Internal Reference Number: FOI_9022
Date Request Received: 10/11/2025 00:00:00
Date Request Replied To: 10/11/2025 00:00:00
This response was sent via: By Email
Request Summary: Wrong-site Surgery
Request Category: Media
| Question Number 1: Since January 1, 2020, how many incidents have been reported to your Trust involving a wrong-site surgery? Please note that this is any incident falling under the following definition: 鈥淎 medical error where a procedure is performed on the wrong patient, the wrong body part, or the wrong side of the body.鈥� For each incident, please provide the month, year and the type of surgery involved in the procedure. In addition, please confirm the total number of cases reported between January 1, 2020 and November 7, 2025. | |
| Answer To Question 1: Incidents reported/occurring between Jan 2020 and 9th November 2025 - 18 Please see attached spreadsheet. To accompany this answer to question 1 please also see the documents listed below:  FOI-9022 response Q1.xlsx | |
| Question Number 2: How many incidents fell under the definition of a serious incident, in line with the Patient Safety Incident Response Framework (or, prior to that, the Serious Incident Framework)? Please state which cases met this definition | |
| Answer To Question 2: < 5 PSII (Patient Safety Incident Response Framework) < 5 SII (Serious Incident framework) | |
| Question Number 3: How many incidents led to serious, moderate, or slight harm to the patient? | |
| Answer To Question 3: 8 Minor <5 Moderate <5 Major | |
| Question Number 4: What were the causes of wrong-site surgery incidents? | |
| Answer To Question 4: Communication Time pressures Situational awareness Human Error/System Flaws COVID | |
| Please see Attachments: | |
| To return to the list of all the FOI requests please click here | |
Our staff at 91影视 District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.
