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Essay / Research Paper Abstract
A 3 page research paper that discusses statistics on wrong site surgery and the JCAHO protocols. Bibliography lists 5 sources.
Page Count:
3 pages (~225 words per page)
File: D0_khwrsit.rtf
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Unformatted sample text from the term paper:
on their own to safeguard against this occurrence; however, prevention methods were inconsistently enforced. In May 2003, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) held a summit to
address the problem of wrong site, wrong, procedure and wrong patient surgery, for the expressed purpose of designing a universal protocol that would prevent these grievous errors (Ritsma, 2004).
The JCAHO standards call for a robust approach in preventing wrong site errors, which uses "multiple, complementary strategies" (JCAHO, 2005). The JCAHO standards the following protocol, which includes
these steps: 1. pre-operative verification process; 2. marking the operative site; 3. taking a "time out" immediately before starting the procedure (JCAHO, 2005). This last step is included to that
a final verification can be conducted to ensure that the procedure is being performed on the correct patient, that the procedure is correct and that the site is correct (which
also applies, when applicable, to implants) (JCAHO, 2005). As this indicates the protocol falls into three steps. In the pre-operative verification step of the protocol, the patient, procedure and
site are verified through verification with relevant documentation and through communication with those involved (Ritsma, 2004). The next step is marking the site. The protocol specifies procedures for marking the
site, taking into account "left/right distinction, multiple structures, and levels (as in spine surgery)" (Ritsma, 2004, p. 4). JCAHO also calls for consistent communication between members of the surgical team,
and with the patient, if possible (Ritsma, 2004). Upon issuing this protocol, JCAHO urged all healthcare providers to take a "no-nonsense, zero-tolerance" stance toward these types of errors
(Wrong-site surgery, 2004, p. 13). According to JCAHO, there is no rationale that can possibly rationalize making such a grave error. Furthermore, the universal endorsement that the protocol has received
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