'Wrong site' surgeries on the rise.

Newspaper/Magazine Article

'Wrong site' surgeries on the rise.

April 26, 2006

Davis R.

View more articles from the same authors.

This article reports on a recent AHRQ-funded study on the incidence of wrong-site surgery and shares various perspectives on the issue.

Free full text

Related Resources From the Same Author(s)

When a heart attack goes undiagnosed.

November 8, 2006

Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States.

August 15, 2007

Medical Device Use Error: Root Cause Analysis.

March 2, 2016

Impact of a statewide reporting system on medication error reduction.

November 1, 2006

Characteristics of Weekday and Weekend Hospital Admissions, 2007.

March 17, 2010

Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders.

November 1, 2023

A simple surgery with harrowing complications.

August 8, 2012

Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens.

April 12, 2006

Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.

January 10, 2018

Doctors could learn something about medical handoffs from the Navy.

May 4, 2011

New system for patients to report medical mistakes.

October 3, 2012

Human factors in pediatric anesthesia incidents.

March 22, 2006

In bid for better care, surgery with a warranty.

May 30, 2007

Patients put at risk by NHS computer fault.

January 18, 2006

Data docs.

July 6, 2005

Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies.

March 2, 2016

The drawbacks of data-driven medicine.

June 26, 2013

The burnout crisis in American medicine.

May 30, 2018

Rethinking hospital restraints.

September 3, 2014

Missed it.

March 27, 2013

Disuse of system is cited in gaps in soldiers' care.

April 11, 2007

Alcohol based surgical prep solution and the risk of fire in the operating room: a case report.

May 21, 2008

Get me out alive.

May 17, 2006

US drug shortages threatening those whose lives depend on crucial remedies.

May 18, 2011

Freedom to Speak Up: A Review of Whistleblowing in the NHS.

May 27, 2015

Medical errors in dentistry.

November 4, 2015

AI can't replace doctors. But it can make them better.

October 31, 2018

Some hospitals call 911 to save their patients.

April 11, 2007

Medicare says it won't cover hospital errors.

August 22, 2007

Maternity ward at Highland under fire from patients.

January 10, 2007

Baby has jaundice: is that a problem?

February 14, 2007

Former pharmacist indicted for manslaughter after med error.

October 3, 2007

Can we use incident reports to detect hospital adverse events?

March 12, 2008

Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry.

February 20, 2013

Fatal drug mix-up exposes hospital flaws.

September 27, 2006

The fading art of the physical exam.

September 29, 2010

Leading High-Reliability Organizations in Healthcare.

May 4, 2016

Patient Safety: Investigating and Reporting Serious Clinical Incidents.

March 15, 2017

Silencing many hospital alarms leads to better health care.

February 5, 2014

Battling hospital-acquired infections.

January 23, 2008

Many women come close to death in childbirth.

March 21, 2018

Health agency: drug errors still common.

August 2, 2006

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.

April 1, 2015

Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner.

May 23, 2007

Safer Healthcare: Strategies for the Real World.

February 24, 2016

Coming clean on medical mistakes.

April 4, 2007

The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study.

August 25, 2010

HealthGrades Eighth Annual Patient Safety in American Hospitals Study.

March 23, 2011

After the Error: Speaking Out About Patient Safety to Save Lives.

May 1, 2013

The last person you'd expect to die in childbirth.

May 24, 2017

Patient Safety: Research into Practice.

September 13, 2006

Disruptive clinician behavior: a persistent threat to patient safety.

August 9, 2006

Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative.

September 21, 2005

Old and overmedicated: the real drug problem in nursing homes.

December 17, 2014

Identifying Risks and Monitoring Safety: the Role of Patients and Citizens.

November 6, 2013

Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety.

August 3, 2005

Joshua’s Story.

December 3, 2014

Hospital internet site content on patient safety and medical errors.

September 27, 2006

Use of administrative data to find substandard care: validation of the complications screening program.

October 26, 2005

To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene.

February 10, 2010

How to Identify and Address Unsafe Conditions Associated With Health IT.

December 18, 2013

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

August 10, 2011

Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation.

May 6, 2015

Leading Health Care Transformation: A Primer for Clinical Leaders.

August 12, 2015

Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.

October 11, 2017

Strategic Alliance For Error Reduction in California Healthcare (SAFER).

March 6, 2005

Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety.

May 12, 2010

Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews.

December 17, 2014

Medical abbreviations that have contradictory or ambiguous meanings.

February 12, 2020

Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture.

October 5, 2022

Promoting Patient Safety Through Effective Health Information Technology Risk Management.

July 23, 2014

Prescription drug overload: critics fighting to curb an epidemic of medication side effects.

January 29, 2020

Barcode technology flaws put some patients at risk.

July 16, 2008

Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers.

January 25, 2023

ER doctors misdiagnose patients with unusual symptoms.

January 18, 2023

Anatomy of a medical device recall: how defective products can slip through an outdated system.

October 27, 2021

Stop using these adult bed rails, warns the Consumer Product Safety Commission.

June 15, 2022

Modes of failure in venous thromboembolism prophylaxis.

September 28, 2022

Fatigue and safety in paramedicine.

December 18, 2019

Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020.

March 30, 2022

Patient Safety Primers

Medication Administration Errors

March 12, 2021

Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers.

June 24, 2020

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

October 15, 2008

In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings.

March 24, 2021

A brief analysis of telemetry–related events.

January 14, 2020

Designing Safer Rotas for Junior Doctors in the 48-Hour Week.

October 25, 2006

The lost sponge: patient safety in the operating room.

October 17, 2012

Emotional safety is patient safety.

February 15, 2023

Business Intelligence dashboards for patient safety and quality: a narrative literature review.

June 22, 2022

Implementing and validating a comprehensive unit-based safety program.

May 11, 2005

Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.

September 14, 2011

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

June 11, 2008

Defining, estimating, and communicating overdiagnosis in cancer screening.

June 27, 2018

Safety II behavior in a pediatric intensive care unit.

August 1, 2018

Psychological safety in intensive care unit rounding teams.

July 21, 2021

Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions.

January 22, 2020

Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1).

May 5, 2021

Incoming interns recognize inadequate physical examination as a cause of patient harm.

July 15, 2020

Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse.

September 8, 2021

Design of an evidence-based "second victim" curriculum for nurse anesthetists.

June 1, 2016

Related Resources

Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.

February 8, 2023

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.

August 11, 2021

WebM&M Cases

Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?

April 29, 2020

Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management.

April 22, 2020

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.

May 8, 2019

When is the surgeon too old to operate?

February 13, 2019

Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.

December 5, 2018

American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update.

February 1, 2017

Statement on the prevention of retained foreign bodies after surgery.

October 1, 2016

When a surgeon should just say 'I'm sorry'.

April 6, 2016

Wrong site surgery: a critical incident analysis of a near miss.

March 16, 2016

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.

January 27, 2016

Do cell phones belong in the operating room?

August 5, 2015

When should surgeons stop operating?

July 1, 2015

Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events.

June 24, 2015

Concept analysis: wrong-site surgery.

June 17, 2015

Wrong-site orthopedic operations on the extremities: the Pennsylvania experience.

March 25, 2015

Applying fault tree analysis to the prevention of wrong-site surgery.

March 11, 2015

Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project.

October 8, 2014

Rethinking hospital restraints.

September 3, 2014

Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model.

July 30, 2014

Distractions in the operating room.

June 18, 2014

A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus.

March 26, 2014

Implementing hospital-based communication-and-resolution programs: lessons learned in New York City.

February 5, 2014

Surgical checklists: a systematic review of impacts and implementation.

September 25, 2013

Using Six Sigma to improve patient safety in the perioperative process.

August 28, 2013

Surgical adverse events: a systematic review.

June 26, 2013

Surgical never events in the United States.

January 9, 2013

Preventing wrong-site surgery in Minnesota: a 5-year journey.

December 19, 2012

How to avoid the 'seven deadly sins of surgery.'

March 14, 2012

See More About The Topic

Operating Room

Physicians

Nurses

Health Care Executives and Administrators

Patients