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Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.
Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.
Wrong-site surgeries are considered
rare
but devastating
never events
. However, a recent
article
suggested that wrong-site procedures may be more common than previously thought, since such errors can occur in procedures performed in areas other than the operating room. This study sought to evaluate the incidence of wrong-site surgery in pain management, using data from 10 facilities over a 2-year period. Although the overall incidence was low—only 13 cases were found with minimal associated patient harm—most cases were considered preventable, as clinicians failed to follow recommended
preventive measures
. A wrong-site surgery near miss is discussed in this AHRQ WebM&M
commentary
.
PubMed citation
Available at
Related Resources
STUDY
Incorrect surgical procedures within and outside of the operating room.
Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034.
REVIEW
Avoiding wrong site surgery: a systematic review.
DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.
STUDY
Wrong-site craniotomy: analysis of 35 cases and systems for prevention.
Cohen FL, Mendelsohn D, Bernstein M. J Neurosurg. 2010;113:461-473.
STUDY
Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.
Stahel PF, Sabel AL, Victoroff MS, et al. Arch Surg. 2010;145:978-984.
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Resource Type
Study
Setting of Care
General Hospitals
Ambulatory Clinic or Office
Target Audience
Health Care Providers
Quality and Safety Professionals
Clinical Area
Anesthesiology
Internal Medicine
Safety Target
Wrong-Site Surgery
Wrong-Site Surgery
Error Types
Epidemiology of Errors and Adverse Events
Active Errors
Approach to Improving Safety
Root Cause Analysis
Read Back Protocols
Never Events
Origin/Sponsor
United States of America