According to the Joint Commission Center for Transforming Healthcare, “wrong site survey occurs as

With all of the possible problems that could occur during surgery, a wrong-site, wrong-patient mistake is one that should never arise. Nightingale Community Hospital (NCH) fully understands the importance of doing away with these errors and has set up protocol to work towards this goal. While the protocol is in place, it is not fully compliant with Joint Commission (JC) standards.

The IOM’s report “To Err is Human: Building a Safer Health System” shocked the health care world and made change necessary. “To Err is Human: Building a Safer Health System” released information that reported that tens of thousands of Americans were dying each year from errors (IOM, 1999). Patient safety moved to the forefront in healthcare like never before and directives were discussed to put quality as a

Wrong site surgery has become a frequent incident in health care facilities across the nation. “Research in the US has suggested that wrong site surgery happens every 5-10 years, or one in 112,994 cases” (Edwards, 2008, p. 168). Recent studies have shown that despite the focus by governing bodies over wrong site surgery in the past few years, wrong site surgery continues to happen at an alarming rate of 40 times per week in the United States alone (“Wrong-site surgery still happens 40x/week”, 2011). Throughout this paper The Neighborhood newspaper article, “Amputation Mishap; Negligence”, will be discussed. There will be a differentiation between negligence, gross negligence, and malpractice. I will make a decision

The Health Care Industry is complex and is responsible for the health of the country (The Hospital & Healthsystem Association of Pennsylvania; Outcome Engineering, 2010), and ultimately of the world. Unfortunately, according to the Institute of Medicine's comprehensive report, "To Err Is Human," avoidable medical errors annually kill 44,000 - 98,000 hospital patients (Reiling, Knutzen, & Stoecklein, 2003). In addition, as of March 31, 2010, the ten most frequently reported sentinel events within U.S. healthcare organizations are: "wrong site surgery; suicide; operative/post-operative complication; delay in treatment; medical error; patient fall; unintended retention of a foreign body; assault, rape or homicide; perinatal death or loss of function; patient death or injury in restraints" (HealthLeaders Media, 2010). Clearly, many of these

The quality risk management plan for this case study scenario includes identifying areas of risk and healthcare errors, in order to protect future patients from having their safety compromised. The case study describes two patients who received wrong-site surgery; which is considered a sentinel event – preventable and should never occur. According to a report by the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network (2015) titled Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery, wrong-site surgery is the most frequent type of sentinel event. It is approximated that wrong-site surgeries take place forty times per week in America (Clark, 2011).

Even with these concurrent regulatory and accreditation standards, medical errors such as wrong site surgery continue to plague health care. The case study shows that extraneous factors such as "multiple surgeons, multiple procedures, unusual time pressure due to organizational rather than clinical issues, and unusual patient characteristics" sometimes prevent regulatory and accreditation standards from being met, used, or

The issue of medical error is recognized as a very serious U.S. healthcare concern in terms of avoidable patient death and injury, achieving efficacious treatment, and in controlling the costs. The prevention of medical errors may seem to be a relatively simple task and with recent awareness, some improvements have been accomplished. However, the search for reasonable, acceptable, and more effective remedies and countermeasures continue with force.

Medical errors are the third-leading cause of death in the U.S., yet many hospitals and healthcare networks in the United States currently lack non-punitive incentives to change and are failing to actively seek to improve the quality of their services. An example of this is surgical errors. The Joint Commission (2017) provides numerous resources, checklists, universal protocols, and sentinel event alerts related to surgical errors, yet these events cost nearly $20 billion annually in the U.S. (Luthra, 2015). At Texas Health Resources (THR) alone, the state’s largest healthcare delivery institution, 1,820 patients had one or more preventable surgical complications in 2010, quadrupling their median length

A Wrong- site Surgery is defined as a Never Event where a surgery may be carried out on the wrong side of the body or on an incorrect body site. Events that involve surgery on the wrong body part, surgeries that involved incorrect procedure, or had a procedure intended for another patient are rightly termed Never Events. These "wrong-site, wrong-procedure, wrong-patient errors" (WSPEs) are errors that should never occur and indicate serious underlying safety problems.

“The real costs of medical malpractice have little to do with litigation but the lost lives, extra medical expenses, time out of work, and pain and suffering of tens of thousands of people every year” (Baker 1). The effects of malpractice in the health care field are a major issue in today’s society. Working on a more profitable and safe way to ensure the prevention of malpractice is what should be worked on to promote a safe and comfortable environment for the people. There are many errors that malpractice portrays in the healthcare field such handling medical situations: informed consent, foreign objects, and operating on the wrong body part. Also with these mistakes

First, issue regarding the questionable clinical decision making and patient safety. Clinical decisions are very important for the simple fact that one’s life is in the hands of those healthcare professionals taking care of them. Some of these questionable decisions lead to wrong procedures, treatments, and duplicate medical records. These types of errors can be very life threatening and cannot be taken lightly. People can have a fatal result in their life, and if not they can lead to a debilitating outcome. In the 7,613

The Joint Commission Board of Commissioners approved the Universal Protocol for preventing wrong site, wrong procedure, and wrong person surgery in July 2003, and it became effective July 1, 2004, for all hospitals, urgent and ambulatory care, and office based surgery facilities. This Protocol was created to address the continuing occurrence of wrong site, wrong procedure and wrong person surgery and other procedures in Joint Commission accredited organizations. The three principal components of the Universal Protocol, this are a pre procedure verification, site marking, and a time out.

One problem that has plagued the medical field is the issue of “wrong surgery.” The article Electronically Mediated Time-out Initiative to Reduce the Occurrence of Wrong Surgery discusses the prevalence of wrong surgery, heavily emphasizing that the main concern surrounding this topic is the frequency in which the circumstances that comprise the issue occur. These problems include performing surgery on the wrong person, performing the wrong type of surgery, and performing the surgery on the wrong location.

There is potential for errors in healthcare due to human error or system failures. In 2007, WHO began to improve the safety of surgery by developing a measurable checklist. The checklist included sign in, patient identification, checking for allergies, assessment of difficult airways and time out. Time out includes the confirmation of the patient, site, procedure and equipment sterility. Sign out confirms the procedure performed and the instrument and towel count. This article analyzed all the wrong site surgery events and estimated if the likelihood of a checklist would have prevented the incident. Results showed there were 133 wrong site incidents in the year of 2008 and the checklist would have prevented twenty-eight incidents. This would have increased patient safety and reduce medical errors in

Learning from mistakes is not something that is accepted in health care. Near-miss and error reporting is an essential component of safety programs across safety conscious industries. Within health care, though, many physicians are often reluctant to engage in patient safety activities and be open about errors because they believe they are being asked to do so without adequate assurances of legal protection. Having proper health care management could better prevent inevitable human errors from reaching patients. But understanding the root causes of errors requires their divulgence in the first place. By having a solid management of health care some benefits includes surgical