Read the description of the wrong-site surgery event in critical concept 8.2 and the root causes identified
Question:
Read the description of the wrong-site surgery event in critical concept 8.2 and the root causes identified by the team who conducted the RCA. Conduct a literature review and Internet search for corrective actions aimed at preventing wrong-site surgeries. Which of these actions would help prevent a similar event from occurring at the hospital described in critical concept 8.2?
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CRITICAL CONCEPT 8.2 Description of Wrong-Site Surgery Event A 62-year-old man was scheduled to undergo an arthroscopy procedure. Three weeks before the surgery, the orthopedic clinic telephoned the hospital to schedule the man's procedure. At that time, the front-office staff in the clinic mistakenly scheduled a left-knee arthroscopy instead of a right-knee arthroscopy. The surgery scheduling clerk at the hospital faxed a surgery confirmation form to the clinic. Per hospital policy, the clinic is expected to review the information on the form, verify the accuracy, and fax the signed confirmation back to the hospital. The clinic staff were busy and did not fax the confirmation back. On the day of the surgery, the patient's paperwork indicated that the surgery was to be performed on his left knee, per the original phone call from the clinic. The surgery schedule, a document used to plan the day's activities in the operating area, also indicated that the patient was to have a left-knee arthroscopy. The man was taken to the preoperative holding area, where a nurse spoke with him about his upcoming procedure. Relying only on the surgery schedule, the nurse asked the patient to confirm that he was having an arthroscopy on his left knee. The man told the nurse that he had been experiencing pain in both knees and that he'd eventually need procedures on both of them. He thought he was scheduled for surgery on his right knee that day but figured that perhaps the doctor had decided to operate on his left knee instead. The nurse did not read the history and physical examination report that the patient's doctor had brought to the hospital that moming. If she had read this report, she would have noticed that it indicated the patient was to have surgery on his right knee that day.
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Related Book For
Introduction To Healthcare Quality Management
ISBN: 9781640553637
4th Edition
Authors: Patrice Spath
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