Orthopaedic Surgical Consent: The First Step in Safety

Informed consent is critical for improving surgical safety and quality

William J. Robb III, MD; Charles Carroll IV, MD; and Calvin Kuo, MD

The AAOS initiated its “Sign Your Site” program in 1997 to reduce the incidence of wrong-site surgery among orthopaedic patients. In 2004, elements of this program were incorporated into The Joint Commission’s (TJC) Universal Protocol surgical standards program, which was designed to reduce preventable surgical harms including wrong site, wrong side, wrong procedure, wrong implant, wrong level, and wrong patient surgeries.

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