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Intraocular lens confusions: a preventable "never event" - The Royal Victorian Eye and Ear Hospital protocol.
- Source :
-
Survey of ophthalmology [Surv Ophthalmol] 2012 Sep; Vol. 57 (5), pp. 430-47. - Publication Year :
- 2012
-
Abstract
- Intraocular lens (IOL) confusions and errors are among the most common postoperative adverse events. Errors may occur at any stage from the decision to operate to the insertion of the IOL. The most common errors occur during IOL selection pre-operative preparation (anaesthesia given before recognition that the intended IOL is not available), or intraoperatively (wrong IOL implanted because of confusion in the operating room). We review the mechanisms of errors reported in the literature and describe the experience at The Royal Victorian Eye and Ear Hospital. We also describe the implementation of an error-detection protocol and provide qualitative data on its performance.<br /> (Copyright © 2012 Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1879-3304
- Volume :
- 57
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Survey of ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 22898650
- Full Text :
- https://doi.org/10.1016/j.survophthal.2011.12.003