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Tittel:Implantation of wrong prostheses during joint replacement surgery : independent report by the Healthcare Safety Investigation Branch
Signatur:Elektronisk dokument
Materialtype:Elektronisk dokument
Utgitt:Farnborough : Healthcare Safety Investigation Branch (HSIB), 2018
Omfang:65 s.
Emneord:Alvorlige hendelser / England / Hofteledd / Hofteproteser / Operasjoner / Spesialisthelsetjenester / Stedlig tilsyn / Uønskede hendelser
Note:The patient is a 63-year-old man who underwent hip replacement surgery. During this surgery, incompatible components were used. The error was identified when data from the procedure was recorded in the National Joint Registry.
HSIB's investigation centred on how the error occurred and what recommendations could be made to reduce the risk of a similar event happening again. The investigation team observed similar surgical procedures in England and in Denmark as part of the investigation process.
Eier:HELSTILS
Vurdering:
URL:https://www.hsib.org.uk/investigations-cases/implantation-wrong-prostheses-during-joint-replacement-surgery/