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.

PubMed citation

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Operating Room

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Surgery

Wrong site surgery near misses and actual occurrences.

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