Editor's Note
Nearly one-quarter of more than 600 wrong-site surgery events reported to the Pennsylvania Patient Safety Authority (PPSA) since 2004 have involved wrong-site anesthesia blocks.
Based on these findings, PPSA has developed evidence-based practices for preventing wrong-site surgery and wrong-site anesthesia blocks that complement the Joint Commission’s Universal Protocol.
PPSA provides education, tools and resources, and onsite consultation to assist Pennsylvania hospitals and ASCs in preventing these events.
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