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Publication Type: Patient Safety Alert
Single or Multiple Incident: Multiple
Date: 3/21/2019 12:00:00 AM
Country: South Korea

This alert addresses the need for implementation of a surgery and/or procedure safety checklist to avoid patient safety incidents. Three cases are presented identifying retention of a gauze, biopsy of the wrong site and postponement of surgery due to failure of medical equipment all related to lack of using a safety checklist. Recommendations to prevent similar incidents are provided. The alert also includes a computerized view and a hard (paper) copy version of a post surgery / procedure safety checklist.

Additional Details

Device:
gauze, needle, sponge


Insufficient checkup of post surgery/procedure safety checklist