Wrong–Site Surgery: Does That Really Happen?

Abstract

It’s going to be a busy day in the operating room (OR). The orthopedic group has a full caseload, neurosurgery is performing four spinal cases. The new general surgeon has two gall bladder cases and anesthesia is doing a half-dozen pain management injections in the block room. The first case of the day has been delayed, as an auto accident on the freeway has the surgeon stuck in traffic. The preoperative care unit is filled with anxious patients and their significant others. Transport personnel are arriving with patients from the nursing units as staff are busy starting intravenous lines and initiating preop orders. All in a coordinated effort, preparing for surgical procedures. What could possibly go wrong?