Holy crap… that’s about all I can say about that. This article is amazing. You would think that wrong site/wrong person surgery could be prevented (and it can), but it still happens. A lot.
All sorts of problems still happen with regularity. Surgery based on test results given to the wrong person. Flipped x-rays (really? even in the digital age where all x-rays are on a computer?). Marking the wrong side of the body or the wrong vertebra.
Several years ago, the National Quality Forum coined the term “never events” to describe medical errors that are almost entirely preventable. These include:
- wrong site/wrong patient surgeries,
- medication errors,
- wrong procedures,
- retained objects after surgery (clamps, sponges, etc),
- pressure ulcers or bedsores,
- injury due to incompatible blood or blood products,
- death or serious injury due to hypoglycemia