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The Other Side.
Vincent C. AHRQ WebM&M [serial online]. October 2003.
Trusting his memory more than the chart, a surgeon directs a resident to remove the wrong side on a patient with unilateral vulvar cancer.
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Commentary
Setting of Care
Operating Room
Target Audience
Health Care Providers
Non-Health Care Professionals
Clinical Area
Gynecology
Surgery
Surgical Oncology
Safety Target
Wrong-Site Surgery
Wrong-Site Surgery
Error Types
Epidemiology of Errors and Adverse Events
Noncognitive Errors ("Slips & Lapses")
Approach to Improving Safety
Practice Guidelines
Patient Disclosure
Communication between Providers
Checklists
Origin/Sponsor
Agency for Healthcare Research and Quality (AHRQ)