Page 100
N E V E R
E V E N T S
procedure type. No one asked about the implant type once the patient was in the surgery center, either. This information is as important as the site, side and procedure type.
Even if the patient isn't unhappy with the result, and doesn't want to undergo a second procedure to correct the initial one, it's a wrong-implant surgery and needs to be reported. For procedures with implants, include active questions for patients ("What kind of lens are we implanting, one with 20/20 correction or one without?") to corroborate the documentation.
Case No. 2: Block on wrong body part
The patient entered the hospital as an outpatient for a dialysis fistula graft de-clotting procedure. The patient had a fistula graft in each arm,