Outpatient Surgery Magazine

Post Your Prices Online - September 2013 - Outpatient Surgery Magazine - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/168873

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Page 136 of 154

OSE_1309_part3_Layout 1 9/6/13 12:21 PM Page 137 N E V E R E V E N T S observed 2 surgeons in 2 hospitals follow that time out, a few minutes later, with "Have we done the time out yet?" The key is constructing the time out so that people have no choice but to be engaged. Providers are taught to ask patients questions that require active rather than passive responses. For example, you don't ask, "Are you Mrs. Jones?" you ask, "What is your name?" Similarly, in the OR, the circulating nurse (or whoever's running the time-out) should be saying, "Doctor, would you give me the name of the patient? The procedure we're doing?" and so on. The Pennsylvania Patient Safety Authority's wrong-site surgery initiative recommends that your business office staff note the side and the site of the procedure when scheduling the case. This information should be re-verified by pre-admission staff. These kinds of changes might take a little effort. You might have to revise forms, paper or electronic. Or devise a script that engages surgeons. But it's not too much to ask — get the appropriate people together over pizza to hash out what's sensible for conveying information. There are outliers that can't be prevented from inside the OR. For example, a mix-up in a pathology department that leads to the wrong surgical procedure for the wrong patient. But such instances should be extremely exceptional cases. I'd estimate that, at the least, we could eliminate 249 of every 250 that occur, although zero is the true goal. It's a number everyone understands, and we shouldn't make excuses for more than that. OSM Dr. Clarke (jclarke@ecri.org) is the editor of the Pennsylvania Patient Safety Advisory, clinical director of the Pennsylvania Patient Safety Authority and a professor of surgery at Drexel University in Philadelphia. ON THE WEB: Pennsylvania Patient Safety Authority • 21 Recommendations and Barriers to Preventing Wrong-Site Surgery http://bit.ly/UGH9DT • Wrong-Site Surgery Toolkit http://bit.ly/nTXLxH S E P T E M B E R 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 1 3 7

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