Still not seeing clearly: a second look at intraocular lens implant events
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Contributor(s):
- Pennsylvania. Patient Safety Authority. ECRI (Organization) Institute for Safe Medication Practices.
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2008
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Lens Implantation, Intraocular Lenses, Intraocular Medical Errors -- prevention & control Cataract Extraction Checklist Humans Pennsylvania United States
- Genre(s):
- Technical Report
- Abstract:
- In the March 2005 issue of the Patient Safety Advisory, an article reviewed the Serious Events and Incidents reported through PA-PSRS regarding eye surgery. Two distinct patterns were identified at that time: (1) wrong-side surgery; and (2) incorrect intraocular lens (IOL) implants. This follow-up article looks at the frequency of incorrect IOL placement events since the inception of PA-PSRS to discuss the identified process issues that may have contributed to the surgical error and the risk reduction strategies that are being implemented to reduce the incidence of further events.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101570266 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101570266