Wrong tooth extraction has been clearly designated as a 'never event' since April 2015. However, in 2016/17, wrong tooth extraction topped the charts as being the most frequently occurring never event based on NHS England’s data.
What can we do to mitigate these incidents?
Based on both practical experience and research evidence, BAOS advises that the main methods for mitigation of errors are:
learning from mistakes – including investigation and root cause analysis
engaging the clinical team when developing 'correct site surgery' policies
utilising the LocSSIPs temp