The Final Count Is Correct

In accordance with the World Health Organisation (WHO 2008) checklist and Local trust policies, a team briefing was held before the day’s list started. The checklist is part of a second Global Patient Safety Challenge initiative entitled ‘Safe Surgery Saves Lives’, aimed at reducing the number of surgical deaths worldwide and was launched in June 2008. This not

4) Significance: This research shows that there is a gap in the evidence, but that the primary concern for nursing staff is to ensure that catheters are removed as soon as it is possible to do so.

Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency

Patient safety and risk management should be intertwined in the organization. Patient safety is where the patient does not experience unnecessary harm or pain or other suffering during their treatment (Youngberg, 2011). Minimizing risk is to decrease unnecessary losses or improve or implement process that will decrease adverse event (Youngberg, 2011). The Samantha Jones adverse event is a perfect example to enhance patient safety through improved process or project. To understand the event a root analysis needs to be done and action items are created from this analysis.

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.

Interlandi works with many hospitals and labs to get answers in order to not only expand her career but also inform the public of situations that need to be brought to their attention. Jeneen Interlandi’s position on this is valid because there are situations that can cause death/are life threatening but since the public isn’t informed they aren’t worried and feel secure when in fact they should be notified and worried. In Jeneen Interlandi’s article of “A Frightening New Risk In Heart Surgery” (2016) Interlandi informs the reader that people who are undergoing heart surgery aren’t being informed that recently there has been an outbreak of bacteria that has already caused many to become ill and potentially pass away. Interlandi also explains that the hospitals in which these outbreaks have occurred also have failed to notify the patients undergoing this procedure. In Interlandi’s article, “A Frightening New Risk In Heart Surgery” (2016), page 6, Interlandi states a source Lisa McGiffert, director of Consumer Report’s, “...hospitals aren’t taking enough responsibility.” “Without that notice, patients don’t know what symptoms to watch out for and can’t be promptly treated with

"The final count is correct" is a statement that operating room (OR) nurses use on a daily basis. Their belief in the count being correct does not change the facts. The incident of a retained surgical item (RSI) was the most frequently reported sentinel event from 2010 through 2012 and again in 2014 (The Joint Commission [TJC], 2012, 2014). Counting of surgical items is necessary to ensure maximum protection and safety of the patient. One of the most important aspects of the OR nurse 's job is the final count of items used in a surgical procedure. Risk factors for RSIs are greater with different situations and known barriers frequently lead to a more difficult count. The damage potential of a RSI can be as great as death of the patient.

Every year, up to 249,000 BSIs occur within hospitals in the US. Apparently, 32.2% of these BSIs do occur in the ICUs (Chopra, Krein, Olmsted, Safdar & Saint, 2013)The apparent bias in prevalence of BSIs within the ICUs is associated with the increased utilization of the CVCs within these units since they deal with a majority of critical care situations.

There are a variety of surgical items that can get left inside of patients. Generally, it seems that sponges, towels and gauze are the most common types of objects left inside of patients;

There are different categories of SREs and an example includes performing a surgery on the wrong patient and an example of product or device events is death resulting from use of contaminated drugs. (NQF Updates List of Serious Reportable Events and Identifies Applicable Settings).Defect devices received through a health care facility. SREs on surgical event can be prevented by ensuring that proper records of patient are kept by a qualified staff, and also care and due diligence is observed when the process is taking place in that a small error may result to death which is very adverse. The strategies to be used if it ever happens is that the health care facility should be conducting forums whereby care and due diligence

Mr Frank Salo, RN, is a perioperative nurse who assumes the position of Flow Core Coordinator of the Operating Room unit. Over the past several years, Mr Salo has demonstrated continued leadership in Perioperative Nursing practice. His contributions to this area of practice have positively influenced client care at the nursing service and across the local medical center. He has greatly influenced the implementation of a comprehensive UDI tracking system on implants handling program for the local medical center that has broad implications and outcomes for patient care and safety. Goals for this rating period: (1) Ensure 100% completion of OR staff competency checklist – met; (2) Revise and systematize special implant tracking

Thesis: My goal is to inform my audience the importance of counting the instruments and sterile supplies for Surgical Procedures.

“The Process Improvement in Stanford Hospital’s Operating Room” case has many issues when it comes to regards to its existing instrument provisioning process taking place within the Operating Room (OR) of Stanford’s Hospital. This process entails getting instruments ready for a surgery in the OR and the cleansing of these instruments afterwards; however, there are many problems that arise in this process.

The New England Journal of Medicine performed a case-control study to identify risk factors for instruments and sponges after surgery. They were able to gather data and information from surgeons and the patients with a retained foreign body. After interviewing patients and surgeons they conducted possible risk factors such as: change in nursing personnel during surgery, fatigue in surgical team due to length or lateness of procedure, excessive blood loss, urgency of surgery, and lack of complete count of surgical tools. Surgeons that were interviewed included a few more risk factors such as: body mass index, unexpected intraoperative developments, the amount of people working in the surgical team, and more than one procedure performed at a

Medical waste covers a wide variety of materials from latex gloves to disposable steel instruments. These items are often thrown away even when they have not been used but have been opened in a patient’s room opened (Operating Theater Journal). A lot of medical waste that is thrown away is perfectly useable, but outdated for certain hospitals based on advancement in procedures, or against infection-control protocols for the continued use of materials that have been opened in another patient’s room. For example, if a