Using "near misses" analysis to prevent wrong-site surgery.

Richard S. Yoon; Michael J. Alaia; Lorraine H. Hutzler; Joseph A. Bosco

Study

Using "near misses" analysis to prevent wrong-site surgery.

October 30, 2013

Yoon RS, Alaia MJ, Hutzler LH, et al. J Healthc Qual. 2015;37(2):126-32.

View more articles from the same authors.

By tracking improper surgical bookings and observing time-out procedures, this study measured near misses for wrong-site surgery and provided education about correct procedures when they encountered errors. After this education, surgical booking and time-out procedures improved.

PubMed citation

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