[whartonjelly]

every surgery has to have what theycall time outs. This is supposed toa be done on every case. It involves identifying pt, surgery, ,site, left or right, everybody prepared with meds, equipment, instruments, counting etc. This is supposed to prevent the 13 % of sentinel events including deaths. Remember that with sll the technological advances there is that much more to check. Even such a thing as room temp can delay a procedure. all in all chances are they ran into unexpected findins in Surgery, vey unfortunate things.