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[Wrong site surgery : Incidence, risk factors and prevention]
P C Ambe1,2, B Sommer3,4, H Zirngibl3,4
1Helios Klinikum Wuppertal, Heusnerstr. 40, 42283, Wuppertal, Deutschland. peter.ambe@helios-kliniken.de.
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|February 13, 2015
Summary
Wrong site surgery is a preventable complication, with communication breakdown as a primary cause. Checklists can help prevent these "never events" in surgical procedures.
Area of Science:
- Surgical safety and quality improvement.
- Medical error analysis.
Context:
- Wrong site surgery is a rare but entirely preventable complication in invasive procedures.
- These events can lead to severe patient morbidity or mortality.
- The World Health Organization designates wrong site surgery as a "never event".
Purpose:
- To review the incidence, causes, and prevention strategies for wrong site surgery.
- To highlight the importance of communication and checklists in surgical safety.
Summary:
- The incidence of wrong site surgery is estimated at 1 in 112,994 procedures, with underreporting likely.
- Orthopedic surgery accounts for the majority of cases.
- Primary causes include communication failures, with risk factors such as time pressure, emergency settings, multiple surgeons, and obesity.
Impact:
- Implementing checklists can significantly reduce or prevent wrong site surgery.
- Recognizing human fallibility and fostering a culture of error prevention are crucial for improving surgical safety.
Keywords:
Patient safetyWrong patient surgeryWrong side surgeryWrong site surgeryWrong surgical procedureMore Related Videos
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