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psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board
March 27, 2019 - years of data from the United Kingdom and found that while no wrong-side, wrong-site or wrong-procedure surgeries
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psnet.ahrq.gov/issue/assessment-perioperative-outcomes-among-surgeons-who-operated-night
March 06, 2019 - No significant associations were found between overnight surgeries and surgical outcomes for procedures
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psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals
May 23, 2018 - They found no increase in errors in pediatric brain tumor and shunt surgeries during July and August.
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psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons
April 03, 2013 - Based on data from cardiothoracic surgeons performing coronary artery bypass graft surgeries, the authors
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psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
June 25, 2018 - care and how they threaten patient safety, including delays in diagnosis and treatment, unnecessary surgeries
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psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
November 23, 2011 - They found that concurrent major surgeries and incorrect instrument and sponge counts played a role in
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - These findings are similar to a prior study that included mostly adult surgeries.
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psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
July 10, 2008 - review the results of the program since its inception in 2011 which includes no incidents of wrong-site surgeries
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psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
September 09, 2015 - mitigate these vulnerabilities, suggesting that further interventions are required to prevent wrong-site surgeries
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psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
June 17, 2014 - Wrong-patient and wrong-site surgeries are considered never events.
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psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
August 02, 2015 - identify the correct biopsy site for subsequent surgical excision, potentially avoiding wrong-site surgeries
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psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
February 24, 2011 - A prior study indicated a rate of approximately 1 case per 112,000 surgeries, but WSPEs may occur in
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psnet.ahrq.gov/issue/surgical-never-events-united-states
September 10, 2014 - More than a decade ago, stories of wrong site surgeries and retained surgical objects galvanized
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients
November 29, 2023 - March 29, 2007
Quality of Care in Cranial Implant Surgeries at James A.
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psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses
October 07, 2015 - March 4, 2020
Six ways to lower errors—and unnecessary surgeries—in radiology exams.
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psnet.ahrq.gov/issue/revealing-their-medical-errors-why-three-doctors-went-public
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/target-pill-bottles-now-convenient-and-cute
October 05, 2016 - November 19, 2015
Awareness of patient safety grows with increased outpatient surgeries
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psnet.ahrq.gov/issue/how-can-we-save-next-victim
January 23, 2008 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/national-safety-effort-targets-perinatal-injuries
November 10, 2010 - March 7, 2012
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/surgical-robot-examined-injuries
April 27, 2016 - Related Resources From the Same Author(s)
Surgeons must tell patients of double-booked surgeries