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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.
Patient & Visitor De-escalation
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Patient Safety Alert Issue 25: The AMC PSO convened a panel of safety leaders to review recent trends and discuss novel interventions to mitigate the risk for hospital workplace violence, especially from patients and visitors.
Failure to Rescue
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Patient Safety Alert Issue 22: The AMC PSO has recently assembled a panel of subject matter experts to review data, literature, and their own experiences with insufficient patient monitoring and failure to rescue.
Electronic Health Record Risks in the Emergency Department
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Patient Safety Alert Issue 27: The AMC PSO convened a panel of Emergency Medicine thought leaders to identify significant areas of concern and to explore potential mitigation strategies for use of electronic health record risks in the Emergency Department
Harvard Surgical Chiefs Endorse Automated Detection Technology for Retained Foreign Objects
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Patient Safety Alert Issue 12: The AMC PSO has performed an in-depth analysis of patient safety events in the surgical setting and has identified emerging technologies and new strategies to complement existing patient safety protocols.