Still not seeing clearly: a second look at intraocular lens implant events

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
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