Reducing Wrong-level Spinal Surgeries Through Root Cause Analyses: A 10-year Longitudinal Analysis of a Single Tertiary Institution's Iterative Policy Improvements.

Authors :: Srivatsa S
Vira S
Schils J
Shook S
Gill A
Krishnaney AA
Source :: Spine [Spine (Phila Pa 1976)] 2021 Jun 01; Vol. 46 (11), pp. E648-E654.
Publication Year :: 2021
Abstract: Mini: 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.<br /> (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)

Subjects :: Humans
Retrospective Studies
Spine surgery
Tertiary Care Centers
Medical Errors legislation & jurisprudence
Medical Errors prevention & control
Medical Errors statistics & numerical data
Neurosurgical Procedures adverse effects
Neurosurgical Procedures legislation & jurisprudence
Neurosurgical Procedures statistics & numerical data
Orthopedic Procedures adverse effects
Orthopedic Procedures legislation & jurisprudence
Orthopedic Procedures statistics & numerical data

Full Text Access

Tools