Which of the following statements would be defined as a sentinel event in the perioperative setting?
a. A patient's surgical procedure is delayed due to more urgent cases, resulting in an increased length of stay for this patient.
b. A patient who has previously had bilateral total hip replacement is booked for a revision of her left total hip replacement. The consent is incorrectly written as right revision and the procedure occurs on the incorrect side. The patient is rebooked to have the left revision at a later date.
c. An incorrect count was reported to the surgeon after a patient's wound had been closed. The patient remained anaesthetised and immediate reopening of the wound located the missing sponge.
d. Two patients in PACU with similar names incorrectly receive one another's blood products due to perioperative staff rushing through the checks. Their blood types are compatible and they have no haemolytic transfusion reactions.
ANS: B
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