December 6, 2018
Joint Commission announces new case study on wrong-site surgery safety
Editor's Note
The Joint Commission on December 5 announced a new, free educational tool that details wrong-site surgery safety strategies--identifying risk factors and possible ways to improve processes.
The case study lays out a situation in which a patient is scheduled for transbronchial biopsies of the right upper lung but has biopsies of the left lung instead.
The tool asks readers:
- What are the risk points?
- How could the error have been prevented?
- How could the error have been mitigated?
- How can the system be improved?
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