After he told the story in our M and M meeting, the hospital implemented a "time out" protocol in the operating room for everyone to stop and agree on what operation would be performed, on what side of the body and whether the correct patient was indeed lying on the operating table, to make sure that kind of mistake would never happen again.
Manager Bud Black said the operation went as planned and that Kelly will begin to follow the protocol for rehabilitation that generally takes about a year.
He expressed regret that Libya was not planning on adhering to the 1967 Geneva protocol on the treatment of refugees, but said negotiations were being concluded on co-operation on border control issues.