Skip to main content
Newspaper/Magazine Article
March 25, 2015

Wrong-site orthopedic operations on the extremities: the Pennsylvania experience.

Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27.

Save

Print

Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27.

Wrong-site surgeries are considered never events by the National Quality Forum and sentinel events by The Joint Commission. Drawing from data submitted to the Pennsylvania Patient Safety Authority, this article analyzes 83 wrong-site extremity procedures in orthopedic surgery reported over 9 years and recommends site marking and time outs as strategies to prevent these incidents.

Save

Print

Cite
Citation

Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27.