Case Study Assignment Wrong Site Surgery Procedure

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1. Briefly summarize the case (5 points).
2. Reconstruct the timeline of events in the case (10 points).
3. Describe where you feel the first failure point was. Then describe the overall problem areas, the specific failure points throughout the case, the type of failure (take a look at the Week 1 PPT), and the key factors that contributed to the failure in the incident (20 points).
4. Discuss the knowledge that can be learned from this case and how it can be generalized to other patient safety situations and quality improvement and provide a potential systems approach for reducing risk/preventing similar future events (20 points)
6. Provide your own closing thoughts regarding the case (5 points)

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