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An Update on Wrong-Site Spine Surgery.

John G DeVine1, Norman Chutkan2, David Gloystein3

  • 1Medical College of Georgia, Augusta University, Augusta, GA, USA.

Global Spine Journal
|January 15, 2020
PubMed
Summary
This summary is machine-generated.

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Wrong-site spine surgery (WSSS) remains a significant concern despite the Universal Protocol. Patient safety requires surgeons to implement specific protocols for correct vertebral level identification to prevent these errors.

Area of Science:

  • Neurosurgery
  • Patient Safety
  • Surgical Errors

Background:

  • Wrong-site spine surgery (WSSS) is a preventable adverse event with severe consequences.
  • The Universal Protocol was implemented to reduce surgical errors, including WSSS.

Purpose of the Study:

  • To review the current incidence and trends of WSSS.
  • To evaluate the impact of the Universal Protocol on WSSS rates.
  • To identify strategies for preventing WSSS.

Main Methods:

  • A comprehensive literature review was conducted.
  • Analysis of adverse event databases, including The Joint Commission sentinel event statistics.

Main Results:

  • WSSS, though low in incidence, continues to be reported at rates similar to pre-Universal Protocol implementation.
Keywords:
wrong levelwrong patientwrong sidewrong-site spine surgerywrong-site surgery

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  • The Universal Protocol has not significantly reduced WSSS rates.
  • Wrong-level surgery remains a persistent issue.

    • Conclusions:

    • While the Universal Protocol aids in preventing wrong-patient, wrong-procedure, and wrong-sided surgeries, it does not fully address wrong-level spine surgery.
    • Surgeons must develop and consistently apply patient-specific protocols to ensure correct vertebral level identification.
    • Enhanced surgical site verification is crucial for preventing WSSS.