Wrong Site & Wrong Patient

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Issue 11 – July 2001

  • Surgical Mix-Ups and Wrong-Sited Surgeries
  • Risk Management Tips to Prevent Patient Mix-ups and Misidentification of Surgical Sites

Issue 12 – July 2002

  • Nerve Damage from Regional Blocks placed under General Anesthesia
  • Misuse of Forced-Air Warming Equipment Leads to Avoidable Injury
  • Wrong-Sited Surgery and Patient Mix-ups
  • Burns from Warmed IV Bags
  • Intra-operative Fires

Issue 18 – January 2008

  • Wrong Site Surgery: Universal Protocol Misses the Mark
  • Problems with the Universal Protocol
  • Common Mistakes
  • Risk Management Tips to Prevent Wrong Site Surgical Mistakes

Issue 22 – March 2009

  • Wrong Site Surgery Update: 2009 Universal Protocol Moves in Right Direction
  • Changes to Universal Protocol
  • Overview of 2009 Universal Protocol
  • Problems with the 2009 Universal Protocol
  • Risk Management Tips to Prevent Wrong Site Surgical Mistakes