Intraocular lens confusions: a preventable "never event" - The Royal Victorian Eye and Ear Hospital protocol.

Abstract:

:Intraocular lens (IOL) confusions and errors are among the most common postoperative adverse events. Errors may occur at any stage from the decision to operate to the insertion of the IOL. The most common errors occur during IOL selection pre-operative preparation (anaesthesia given before recognition that the intended IOL is not available), or intraoperatively (wrong IOL implanted because of confusion in the operating room). We review the mechanisms of errors reported in the literature and describe the experience at The Royal Victorian Eye and Ear Hospital. We also describe the implementation of an error-detection protocol and provide qualitative data on its performance.

journal_name

Surv Ophthalmol

journal_title

Survey of ophthalmology

authors

Zamir E,Beresova-Creese K,Miln L

doi

10.1016/j.survophthal.2011.12.003

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

430-47

issue

5

eissn

0039-6257

issn

1879-3304

pii

S0039-6257(12)00005-7

journal_volume

57

pub_type

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