Outpatient Surgery Magazine

The New Quality Standards - January 2013

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

Issue link: http://outpatientsurgery.uberflip.com/i/153372

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Page 21 of 48

N E V E R E V E N T S scheduler who made the change to confirm. Document not only that a change Easy Fixes for Avoiding Wrong-Site Surgery cedures in and of themselves from a wrong-site point of view. Have your med- was made, but also include the physician's ical director, anesthesia staff and director orders that substantiated it in the patient's record. 2. Pause before regional. At the time of the pilot project, my center wasn't doing much ortho, so SIGN ON Surgeons should mark sites as close as possible to the incision. "Never think, 'Oh, we're not going to have a wrong-site surgery.' Once you fall into complacency, you've set yourself up to make mistakes." of nursing put together a policy stating that time outs need to happen with all regional blocks, and add a step to perioperative documentation to record the time-out's completion. It's not necessary to reinvent the wheel, just reinforce that the our process for placing blocks still needed safety mindset before injection should be correcting, as blocks are considered pro- Identify and correct the little things that lead to errors. regional blocks weren't done regularly. But the same as before incision. Kelli Ruiz | Orange, Calif. T he Joint Commission recruited for improvement. the surgery center I ran in 2010 to join its pilot program aimed at 1. Pre-surgery validation. On the improving safeguards to prevent wrong- morning before the next surgical day, fax site, -side and -patient surgical procedures. the case schedule to the surgeons' offices. We went on to make 3 key enhancements By noon, their offices must check the to our policies and procedures. They might schedule against their records, sign off on not strike you as major overhauls, but the the patients and their scheduled proce- fact is, the mundane, little things — the dures, and return their approvals by fax. If ones that can be easily overlooked — are the fax-back contains a correction of any probably your best areas of opportunity kind, immediately place a call to the 2 2 SUPPLEMENT TO O U T PAT 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 2013 J A N U A R Y 2013 | S U P P L E M E N T TO O U T PAT I E N T S U R G E R Y M A G A Z I N E 2 3

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