Patient Safety Alert 1: Wrong Site Surgery (PDF)

Wrong-site (including wrong side) surgeries/procedures account for a relatively small portion of surgery-related malpractice cases, but they almost always represent events that are impossible to justify (or defend).

Strategies and Tactics 

The AMC PSO has identified the following practices employed to address the factors that can contribute to a wrong-site surgery:

  1. Keep pre-op verification form with OR nursing staff instead of placing in the chart.
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Learn about the contributing factors for wrong-site surgeries and how to prevent them.


Patient Safety Alerts

View the whole library of these 1–2 page AMC PSO findings.

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Patient Safety Alert


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Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
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