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Learn about the contributing factors for wrong-site surgeries and how to prevent them.
Newsletter
Wrong Site Surgery Report
Jul 30, 2011
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:
- Keep pre-op verification form with OR nursing staff instead of placing in the chart.
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AMC PSO
Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
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More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Pharmacy Compounding Safe Practice Recommendations
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Patient Safety Alert Issue 14: The AMC PSO recently held its follow up Medication Safety Task Force collaborative convening session to discuss the best practices regarding the issues within compounding sterile preparations and patient safety that were brought up in the first meeting.
Patient Falls
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Patient Safety Alert Issue 23: The AMC PSO convened a panel of nursing leaders to review recent trends, evaluate the current literature, and discuss novel interventions aimed at mitigating the risk regarding patient falls.
Patient ID Risks & the Intersection of Electronic Health Records
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Patient Safety Alert Issue 28: The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.
Delayed Diagnosis
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Patient Safety Alert Issue 11: The AMC PSO has performed an in-depth analysis of patient safety issues in the ED setting and has identified practices employed to reduce risks that were the result of missed or delayed diagnoses.