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PSNet: Patient Safety Network
Journal Article

Wrong-site surgery in California, 2007–2014.

Moshtaghi O, Haidar YM, Sahyouni R, et al. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2017;157:48-52.

Despite adoption of the Universal Protocol and widespread prevention efforts, wrong-site surgeries continue to occur. This study found that between 2007 and 2014, there were 95 cases involving wrong-site surgeries, wrong-site procedures, wrong procedures, and procedures performed on the wrong patient reported to the California Department of Public Health. Orthopedic surgery accounted for 35% of the cases reported.