This article caught my eye today, and it’s a change of pace to think about and write about mistakes other than my own (and I made more today — but healthcare mistakes are more important). Penn Medicine hospital cited over wrong-site surgery It’s a mistake to perform surgery on the wrong leg. Not an “unintended mistake” (which is redundant). All mistakes are unintentional. Intentional harm could be called sabotage or assault. Pennsylvania health officials have … Continue reading Learning from Mistakes: An Operating Room Case Study on the Consequences of Ignoring Small Errors