure)
  3. Risk Management Overview (MPL brochure)

Peer-Reviewed Publications

  1. Cafazzo JA, St-Cyr O. From discovery to design: the evolution of human factors in healthcare. Healthc Q. 2012;15 Spec No:24-29.
  2. Canale ST. Wrong-site surgery: a preventable complication. Clin Orthop Relat Res. 2005;433:26–29. 
  3. Clarke JR, Johnston J, Finley E. Getting surgery right. Ann Surg. 2007;246(3):395-405. 
  4. Devine J, Chutkan N, Norvell DC, Dettori JR. Avoiding wrong site surgery: a systematic review. Spine (Phila Pa 1976). 2010 Apr 20;35(9 Suppl):S28-36.) 
  5. Institute of Medicine (US) Committee on Quality of Health Care in America; Kohn LT, Corrigan JM, Donaldson MS, editors. To Err is Human: Building a Safer Health System. Washington (DC): National Academies Press (US); 2000. 8, Creating Safety Systems in Health Care Organizations.
  6. James MA, Seiler JG, 3rd, Harrast JJ, Emery SE, Hurwitz S. The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. J Bone Joint Surg Am. 2012;94(1):e2(1-12). 
  7. Seiden SC, Barach P. Wrong-side/wrong-site, wrong- procedure and wrong-patient adverse events: are they preventable? Arch Surg. 2006;141(9):931-939. 

Wrong-Site Surgery in the News

  1. Associated Press. Millions awarded to man for surgery on wrong side of brain. CBS News, November 19, 2015. 
  2. CBS News Interactive. Mix-up leads to surgical procedure on wrong baby. CBS News, February 5, 2016. 
  3. Harshman, M. Eye surgeon’s error confounds boy’s parents. The Columbian, April 20, 2011.
  4. Kowalczyk, L. Beth Israel erred in 3 spinal operations -- Vertebrae mix-ups spur new procedures. Boston Globe, December 24, 2010. 
  5. Lerner, M. Wrong kidney removed from Methodist Hospital cancer patient. Star Tribune, March 18, 2008.
  6. Wang, AB. He underwent surgery to remove his right testicle. When he woke up, his left one was missing. Washington Post, June 18, 2017. 

Other Resources

  1. Agency for Healthcare Research and Quality. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Accessed 3/13/2018.
  2. Agency for Healthcare Research and Quality. Systems Approach. Accessed 12/6/2017.
  3. AORN. National TIme Out Day. Accessed 3/13/2018.
  4. Chassin, M. and Groah, L. Letter to Perioperative Nurses re: National Time Out Day. Accessed 3/13/2018
  5. ISMP. Medication Error Prevention “Toolbox.” 1999. Accessed 12/4/2017.
  6. Jack's Daily Dose. Sign your Site Campaign. Accessed 3/13/2018.
  7. The Joint Commission. Sentinel Event Data Summary, February 23, 2018. Accessed 3/13/2018.
  8. World Health Organization. Safe Surgery: Why Safe Surgery is Important. Accessed 3/13/2018.

Latest Updates

StartBox Can Reduce Errors to Zero

A study was conducted at a single site over a twelve-month period. Similarly to the experience reported in a peer-reviewed publication, patient harm was prevented and errors were captured. Additionally, a downward trend in near misses was observed, with zero reported during the last five months of the period. This suggests that the StartBox System can help healthcare facilities and providers improve their patient safety and risk profiles over time.
Read More.

StartBox Welcomes Kim Kramer, Head of Risk Consulting

Kim Kramer will lead StartBox in capitalizing on its goals of mitigating risk, reducing medical liability costs and increasing healthcare operational efficiencies.
Read More.

Clinical Experience with StartBox Published in Peer-Reviewed Journal

Innovative Technology System to Prevent Wrong Site Surgery and Capture Near Misses: A Multi-Center Review of 487 Cases
Read More.

Prevent Harm & Reduce Costs 

Start using the StartBox System in your clinic, surgery center or hospital operating room to track errors and reduce costs today.

Contact Us

Error Message