Study shows wrong people, wrong skills, wrong tools . . .

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable?

HYPOTHESIS Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events (WSPEs) are devastating, unacceptable, and often result in litigation, but their frequency and root causes are unknown. Wrong-side/wrong-site, wrong-procedure, and wrong-patient events are likely more common than realized, with little evidence that current prevention practice is adequate. DESIGN Analysis of se...

Wrong Priors

All priors are not created equal. There are right and there are wrong priors. That is the main conclusion of this contribution. I use, a cooked-up example designed to create drama, and a typical textbook example to show the pervasiveness of wrong priors in standard statistical practice.

Inotropic therapy is unsuccessful: wrong conceptual target or wrong therapeutic tools?

Since a depressed contractility has long been considered the primary defect in patients with heart failure, the use of inotropic agents has been regarded as a logical approach to treat this syndrome. Despite this conceptual framework, these drugs have not yet established themselves in the treatment of chronic heart failure and their long-term use was associated with an excessive mortality while...

Universal protocol for preventing wrong site, wrong procedure, wrong person surgery.

q Pre-operative verification process o Purpose: To ensure that all of the relevant documents and studies are available prior to the start of the procedure and that they have been reviewed and are consistent with each other and with the patient’s expectations and with the team’s understanding of the intended patient, procedure, site and, as applicable, any implants. Missing information or discre...

Joint Commission tools to prevent wrong surgery.