Wrong site surgery near misses and actual occurrences.

Mary Blanco; John R. Clarke; Denise Martindell

Study

Wrong site surgery near misses and actual occurrences.

August 26, 2009

Blanco M, Clarke JR, Martindell D. AORN J. 2009;90(2):215-8, 221-2.

View more articles from the same authors.

This analysis of wrong-site surgery cases and near misses reported to the Pennsylvania Patient Safety Authority found that many cases involved failure to follow The Joint Commission's Universal Protocol for preventing such errors.

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Wrong site surgery near misses and actual occurrences.

A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel.

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