Abstract
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 preprocedure mark. A complete review of the patient's medical record averted disaster, but the case emphasizes the need for constant attentiveness by all members of the procedural team.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 151-152 |
| Number of pages | 2 |
| Journal | Journal of Patient Safety |
| Volume | 8 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 1 2012 |
Keywords
- complications
- surgery
- surgical marking
- wrong-site surgery
ASJC Scopus subject areas
- Leadership and Management
- Public Health, Environmental and Occupational Health
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Cite this
Davis, J. S., Karmacharya, J., & Schulman, C. I. (2012). Duplication of surgical site marking. Journal of Patient Safety, 8(4), 151-152. https://doi.org/10.1097/PTS.0b013e3182699a01