Outpatient Surgery Magazine - Subscribers

Clear Cut - July 2015 - Outpatient Surgery Magazine

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/539497

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Page 44 of 132

mented its Universal Protocol designed to elimi- nate — or at least vastly reduce — never events. But improvement has been slow and disappointing, say experts. A recent Outpatient Surgery Magazine survey of more than 550 readers may shed some light as to why. We asked about one of the 3 key components of the protocol — site marking. The response was eye-opening and maybe a little disconcerting. Specificity, standardiza- tion and 100% compliance are the protocol's intended pillars, but in practice, many providers appear to be viewing its provisions as sug- gestions, not edicts. For example, we asked: "Are your marking methods and marks stan- dardized for all cases?" They aren't, 15% of our respondents admit. We asked: "What type of mark do you use to identify surgical sites?" The results were mixed: 56% say the surgeon initials the site and 10% say whoever's doing the marking (more on that later) writes the word YES. Those answers are the only 2 universally accepted practices. Rather than representing the proposed incision with an unambiguous site mark- ing of the surgeon's initials or YES, many surgical facilities may still be using X's, dots, lines, arrows, smiley faces or whatever else comes to mind. "Variability in the marking process leads to ambiguity for the surgi- cal team and risk for the patient," says patient safety expert Spence 4 5 J U LY 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T Pamela Bevelhymer, RN, BSN z WHO'S IN CHARGE? If anyone other than the sur- geon does the marking, you may be asking for trouble.

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