Journal Article
Study

Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery.

Gauss T, Merckx P, Brasher C, et al. Langenbeck's archives of surgery. 2013;398:277-85.

Deviations from the previously agreed upon perioperative care plan were associated with an increased risk of adverse events during surgery. Unplanned changes in surgical procedures have been previously associated with higher risk for retained surgical instruments.