Wrong-patient, wrong-site procedures persist despite safety protocol.

Newspaper/Magazine Article

Wrong-patient, wrong-site procedures persist despite safety protocol.

November 10, 2010

O'Reilly KB.

View more articles from the same authors.

This article reports on recent study findings indicating that the Universal Protocol has not stopped wrong-patient, wrong-site procedures.

Free full text

Related Resources From the Same Author(s)

"I'm sorry": Why is that so hard for doctors to say?

February 10, 2010

Revealing their medical errors: why three doctors went public.

August 24, 2011

Can protecting patients be made recession-proof?

July 29, 2009

Top 10 ways to improve patient safety now.

April 24, 2013

Hospitals shine light on mistakes by publicly saying: "we're sorry."

August 13, 2008

National safety effort targets perinatal injuries.

June 25, 2008

Hospitals look to improve informed consent process.

November 28, 2007

Patient safety: what can medicine learn from aviation?

June 23, 2010

Fear of punitive response to hospital errors lingers.

March 7, 2012

No pay for "never event" errors becoming standard.

January 9, 2008

AMA meeting: delegates see boosting quality of care as duty.

July 15, 2009

Sponges, surgical instruments miscounted in 13% of surgeries.

October 1, 2008

Stanford cuts liability premiums with cash offers after errors.

November 9, 2011

CMS seeks to add 9 hospital-acquired conditions to no-pay list.

May 21, 2008

Achieving Safe and Reliable Healthcare: Strategies and Solutions.

March 6, 2005

The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety.

October 18, 2017

Injury and liability associated with monitored anesthesia care: a closed claims analysis.

February 15, 2006

WebM&M Cases

Diagnosing a Missed Diagnosis

March 1, 2017

WebM&M Cases

Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.

February 1, 2023

Making electronic health records both SAFER and SMARTER.

July 27, 2022

Journal Article

Study

Clinician collaboration to improve clinical decision support: the Clickbusters initiative.

November 16, 2022

Management of the difficult airway: a closed claims analysis.

July 13, 2005

ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative.

November 18, 2020

Chronic hospital nurse understaffing meets COVID-19: an observational study.

September 9, 2020

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department.

May 25, 2022

Child-specific risk factors and patient safety.

May 11, 2005

Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system.

March 8, 2023

The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study.

January 26, 2022

The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals.

March 4, 2015

Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening.

June 15, 2022

Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system.

May 12, 2021

Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology.

December 8, 2021

Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes.

January 10, 2024

Mistakes We Make in Dialysis.

August 3, 2016

Safety in Anaesthesia.

June 15, 2011

Nurses Transforming Care.

December 2, 2009

The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise.

November 19, 2008

Patient Safety.

November 21, 2018

Evidence-based Recommendations for Best Practices in Weight Loss Surgery.

March 27, 2005

Related Resources

Factors contributing to preventing operating room "never events": a machine learning analysis.

May 10, 2023

Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.

February 8, 2023

High-reliability organisation principles implemented in dentistry.

July 27, 2022

Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.

June 23, 2021

Common general surgical never events: analysis of NHS England never event data.

April 7, 2021

WebM&M Cases

Wrong Catheter in the Right Patient

May 27, 2020

Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.

December 5, 2018

Creating a culture of accountability promotes safe medical care.

November 21, 2018

Fail-safe patient ID matching remains just out of reach.

July 25, 2018

Distinct newborn identification requirement.

July 11, 2018

Enhanced time out: an improved communication process.

June 21, 2017

Despite technology, verbal orders persist, read back is not widespread, and errors continue.

May 31, 2017

When doctors get the wrong patient.

October 5, 2016

WebM&M Cases

Getting the (Right) Doctor, Right Away

August 21, 2016

Effectiveness of surgical safety checklists in improving patient safety.

April 27, 2016

When a surgeon should just say 'I'm sorry'.

April 6, 2016

WebM&M Cases

Fire in the Hole!—An OR Fire

April 1, 2015

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

March 25, 2015

WebM&M Cases

Two Wrongs Don't Make a Right (Kidney)

March 1, 2015

A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors.

October 8, 2014

Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project.

October 8, 2014

Wrong-side thoracentesis: lessons learned from root cause analysis.

July 2, 2014

Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents.

April 23, 2014

A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus.

March 26, 2014

Surgical never events in the United States.

January 9, 2013

Preventing wrong-site surgery in Minnesota: a 5-year journey.

December 19, 2012

WebM&M Cases

Turn the Other Cheek

March 1, 2012

Preventing wrong site, procedure, and patient events using a common cause analysis.

August 31, 2011

Outcome of 6 years of protocol use for preventing wrong site office surgery.

August 24, 2011

Incorrect surgical procedures within and outside of the operating room: a follow-up report.

July 27, 2011

See More About The Topic