Outpatient Surgery Magazine

Manager's Guide to Staff & Patient Safety - October 2015

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

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2 2 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E O C T O B E R 2 0 1 5 T he number of reported incidents of wrong-site surgery has increased since implementation of the Universal Protocol, though experts believe that might be due to better reporting, not neces- sarily more errors. But because these incidents are being report- ed, it's obvious this "never event" still occurs. Here are 5 things you need to know about why surgeons continue to operate in the wrong place and what you can do you make sure it doesn't happen on your watch. 1. Human error is to blame When it comes to wrong-site surgery — and to a larger extent, any patient safety event — health care tends to rely on humans to prevent the problem. Truths About Wrong-Site Surgery In order to prevent the "never event," you need to understand what's causing it. Peter Pronovost, MD, PhD, FCCM | Baltimore, Md. z LEAVING THEIR MARK The optimal site marking is the one that all of your clinicians can agree on and commit to use. Pamela Bevelhymer, RN, BSN

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