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PSNet: Patient Safety Network
Newspaper/Magazine Article

Surgical fires: decreasing incidence relies on continued prevention efforts.

Bruley ME; Arnold TV; Finley E; Deutsch ES; Treadwell JR.

Although surgical fires are considered never events, they continue to occur. This article reports findings from an analysis of 28 operating room fire incidents submitted over a 5-year period to the Pennsylvania Patient Safety Reporting System. Although incidence of surgical fires has significantly decreased since earlier reporting periods, half of the reported events resulted in patient harm. A past WebM&M commentary discussed surgical fires and how to prevent them.