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Wrong site surgery

Goal ImageNational Patient Safety Goal 4B

SOL_image Performance of Correct Procedure at Correct Body Site (PDF)

Sentinel Event Alert #6
Sentinel Event Alert #24
Righting Wrong Site Surgery
JCAHO Universal Protocol for Preventing Wrong Site,Wrong Procedure, Wrong Person Surgery
5 Step Correct Patient, Correct Site, Correct Procedure Policy
Procedures Requiring Surgical Site Markings
VA Directive : Ensuring Correct Surgery And Invasive Procedures
UK NPSA Alert #6 : Correct Site Surgery
Australian Policy : 5 Step Correct Patient, Correct Site , Correct Procedure Policy
American Academy of Orthopaedic Surgeons : Wrong Site Surgery
Guidelines to Eliminate Wrong Site Surgery
Home Study Program : Ensuring Correct Site Surgery
Ohio Surgical/Procedural Verification Protocol
NPSA (England) Patient Safety Alert on correct site surgery

Wrong tube/catheter placement

SOL_image Avoiding Catheter and Tubing Mis-Connections (PDF)

Sentinel Event Alert #36
Focus on Five: Strategies to Prevent Operative and Postoperative Complications
Shorter Catheters—A Simple Solution to a Rare but Deadly Complication

Intraoperative Complication

Focus on Five: Strategies to Prevent Operative and Postoperative Complications
Sentinel Event Alert #12
Inadvertent organ injury
Decreasing Mortality for Patients Undergoing Hip Fracture Repair Surgery
Unintended foreign body retention
Reducing the Risk of Unintentionally Retained Foreign Bodies
Chapter 22, Retained Surgical Sponge, Making Health Care Safer, AHRQ
Focus on Five: Risk Factors That Can Contribute to Surgical Tools Being Left in Patients
Air embolism
Focus on Five: Strategies to Prevent Operative and Postoperative Complications

Post-Operative Complication

Sentinel Event Alert #12
When Quality Improvement Meets Surgery, Complications Will Plummet
Cardiac event
American Heart Assoc. : Power to End Stroke
American Heart Assoc. : Stroke Issue
Respiratory arrest
Stroke
Heart and Stroke Foundation
Hemorrhage
Subarachnoid Hemorrhage
Guidelines for the Management of Spontaneous Intracerebral Hemorrhage
DVT/Pulmonary embolism
Journal of American College of Surgeons : Vascular Surgery

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