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Inadvertent Castration.
Calland JF. AHRQ WebM&M [serial online]. January 2004.
During a hernia repair, surgeons decide to remove a patient’s hydrocele, spermatic cord, and left testicle—without realizing that his right testicle had been removed previously.
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Resource Type
Commentary
Setting of Care
Operating Room
Target Audience
Health Care Providers
Quality and Safety Professionals
Clinical Area
Geriatrics
Surgery
Safety Target
Clinical Misdiagnosis
Surgical Complications
Wrong-Site Surgery
Psychological and Social Complications
Wrong-Site Surgery
Error Types
Noncognitive Errors ("Slips & Lapses")
Cognitive Errors ("Mistakes")
Approach to Improving Safety
Root Cause Analysis
Provider-Patient Communication
Human Factors Engineering
Teamwork Training
Specialization of Care
Teamwork Training
Origin/Sponsor
Agency for Healthcare Research and Quality (AHRQ)