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Psychosurgery

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

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Wrong-Site Surgery in California, 2007-2014.

Omid Moshtaghi¹, Yarah M Haidar¹, Ronald Sahyouni¹

¹1 Division of Neurotology and Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California-Irvine, Irvine, California, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery

|February 15, 2017

Summary

Wrong-site surgery (WSS) remains a challenge despite safety protocols. This study found WSS most common in orthopedics, general surgery, and neurosurgery, highlighting the need for improved prevention strategies.

Keywords:

complications errors surgery surgical mistakes timeout wrong side wrong site

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Area of Science:

Medical Safety
Surgical Quality Improvement
Patient Harm Reduction

Background:

Universal surgical safety protocols implemented in 2004 aimed to reduce wrong-site surgery (WSS).
Despite these efforts, WSS remains a persistent challenge in operating rooms nationwide.
Understanding the prevalence and causes of WSS is crucial for enhancing patient safety.

Purpose of the Study:

To determine the incidence and root causes of wrong-site surgery (WSS) in California.
To analyze WSS data from 2007 to 2014, identifying trends and contributing factors.
To inform future strategies for preventing these critical patient safety events.

Main Methods:

Retrospective analysis of 95 WSS incident reports investigated by the California Department of Public Health (CDPH) from 2007 to 2014.
Categorization of WSS by error type (wrong side, wrong procedure, wrong part, wrong patient).
Analysis of WSS prevalence across different surgical specialties.

Main Results:

The most frequent errors included operating on the wrong side (62%), performing the wrong procedure (21%), and operating on the wrong body part (12%).
Wrong-site surgery (WSS) was most prevalent in orthopedic surgery (35%), followed by general surgery (27%) and neurosurgery (17%).
All three otolaryngology WSS cases involved the ear.

Conclusions:

Wrong-site surgery (WSS) persists despite national safety initiatives.
Further research is needed to develop best practices for preventing WSS, particularly in specialties like otolaryngology.
Addressing the root causes of WSS is essential to eliminate these "never events".