Wrong-site craniotomy: analysis of 35 cases and systems for prevention.

Fred L Cohen; Daniel Mendelsohn; Mark Bernstein

Study

Wrong-site craniotomy: analysis of 35 cases and systems for prevention.

September 15, 2010

Cohen FL, Mendelsohn D, Bernstein M. J Neurosurg. 2010;113(3):461-73.

View more articles from the same authors.

This study found that communication breakdowns, inadequate preoperative checks, technical factors, and human error were the primary categories identified in assessing the root causes of wrong-site craniotomy. The authors suggest that the events were preventable had proper compliance with protocols taken place.

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Wrong-site craniotomy: analysis of 35 cases and systems for prevention.

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