Wrong Person, Wrong Procedure, And Wrong Site Surgery

1663 Words7 Pages
Clinical Topic Wrong person, wrong procedure, and wrong site surgery instances are a growing problem throughout the country. While most would agree that determining a true number is difficult due to underreporting and difficulties in defining exactly what constitutes a wrong site surgery, it is a mounting patient safety concern. There is no way to identify all of the potential patient safety concerns, because the possibilities are dependent on what was performed. Introduction In 2003, the Joint Commission made the elimination of wrong site surgeries a National Patient Safety Goal and the following year required compliance with a Universal Protocol. The Universal Protocol was created to prevent wrong person, wrong procedure, and wrong site…show more content…
Methods used to Identify CINAHL and PubMed were the databases utilized to retrieve publications that had relevant information pertaining to the Universal Protocol. The search included scholarly publications, research article, and reviews; the article search included materials back to 2000 as to include data from before implementation of the universal protocol. A Survey of Surgical Team Members’ Perceptions of Near Misses and Attitudes Towards Time Out Protocols used a cross-sectional study (N = 427) included surgeons, anesthetists, nurse anesthetists, and operating room nurses. The questionnaire consisted of 14 items, 11 of which had dichotomous responses (0 = no; 1 = yes) and 3 of which had responses on an ordinal scale (never = 0; sometimes = 1; often = 2; always = 3). Items reflected team members ' experience of near misses or mistakes; their strategies for verifying the correct patient, site, and procedure; questions about whether they believed that these mistakes could be avoided using the Time Out protocol; and how they would accept the implementation of the protocol in the operating room, (Haugen, Murugesh, Haaverstad, Edie, & Softeland, 2013). A Survey of the Use of Time-Out Protocols in Emergency Medicine administered a survey questionnaire to members of the American College of Emergency Physicians (ACEP) Council at the October 2009 ACEP Council meeting on the use of time-outs in the ED. A total of 225 (72%) of the 331 councilors present filled out the
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