Preventing Wrong-patient, Wrong-site, Wrong-procedure Sentinel Events
The Joint Commission (TJC) recently released updated Sentinel Event statistics for 2017. A total of 805 reported Sentinel Events were reviewed in 2017 and the third most-often reported was wrong-patient, wrong-site, wrong-procedure, with 95 reported events.
TJC’s Universal Protocol was developed to address this serious patient safety issue. The protocol requires organizations to perform a time-out prior to beginning surgery, a practice that has been shown to improve teamwork and decrease the overall risk of wrong-site surgery.
Components of the Universal Protocol include:
- Conducting a pre-procedure verification process
- Marking the procedure site
- Conducting a “time out” before the procedure
Included with today’s notice are example policies related to the components of the Universal Protocol.
National Patient Safety Awareness Week is a great time to review these policies with key staff members. Taking a small amount of time to raise awareness can go a long way towards preventing wrong-patient, wrong-site, wrong-procedure adverse events.
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