Wrong-Site Surgery: Contributing Factors

From Quarterly Update on Preventing Wrong-Site Surgery, Pa Patient Saf Advis 2012 Mar;9(1):28-34.

“The two major causes of wrong-site surgery are misinformation and misperception. Ensuring the completeness and accuracy of information from the surgeon’s office is the first step in preventing misinformation from leading to wrong-site surgery. Three wrong-site surgeries, one near miss with cancellation of the operation, and three other reports of near misses during the past quarter underline the importance of the surgeon’s office providing accurate information.”