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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

PSNet: Patient Safety Network



  • Commentary
  •  
  • Published January 2016

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

    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.














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