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Michael G. Fehlings

overall intraoperative complication incidence of 3.3% (23 of 700 procedures). The importance of tracking adverse events or errors is clear when one considers that most do not lead to complications and hence would not be flagged without a high degree of vigilance. In their paper in this issue of the Journal of Neurosurgery , Jhawar et al. emphasize the need for rigorous protocols to minimize perioperative error in neurosurgery. These authors used a survey of Canadian neurosurgeons to determine the incidence and possible determinants of incorrect-site surgery (ICSS) as