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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > January, 2012 Vol. XIII, No. 1

Ideas That Work

Wrong-site surgery prevention

Sometimes it's neither possible nor advisable to mark the skin at a surgical site. When the patient is undergoing dental or oral surgery, for example, or a procedure in a mucosal area or the perineum. For a neonatal patient, whose epidermis is very thin, or a patient who is critically ill. In order to comply with Joint Commission and World Health Organization safety guidelines on preventing wrong-site, wrong-patient and wrong-procedure surgeries, we mark unmarkable patients by affixing a bright blue extremity band near the site. On the band, the attending physician writes the procedure, side, site and his initials. This lets him note that the patient is undergoing an appendectomy, for example, not just to mark a laparoscopic site.

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Charisse Shrader, RN, BS, CPHQ; Matt Becker, RN; Donna Smith, MT, CASC; Leroy Kromis, PharmD; Cases; Commission; Follow; Friday; Health Organization; Host; House Prospective Surgeons More; I'm; It's; Joint Commission; Learned Son; Leroy; Let's; Lighting; ORs; ORs. Do; Open House Prospective Surgeons More; Organization; Patient My; Patients; Prospective Surgeons More; Son; Surgeons More; TECHNIQUE: It's; TVs; That's; Things; Understand; WHYS TECHNIQUE: It's; World Health Organization; address; adverse; advisable; affiliated; affixing; ails; area; asked; attending; backed; band; blue; bright; br... show all keywords
Charisse Shrader, RN, BS, CPHQ; Matt Becker, RN; Donna Smith, MT, CASC; Leroy Kromis, PharmD; Cases; Commission; Follow; Friday; Health Organization; Host; House Prospective Surgeons More; I'm; It's; Joint Commission; Learned Son; Leroy; Let's; Lighting; ORs; ORs. Do; Open House Prospective Surgeons More; Organization; Patient My; Patients; Prospective Surgeons More; Son; Surgeons More; TECHNIQUE: It's; TVs; That's; Things; Understand; WHYS TECHNIQUE: It's; World Health Organization; address; adverse; advisable; affiliated; affixing; ails; area; asked; attending; backed; band; blue; bright; bring; build; buy; cases; center”; challenged; change; cleaned; clutter; coat; cobwebs; coffee; cold-calling; comply; confused; continue; copies; corners; correlate; countless; credential; credible; critically; culture; cure; current; decided; dental; detail; dictated; dictation; direct; disciplined; doctors; doesn't; don't; door; dose; draped; drug-delivery; elbows; eliminated; end; enter; epidermis; equipment; error; extremity; exude; facilities; facility; faded; failed; family; faxed; feet; firsthand; fix; floor; form; fortuitous; fountains; front; fully; gave; green; grow; guidelines; handwritten; held; hope; hospital; host; house; incorrect; inked; investigate; invitations; invited; involved; it's; lamp; laparoscopic; late; latest; leave; legible; list; local; made; magazines; making; mark; marked; marketing; marking; meant; medication; meet-and-greet; meeting; member; minute; misread; motivated; movie; mucosal; multi-specialty; neat; neatly; needed; neonatal; note; noted; nurses; offices; open; oral; order; ordered; outdated; overhear; patient; patient's; patients; people; perform; perspective; phone; physician; piece; place; plug; postcard-size; practice; preventing; problems; procedure; process; real; reason; recently; region; remains; remotes; require; result; room; root; roster; rub; rule; safety; sat; served; side; site; skin; solve; son; spark; speaker; specialties; spouses/significant; sputtering; staff; step; sticker; stickler; stocked; stretcher; supplies; support; surgeon; surgery; surgical; system; talking; tasked; terminally; theory; they'd; they're; things; times; tour; true; turned; undergoing; unmarkable; unsanitary; view; viewing; visible; visit; visitor.”; visitors; volume; waiting; walk; walls; water; wax; we'd; we're; wear; wearing; week; white; whys”; wine; work; working; writes; wrong; wrong-patient; wrong-procedure; you'd; you're; —; “dirt”; “visitor”; “why”

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