Wrong Site Surgery Day March 9, 2011

Like the five stages of death to correct and to completely avoid wrong-site, wrong-patient and wrong-procedure surgery we first have to get past denial and shame about it. Make no mistake about it, these never-events can be avoided, if we will only start talking about it when it does happen. One way to avoid these embarrassing mistakes is to read the chart and to perform a time-out before the surgery. It may seem basic but that's why these mistakes are occurring; because surgeons and surgical suite staff need to go back to the basics. If anyone on the surgical team has a problem with doing the time-out they ought to be put in time-out.

That said, here are this week's news items about wrong-side surgery.

SPECIAL REPORT: Wrong-Site Surgery
ABC6OnYourSide.com
Insiders tell ABC6 News that this isn't the first time a "wrong-site surgery" has been performed at the Adena Medical Center in Chillicothe. This, despite Ohio being one of the first states to develop a universal protocol of pre-surgcial procedures to ...
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Pennsylvania Patient Safety Authority Data Shows Patients with ...
Wrong-Site Surgery Update: To answer the question of how much progress is being made in the wrong-site surgery project, the Authority did a comprehensive ...
www.newschannel5.com/.../pennsylvania-patient-safety-author...

Safety Checklists Cut Down on Hospital Mortality Rates: Study
AboutLawsuits.com
In December, a study by European researchers published in the New England Journal of Medicine found that checklists in operating rooms not only prevented wrong-site surgery mistakes, but it also cut in-hospital mortality in half. ...
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PubMed Result
Operating room briefings and wrong-site surgery. J Am Coll Surg. ... 14: Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual ...
www.ncbi.nlm.nih.gov/pubmed//pubmed?db...link...

Safety First
Minnesota Medicine
In the 1920s, a patient had a one in 10 chance of surviving a procedure such as an .... Across the state last year, 31 wrong-site procedures took place. ...

Quarterly Update: Progress in Preventing Wrong-Site Surgery in ...
Another 11 (28%) had wrong-side local anesthetic injections by orthopedic surgeons. Nine patients had wrong-site procedures: eight were wrong-site ...
patientsafetyauthority.org/ADVISORIES/.../2011/.../39.aspx

Doctors can and should learn from their mistakes
Baltimore Sun (blog)
They included such things as operations on the wrong side of the brain, dropping instruments into surgical wounds, lacking enough or appropriate tools. Malpractice lawsuits were a growing concern back then and were a threat to doctors' reputations. ...
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The 'never events' list 2011-12 : Department of Health - Publications
Wrong site surgery (existing); Wrong implant/prosthesis (new); Retained foreign object post-operation (existing); Wrongly prepared high-risk injectable ...
www.dh.gov.uk/en/Publicationsandstatistics/.../DH_124552

How to Prevent Wrong-Site Surgery
The information contained in this video is for informational purposes only. The makers of the video accept no liability for the content of the video or for ...
www.outpatientsurgery.net/.../how-to-prevent-wrong-site-surg...

Steps to Prevent Wrong Site Surgery in West Virginia - Page 1 of ...
Although hospitals have procedures in place to prevent wrong site surgery, these kinds of surgical errors still occur. If you or a loved one has been the ...
www.mileylegal.com/.../steps-to-prevent-wrong-site-surgery-i...

Every Clamp Counts | Perioperative Nursing News
Read more about The Joint Commission Center for Transforming Healthcare projects on handoffs, hand hygiene, surgical site infections and wrong-site surgery ...
news.nurse.com/article/20110207/OR01/110209013

Wrong-Ankle Surgery Ends in $500K Settlement for Plaintiff
OutpatientSurgery.net
An orthopedic surgeon in Massachusetts agreed to pay $500000 to settle a wrong-site surgery malpractice suit brought by a 55-year-old woman on whom he had ...
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Wrong Patient Wrong Side Policy Free Ebooks (pdf , doc , xls and ...
Found 11 files for wrong patient wrong side policy. ... Just because a wrong site, wrong side, wrong patient, wrong procedure or wrong implant surgery ...
ebookbrowse.com/search/wrong-patient-wrong-side-policy?...

BBC - West Essex PCT
Never Event wrong site surgery: Wrong side endarterectomy performed to right side. Site: Princess Alexandra Hospital. Date: 27.10.09 ...
news.bbc.co.uk/local/essex/hi/people_and.../9389846.stm

Use of an anatomic marking form as an - AHRQ Patient Safety Network
Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. ...
psnet.ahrq.gov/resource.aspx?resourceID=20364

Data, Technology & Analytics Fuse in Patient Safety Push
R & D Magazine
... incomplete patient information, administering the wrong medication due to miscommunication between physicians and pharmacists, and wrong-site surgery. ...
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How to Prevent Wrong-Site Surgery
The information contained in this video is for informational purposes only. The makers of the video accept no liability for the content of the video or for ...
www.outpatientsurgery.net/.../how-to-prevent-wrong-site-surg...

BBC - West Essex PCT
Never Event wrong site surgery: Wrong side endarterectomy performed to right side. Site: Princess Alexandra Hospital. Date: 27.10.09 ...
news.bbc.co.uk/local/essex/hi/people_and.../9389846.stm

Use of an anatomic marking form as an - AHRQ Patient Safety Network
Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. ...
psnet.ahrq.gov/resource.aspx?resourceID=20364

Data, Technology & Analytics Fuse in Patient Safety Push
R & D Magazine
... incomplete patient information, administering the wrong medication due to miscommunication between physicians and pharmacists, and wrong-site surgery. ...
See all stories on this topic »