Surgery today is probably no longer the most feared medical procedure. Many people will eventually need surgery and have to go under the knife. Now many people think of surgery to be safe, painless and a now a reliable way to cure us from
According to the Joint Commission Center for Transforming Healthcare, “wrong site survey occurs as often as 40 times per week, in the U.S. Wrong-site surgeries include performing on the wrong side or site of the body, on the wrong patient and performing the wrong surgery” (Wrong-Site Surgery Cited as Top OR Safety Challenge Among U.S. Hospitals, Survey Finds, 2013). Even though, wrong site surgery occurrences are rare, the occurrences however, do occur. Wrong Site Surgery (WSS), is an important topic to address due to the fact that it is considered a preventable medical error, with correct measures, and standardized protocols implemented.
Wrong site surgery remains the most frequently reported sentinel event, with 908 wrong site surgeries reported since 1995 (AORN, 2010). During the late 1990’s and early 2000’s there was a tremendous public concern and lack of trust for the medical profession, especially within surgical services. We as healthcare professionals needed to step up to the plate, slow down, and take responsibility to improve the quality of care we provide for our patients. Although there still is some resistance from surgeons and other healthcare professionals, overall there has been a general acceptance to universal protocol.
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
In 2003, as an outcome of all the sentinel events reported to the Joint commission lead to the creation of the “The Universal protocol for preventing wrong site, wrong procedures, and wrong person surgery” (Mulloy & Hughes 2008). So, one of the ways that could have potentially prevented the situation from happening at the first place was implementing the universal protocol procedure. According to the protocol the conduction of proper pre as well as post-operating procedures are extremely mandatory. Therefore, by enforcing a standardized routine pre-operating procedure such as verifying the patient as well as the correct site for the procedure, by having the medical staff or preferably the physician marking the operating site with his or her initials before the surgery will be an effective preventive measure (Mulloy & Hughes 2008).
In the case listed here Dr. Loren J. Borud was scheduled to perform surgery on Mr. Michael Hicks early on a Friday morning. The surgery was liposuction and a scar repair procedure. Dr. Loren informed the patient the procedure would take approximately ninety minutes, but
In order for physicians to get clinical surgery privileges to perform certain procedures in the realm of their practices, they have to obtain adequate abilities and experiences. There must be a combination of knowledge in theory and experience earned during practical situations. Without a clear confirmation of such combination of theory and practical knowledge, physicians are not in a safe position to perform any procedures. In the hospital setting, physicians must receive the clinical surgery privileges from hospital to perform any procedure there. It is incumbent to hospital to make sure all due diligence is followed by the physician. The hospital must check and cross
A focused audit will be done on all patients undergoing operative or invasive procedures for the next year. Results will be analyzed by the nurse manager and discussed at staff meetings. Evaluation of compliance will be done at the staff meetings and any recommendations for improvement will be discussed and approved at these meetings. Implementation of any recommendations will be instituted the following month. Summaries of the audit and any recommendations for improvement will be sent to the PI committee on a quarterly basis.
“Long before the growth of modern medicine, before the wizardry of pharmaceutical drugs and the miraculous dexterity of surgery, men and women were seeking the source of illness and the elixir of good health. (Smolan, Moffit, Naythons 9)”. Surgery has been in the world’s history for thousands of years. There have been many things in the past that have brought humans to where they are today in the medical field of surgery. Men and women of different ages and ethnicities have had many years of schooling and practice that help them in this difficult profession. Many lives have been saved from this constant practice and more are to be saved in the future. Surgery first started thousands of years ago, and has changed throughout the Middle Ages into
According to the CDC, in the United States there have been 51.4 million inpatient procedures performed. This shows how relevant surgery is, it is very common for a person in the U.S. to have a procedure
Form precise neurosurgery through the leg and heart valve replacement without opening the chest to robotic surgery through the belly button and custom joint replacement procedures, Tallahassee Memorial Hospital Main OR continuously provide patients with the best possible care. TMH OR offers a variety of surgical interventions. However, regardless of the surgical or interventional procedure, in most cases are required a sterile technique, a legal formed consent and administration of medications. Therefore, my goals, which I completed, for week # 3 in the TMH Main OR are:
Since the 1999 report by the Institute of Medicine (IOM), To Err is Human, there have been many new efforts and initiatives to reduce the incidence of medical errors. While some people argued the report exaggerated the magnitude of the problem, others were concerned about the annual number of preventable medical errors.1 Medical errors include, but not limited to medication errors, hospital acquired infections, surgical mistakes, and communication failure.2
This is my ninth clinical shift with my preceptor at Saunders Medical Center in Wahoo, NE, and it was on May 15, 2018 (Wednesday). Today I had the chance to work back in the OR. I had the choice to stay after my shift to place an IV in a treatment room patient, so I did as well. My duties were to place IV’s, gather report, preoperative care, a little bit of postoperative care, and helping clean up the OR after surgery. The patient census included: K. S. a 51-year-old female scheduled for a laparoscopic cholecystectomy with intraoperative cholangiogram; and T. M. a 30-year-old male scheduled for excision sebaceous cysts x2 scalp with full thickness skin graft from left neck donor site. Plus, one IV on a treatment patient, which I don’t have the information for this patient because I was only going in to place the IV. It was an eventful day and I learned how to work under pressure when things can turn for the worse in OR; it was a learning experience and I’m forever grateful! My shift started
One might think of surgery as simple as going to the hospital and receiving a complex operation that saves ones life or improves their quality of life. What most people do not realize is the hardships that those people go through unless they had surgery performed on them themselves, and same thing for the surgeons it is not easy for them as well, even though they are professional and highly trained.