Lessons from Ophthalmology in Preventing Wrong-Site Errors in Paired-Organ Surgery
Surgical errors involving paired organs can have severe consequences, particularly in procedures where laterality is a critical factor. Wrong-site surgeries indicate failures in risk management and patient safety protocols, requiring continuous improvements in preventive strategies. In ophthalmology...
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| Format: | Article |
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MDPI AG
2025-06-01
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| Series: | Sci |
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| Online Access: | https://www.mdpi.com/2413-4155/7/2/79 |
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| author | Annalisa Romaniello Francesca Romana Blasi Ludovico Iannetti Marta Armentano Mattia D’Andrea Giacomo Visioli Ludovico Alisi |
| author_facet | Annalisa Romaniello Francesca Romana Blasi Ludovico Iannetti Marta Armentano Mattia D’Andrea Giacomo Visioli Ludovico Alisi |
| author_sort | Annalisa Romaniello |
| collection | DOAJ |
| description | Surgical errors involving paired organs can have severe consequences, particularly in procedures where laterality is a critical factor. Wrong-site surgeries indicate failures in risk management and patient safety protocols, requiring continuous improvements in preventive strategies. In ophthalmology, where precision is essential, the adoption of structured approaches has significantly reduced the incidence of such errors. The Universal Protocol, introduced in 2004 by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), has defined standardized procedures to prevent these events and has subsequently been adapted to ophthalmic surgery by specialized scientific societies such as the American Academy of Ophthalmology (AAO). Additionally, multidisciplinary interventions, including AI-assisted verification systems, human factors analysis, and enhanced surgical checklists, continue to strengthen error prevention. This review examines the implementation and development of these strategies in ophthalmic surgery, evaluating their effectiveness and identifying persistent challenges in surgical safety |
| format | Article |
| id | doaj-art-4c1322cab250493aa8e09cd3a0794549 |
| institution | DOAJ |
| issn | 2413-4155 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sci |
| spelling | doaj-art-4c1322cab250493aa8e09cd3a07945492025-08-20T03:16:39ZengMDPI AGSci2413-41552025-06-01727910.3390/sci7020079Lessons from Ophthalmology in Preventing Wrong-Site Errors in Paired-Organ SurgeryAnnalisa Romaniello0Francesca Romana Blasi1Ludovico Iannetti2Marta Armentano3Mattia D’Andrea4Giacomo Visioli5Ludovico Alisi6Department of Sense Organs, Sapienza—University of Rome, 00161 Rome, ItalyOphthalmology Unit, Head and Neck Department, Policlinico Umberto I University Hospital, 00161 Rome, ItalyOphthalmology Unit, Head and Neck Department, Policlinico Umberto I University Hospital, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza—University of Rome, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza—University of Rome, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza—University of Rome, 00161 Rome, ItalyDepartment of Sense Organs, Sapienza—University of Rome, 00161 Rome, ItalySurgical errors involving paired organs can have severe consequences, particularly in procedures where laterality is a critical factor. Wrong-site surgeries indicate failures in risk management and patient safety protocols, requiring continuous improvements in preventive strategies. In ophthalmology, where precision is essential, the adoption of structured approaches has significantly reduced the incidence of such errors. The Universal Protocol, introduced in 2004 by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), has defined standardized procedures to prevent these events and has subsequently been adapted to ophthalmic surgery by specialized scientific societies such as the American Academy of Ophthalmology (AAO). Additionally, multidisciplinary interventions, including AI-assisted verification systems, human factors analysis, and enhanced surgical checklists, continue to strengthen error prevention. This review examines the implementation and development of these strategies in ophthalmic surgery, evaluating their effectiveness and identifying persistent challenges in surgical safetyhttps://www.mdpi.com/2413-4155/7/2/79wrong-site surgerysurgical risk managementpatient safetyUniversal Protocolpaired organsophthalmology |
| spellingShingle | Annalisa Romaniello Francesca Romana Blasi Ludovico Iannetti Marta Armentano Mattia D’Andrea Giacomo Visioli Ludovico Alisi Lessons from Ophthalmology in Preventing Wrong-Site Errors in Paired-Organ Surgery Sci wrong-site surgery surgical risk management patient safety Universal Protocol paired organs ophthalmology |
| title | Lessons from Ophthalmology in Preventing Wrong-Site Errors in Paired-Organ Surgery |
| title_full | Lessons from Ophthalmology in Preventing Wrong-Site Errors in Paired-Organ Surgery |
| title_fullStr | Lessons from Ophthalmology in Preventing Wrong-Site Errors in Paired-Organ Surgery |
| title_full_unstemmed | Lessons from Ophthalmology in Preventing Wrong-Site Errors in Paired-Organ Surgery |
| title_short | Lessons from Ophthalmology in Preventing Wrong-Site Errors in Paired-Organ Surgery |
| title_sort | lessons from ophthalmology in preventing wrong site errors in paired organ surgery |
| topic | wrong-site surgery surgical risk management patient safety Universal Protocol paired organs ophthalmology |
| url | https://www.mdpi.com/2413-4155/7/2/79 |
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