Outpatient Surgery Magazine

In & Out - May 2017 - Subscribe to Outpatient Surgery Magazine

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 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 7 A few years ago, we experi- enced a spike in OR specimen errors. In one month alone, we submitted 10 specimens to pathology that were missing key informa- tion: a patient label, patient identification, anatomic site or later- ality. Plus, in some cases the labels didn't match electronic documentation of the speci- men. A few factors compounded the problem. First, pathology often failed to inform staff that they'd made an error. Second, our specimen documen- tation process was tedious. Third, time pressures during surgery didn't always let nurses document a specimen in "real time" — that is, when it was removed and when the specimen label was prepared. Here's how we smoothed out our process and virtually eliminated specimen errors. • Notify staff in real time about errors. Pathology agreed to pro- vide real-time feedback regarding errors, emailing the OR details about a specimen labeling error, typically within 24 hours. • Staff accountability. We developed an online learning module on Is That Specimen Label Correct? • PERFECT SCORE Is it possible to achieve a zero error rate for OR specimen processing? Ideas Work That

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