Journal Article
Study

Surgical confusions in ophthalmology.

Simon JW, Ngo Y, Khan S, et al. Archives of ophthalmology (Chicago, Ill. : 1960). 2007;125:1515-22.

This retrospective study reviewed more than 100 cases to characterize common sources of confusion in ophthalmology care. The most common adverse events included wrong lens implants and wrong eye operations, and the authors predict that 85% would have been prevented with use of the Universal Protocol.