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National Patient Safety Agency protocol for preoperative site marking
  1. P Alexander1,
  2. A V Poulson2
  1. 1Peterborough District Hospital, Peterborough, UK
  2. 2Department of Ophthalmology, Addenbrooke’s Hospital, Cambridge, UK
  1. Correspondence to: P Alexander Department of Ophthalmology, Queens Medical Centre, Nothingham NG7 2UH, UK; doctoralexander{at}gmail.com

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Fraser and Adams’s commentary suggests that the most important method of reducing wrong site surgery is to have a consistent and robust protocol.1 They also give examples of numerous factors that disrupt the smooth running of the system and increase the potential for harm. In March 2005, the National Patient Safety Agency (NPSA) produced a Patient Safety Alert in an attempt to standardise preoperative marking and marking verification. …

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