Wrong site surgery: a critical incident analysis of a near miss. | AHRQ Patient Safety Network

Wrong site surgery: a critical incident analysis of a near miss. | AHRQ Patient Safety Network

• Commentary
 
• Published January 2016

Wrong site surgery: a critical incident analysis of a near miss.

Tichanow S. J Perioper Pract. 2016;26:11-15.

Despite efforts to prevent wrong-site surgeries, they continue to occur. This commentary discusses a near miss resulting from human factors and inadequate team communication to underscore the importance of reporting and analyzing incidents to enhance individual practice and teamwork.

• PubMed citation
• Available at

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