United States Department of Health & Human Services Skip Navigation
AHRQ HomeAgency for Healthcare Research and Quality
HHS Home
Questions
Contact Us
Site Map
Advancing Excellence in Health Care www.ahrq.gov
 














PSNet AHRQ

Submit Search Advanced Search
< Back  Email to a colleague

Another wrong-site surgery at RI Hospital.
Freyer FJ. Providence Journal. October 24, 2009.
 

This news piece reports on a surgical error that occurred at a Rhode Island hospital. Several wrong-site surgeries have occurred at the hospital in the past, and the article discusses this incident in the context of challenges in safety improvement.
 
icon indicating hyperlink to external website Free full text

icon indicating hyperlink to external website Related news
 
Resource Type:  Newspaper/Magazine Article

Setting of Care:  Hospitals > General Hospitals > Operating Room

Target Audience:  Patients

Clinical Area:  Medicine > Surgery > Orthopedic Surgery

Safety Target:  Identification Errors > Wrong-Site Surgery

   Surgical Complications > Intraoperative Complications > Wrong-Site Surgery

Error Types:  Active Errors > Cognitive Errors ("Mistakes")

Approach to Improving Safety:  Error Reporting and Analysis > Error Analysis

   Communication Improvement > Communication between Providers > Read Back Protocols

Origin/Sponsor:  North America > United States of America
Produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Editorial Board. This site was designed and implemented by Silverchair.

Contact AHRQ PSNet | Copyright | AHRQ PSNet Privacy Policy | Terms & Conditions | Help


AHRQ Home | Questions? | Contact AHRQ | Site Map | Accessibility | Privacy Policy | Freedom of Information Act | Disclaimers
HHS Home | The White House | USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364