Duplication of Surgical Site Marking

作者:Davis James S*; Karmacharya Jagajan; Schulman Carl I
来源:Journal of Patient Safety, 2012, 8(4): 151-152.
DOI:10.1097/PTS.0b013e3182699a01

摘要

Wrong-site surgery is a devastating complication, and its avoidance requires uncompromising vigilance. The Joint Commission on Accreditation of Healthcare Organizations has labeled wrong-site surgery as a sentinel event and requires marking the surgical site before initiating an operation. We present a case involving the duplication of a pre-procedure mark. A complete review of the patient%26apos;s medical record averted disaster, but the case emphasizes the need for constant attentiveness by all members of the procedural team.

  • 出版日期2012-12