Tag: Treatment Errors

No single step prevents wrong surgery

No single step, whether the time out before the incision or surgical site marking, is adequate to prevent wrong surgery. Rather, site verification needs to be a package of activities that involves the team—the nurse, patient, surgeon, and anesthesia provider—as well as an accurate OR schedule and consent and a…

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By: OR Manager
August 1, 2007
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Support for staff when things go wrong

The patient had come to the OR for joint replacement surgery. Though she had a complicated medical history, there was no reason to believe she would have serious problems. But during the surgery, things went wrong, and despite everyone's efforts, the patient died. It hit the team hard, including the…

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By: OR Manager
July 1, 2007
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