Reducing Wrong-level Spinal Surgeries Through Root Cause Analyses: A 10-year Longitudinal Analysis of a Single Tertiary Institution's Iterative Policy Improvements.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 33306612.
- Also identified by DOI 10.1097/BRS.0000000000003864.
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Abstract
This study is a comprehensive narrative of all wrong-level spine surgeries and prevention strategies employed at our institution between 2008 and 2019, and aims to provide a roadmap for developing a rigorous prevention protocol. We systematically track root cause analyses and policy changes to determine which prevention strategies are most effective.
Medical subject headings
- Medical Errors
- Neurosurgical Procedures
- Orthopedic Procedures