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Root causes of surgical never-events: a systematic review.


ABSTRACT:

SUBMITTER: Parmar D 

PROVIDER: S-EPMC12857047 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature

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Root causes of surgical never-events: a systematic review.

Parmar Dilen D   Patel Neil N   Kenneth-Ogah Catherine C   Yazdouni Sadat S   Desai Chaitya C   Raveshia Dimit D   Patel Ravi R  

Patient safety in surgery 20260108 1


BACKGROUND: Never-events represent serious and preventable patient safety incidents within surgical practice, despite increasing national and international efforts to reduce them. Persistent concerns regarding wrong site surgery, retained surgical items, and incorrect implants highlight the need to understand contributory human factors and system-level weaknesses. METHODS: A systematic search of PubMed/Medline, Google Scholar, and the Cochrane Library was conducted. Evidence published between 20  ...[more]

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