10 most common causes of wrong-site surgeries, according to the Joint Commission

Incidents involving wrong-patient, wrong-site or wrong-procedure errors were the sixth most common sentinel events reported to the Joint Commission last year.

According to the Joint Commission, the majority of wrong-patient, wrong-site or wrong-procedure sentinel events had multiple root causes, including the following 10 most common root causes.

1. Leadership — contributed to 908 wrong-patient, wrong-site or wrong-procedure sentinel events

2. Human factors — 772

3. Communication — 759

4. Assessment — 398

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5. Information management — 390

6. Operative care — 353

7. Physical environment — 99

8. Patient rights — 66

9. Anesthesia care — 56

10. Continuum of care — 39

To read more about how the root causes were defined for the report, click here.

 

 

More articles on wrong-site errors:
Top 10 sentinel events in 2014
Top 9 risk factors leading to wrong-site surgery
How safe is your OR? 8 things to consider

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