scholarly journals 289 Wrong-site surgery in medicine and dermatology: Analysis of data from the Joint Commission and from the Patient Safety Authority of Pennsylvania

2021 ◽  
Vol 141 (5) ◽  
pp. S51
Author(s):  
J.S. Taylor ◽  
R.A. Yonash ◽  
M.A. Taylor
Keyword(s):  
Patient Safety ◽  
Joint Commission ◽  
Wrong Site Surgery ◽  
Wrong Site ◽  
The Joint Commission

scholarly journals Patient safety awareness among 309 surgeons in Enugu, Nigeria: a cross-sectional survey

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Arinze Duke George Nwosu ◽  
Fidelis Anayo Onyekwulu ◽  
Elias Chikee Aniwada
Keyword(s):  
Patient Safety ◽  
Public Health Problem ◽  
Professional Status ◽  
Major Public Health Problem ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Issues ◽  
Wrong Site Surgery ◽  
Safety Awareness ◽  
Wrong Site

Abstract Background Adverse healthcare events are major public health problem with the heaviest burden in the low and middle-income countries. Patient safety awareness among healthcare professionals is known to impact this outcome; thus we set out to appraise the patient safety awareness among surgeons in Enugu, Nigeria. Methods A multi-institutional cross-sectional survey was carried out among surgeons in Enugu, Nigeria and data obtained were analyzed using the statistical package for scientific solutions (SPSS) version 20 software. Results A total of 309 surgeons were surveyed. Majority of the surgeons (51.9%) had poor perception of patient safety issues. One hundred and twenty respondents (38.8%) have awareness of any institutional protocol for preventing wrong-site surgery while only 35 respondents (11.3%) regularly practiced an institutional protocol for preventing wrong-site surgery. The professional status of the surgeons and years in service showed significant association with perception of patient safety issues. Conclusion The patient safety awareness and practice among the surgeons in Enugu, Nigeria is apparently low and this was found to be influenced by the professional status and years in service of the surgeon.

scholarly journals The use of collaboration to implement evidence-based safe practices

2013 ◽  
Vol 2 (3) ◽  
pp. 26 ◽  
Author(s):  
John R. Clarke
Keyword(s):  
Patient Safety ◽  
Best Practices ◽  
Operating Room ◽  
Medical Error ◽  
Near Miss ◽  
Evidence Based ◽  
Wrong Site Surgery ◽  
Eastern Pennsylvania ◽  
One Year ◽  
Wrong Site

The Pennsylvania Patient Safety Authority receives over 235,000 reports of medical error per year. Near miss and serious event reports of common and interesting problems are analysed to identify best practices for preventing harmful errors. Dissemination of this evidence-based information in the peer-reviewed Pennsylvania Patient Safety Advisory and presentations to medical staffs are not sufficient for adoption of best practices. Adoption of best practices has required working with institutions to identify local barriers to and incentives for adopting best practices and redesigning the delivery system to make desired behaviour easy and undesirable behaviour more difficult. Collaborations, where institutions can learn from the experiences of others, have show decreases in harmful events. The Pennsylvania Program to Prevent Wrong-Site Surgery is used as an example. Two collaborations to prevent wrong-site surgery have been completed, one with 30 institutions in eastern Pennsylvania and one with 19 in western Pennsylvania. The first collaboration achieved a 73% decrease in the rolling average of wrong-site events over 18 months. The second collaboration experienced no wrong-site operating room procedures over more than one year.

scholarly journals Litigation costs of wrong-site surgery and other non-technical errors in orthopaedic operating theatres

2015 ◽  
Vol 97 (8) ◽  
pp. 592-597 ◽  
Author(s):  
WD Harrison ◽  
B Narayan ◽  
AW Newton ◽  
JV Banks ◽  
G Cheung
Keyword(s):  
Patient Safety ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Improve Patient Safety ◽  
World Health ◽  
Wrong Site Surgery ◽  
Technical Errors ◽  
Operating Theatres ◽  
Wrong Site

Introduction This study reviews the litigation costs of avoidable errors in orthopaedic operating theatres (OOTs) in England and Wales from 1995 to 2010 using the National Health Service Litigation Authority Database. Materials and methods Litigation specifically against non-technical errors (NTEs) in OOTs and issues regarding obtaining adequate consent was identified and analysed for the year of incident, compensation fee, cost of legal defence, and likelihood of compensation. Results There were 550 claims relating to consent and NTEs in OOTs. Negligence was related to consent (n=126), wrong-site surgery (104), injuries in the OOT (54), foreign body left in situ (54), diathermy and skin-preparation burns (54), operator error (40), incorrect equipment (25), medication errors (15) and tourniquet injuries (10). Mean cost per claim was £40,322. Cumulative cost for all cases was £20 million. Wrong-site surgery was error that elicited the most successful litigation (89% of cases). Litigation relating to implantation of an incorrect prosthesis (eg right-sided prosthesis in a left knee) cost £2.9 million. Prevalence of litigation against NTEs has declined since 2007. Conclusions Improved patient-safety strategies such as the World Health Organization Surgical Checklist may be responsible for the recent reduction in prevalence of litigation for NTEs. However, addition of a specific feature in orthopaedic surgery, an ‘implant time-out’ could translate into a cost benefit for National Health Service hospital trusts and improve patient safety.

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