Wrong site medical intervention: another potential source for error
نویسندگان
چکیده
منابع مشابه
Another look at medical error.
Medical error continues to be a topic of discussion. Blaming the physician or nurse for error is too simplistic and may serve to blur larger system problems from being identified and addressed. This article considers recent history of assignment of errors from a quality assurance perspective, multiple paths which result in error, reviewing the 1999 Institute of Medicine report and looking beyon...
متن کاملWrong-site craniotomy.
In this is issue of the Journal of Neurosurgery, Cohen and colleagues 1 report on a systematic review of the medical and legal literature as well as media reports relating to wrong-side craniotomies. Included with their description of 35 reported cases, they have provided analysis of possible contributing factors. Not surprisingly, the most common contributing factor was a breakdown in communic...
متن کاملWrong-site surgery.
Despite all the attention on this tragic problem and the emergence of proven protocols to prevent it, wrong-site surgeries persist. It's time to make them stop.
متن کاملUniversal 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...
متن کاملWrong-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...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Anaesthesia
سال: 2011
ISSN: 0003-2409
DOI: 10.1111/j.1365-2044.2011.06840.x