AORN Journal
Volume 90, Issue 2 , Pages 215-222 , August 2009

Wrong Site Surgery Near Misses and Actual Occurrences

  • Mary Blanco, RN, MSN, CPHQ

      Affiliations

    • Mary Blanco, RN, MSN, CPHQ, was a patient safety analyst at the Pennsylvania Safety Authority, Harrisburg, PA.
    • ,
  • John R. Clarke, MD, FACS

      Affiliations

    • John R. Clarke, MD, FACS, is a professor of surgery at Drexel University, Philadelphia, PA; clinical director for patient safety and quality initiatives, ECRI Institute, Plymouth Meeting, PA; and clinical director of the Pennsylvania Patient Safety Authority, Harrisburg, PA.
    • ,
  • Denise Martindell, RN, JD

      Affiliations

    • Denise Martindell, RN, JD, is a patient safety analyst at the Pennsylvania Safety Authority, Harrisburg, PA.

Reference 

  1. Clarke JR , Johnston J , Finley ED . Getting surgery right . Ann Surg . 2007;246(3):395–405

 Editor's note: The Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery is a trademark of the Joint Commission, Oakbrook Terrace, IL.

PII: S0001-2092(09)00481-5

doi: 10.1016/j.aorn.2009.07.010

AORN Journal
Volume 90, Issue 2 , Pages 215-222 , August 2009

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