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Learning from Small Mistakes to Avoid Big Mistakes, Operating Rooms and Patient Harm

Released Thursday, 23rd February 2023

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Learning from Small Mistakes to Avoid Big Mistakes, Operating Rooms and Patient Harm

Thursday, 23rd February 2023

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This article caught my eye today, and it's a change of pace to think about and write about mistakes other than my own (and I made more today — but healthcare mistakes are more important).

Penn Medicine hospital cited over wrong-site surgery

It's a mistake to perform surgery on the wrong leg. Not an “unintended mistake” (which is redundant). All mistakes are unintentional. Intentional harm could be called sabotage or assault....

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