scholarly journals Incidence of Neurosurgical Wrong-Site Surgery Before and After Implementation of the Universal Protocol

Neurosurgery ◽  
2012 ◽  
Vol 72 (4) ◽  
pp. 590-595 ◽  
Author(s):  
Jay A. Vachhani ◽  
Jeffrey D. Klopfenstein
Keyword(s):  
The United States ◽  
University Of Illinois ◽  
Persistent Problem ◽  
Wrong Site Surgery ◽  
Wrong Side ◽  
Before And After ◽  
The University ◽  
Universal Protocol ◽  
Wrong Level Spine Surgery ◽  
Wrong Site

Abstract BACKGROUND: Although exceedingly rare, wrong-site surgery (WSS) remains a persistent problem in the United States. The incidence is thought to be 2 to 3 per 10 000 craniotomies and about 6 to 14 per 10 000 spine surgeries. In July 2004, the Joint Commission mandated the Universal Protocol (UP) for all accredited hospitals. OBJECTIVE: To assess the effect of UP implementation on the incidence of neurosurgical WSS at the University of Illinois College of Medicine at Peoria/Illinois Neurological Institute. METHODS: The Morbidity and Mortality Database in the Department of Neurosurgery was reviewed to identify all recorded cases of WSS since 1999. This was compared with the total operative load (excluding endovascular procedures) of all attending neurosurgeons to determine the incidence of overall WSS. A comparison was then made between the incidences before and after UP implementation. RESULTS: Fifteen WSS events were found with an overall incidence of 0.07% and Poisson 95% confidence interval of 8.4 to 25. All but one of these were wrong-level spine surgeries (14/15). There was only 1 recorded case of wrong-side surgery and this occurred after implementation of the UP. A statistically greater number of WSS events occurred before (n = 12) in comparison with after (n = 3) UP implementation (P < .001). CONCLUSION: A statistically significant reduction in overall WSS was seen after implementation of the UP. This reduction can be attributed to less frequent wrong-level spine surgery. There was no case of wrong procedure or patient surgery and the 1 case of wrong-side surgery occurred after UP implementation.

The Early Years of the Jewish Presence at the University of Illinois

1992 ◽  
Vol 2 (2) ◽  
pp. 215-245
Author(s):  
Winton U. Solberg
Keyword(s):  
Higher Education ◽  
The United States ◽  
Early Years ◽  
Late Nineteenth Century ◽  
Characteristic Form ◽  
University Of Illinois ◽  
American Higher Education ◽  
Jewish Students ◽  
The University ◽  
The Church

For over two centuries, the College was the characteristic form of higher education in the United States, and the College was closely allied to the church in a predominantly Protestant land. The university became the characteristic form of American higher education starting in the late nineteenth Century, and universities long continued to reflect the nation's Protestant culture. By about 1900, however, Catholics and Jews began to enter universities in increasing numbers. What was the experience of Jewish students in these institutions, and how did authorities respond to their appearance? These questions will be addressed in this article by focusing on the Jewish presence at the University of Illinois in the early twentieth Century. Religion, like a red thread, is interwoven throughout the entire fabric of this story.

scholarly journals Analysis and outcomes of wrong site thyroid surgery

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gianlorenzo Dionigi ◽  
Marco Raffaelli ◽  
Rocco Bellantone ◽  
Carmela De Crea ◽  
Carlo Enrico Ambrosini ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Rare Event ◽  
Lymph Node Excision ◽  
Legal Action ◽  
Preventive Strategies ◽  
Case Presentation ◽  
Wrong Site Surgery ◽  
Wrong Side ◽  
Low Volume ◽  
Wrong Site

Abstract Background In thyroid surgery, wrong-site surgery (WSS) is considered a rare event and seldom reported in the literature. Case presentation This report presents 5 WSS cases following thyroid surgery in a 20-year period. We stratified the subtypes of WSS in wrong target, wrong side, wrong procedure and wrong patient. Only planned and elective thyroid surgeries present WSS cases. The interventions were performed in low-volume hospitals, and subsequently, the patients were referred to our centres. Four cases of wrong-target procedures (thymectomies [n = 3] and lymph node excision [n = 1] performed instead of thyroidectomies) and one case of wrong-side procedure were observed in this study. Two wrong target cases resulting additionally in wrong procedure were noted. Wrong patient cases were not detected in the review. Patients experienced benign, malignant, or suspicious pathology and underwent traditional surgery (no endoscopic or robotic surgery). 40% of WSS led to legal action against the surgeon or a monetary settlement. Conclusion WSS is also observed in thyroid surgery. Considering that reports regarding the serious complications of WSS are not yet available, these complications should be discussed with the surgical community. Etiologic causes, outcomes, preventive strategies of WSS and expert opinion are presented.

Common general surgical never events: analysis of NHS England never event data

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Islam Omar ◽  
Rishi Singhal ◽  
Michael Wilson ◽  
Chetan Parmar ◽  
Omar Khan ◽  
...  
Keyword(s):  
Breast Implants ◽  
Skin Condition ◽  
Chest Drain ◽  
Event Data ◽  
Wrong Site Surgery ◽  
Wrong Side ◽  
Retained Foreign Body ◽  
Never Events ◽  
Never Event ◽  
Wrong Site

Abstract Background There is little available data on common general surgical never events (NEs). Lack of this information may have affected our attempts to reduce the incidence of these potentially serious clinical incidents. Objectives The purpose of this study was to identify common general surgical NEs from the data held by the National Health Service (NHS) England. Methods We analysed the NHS England NE data from April 2012 to February 2020 to identify common general surgical NEs. Results There was a total of 797 general surgical NEs identified under three main categories such as wrong-site surgery (n = 427; 53.58%), retained items post-procedure (n = 355; 44.54%) and wrong implant/prosthesis (n = 15; 1.88%). We identified a total of 56 common general surgical themes—25 each in the wrong-site surgery and retained foreign body categories and six in wrong implants category. Wrong skin condition surgery was the commonest wrong-site surgery (n = 117; 27.4%). There were 18 wrong-side chest drains (4.2%) and 18 (4.2%) wrong-side angioplasty/angiograms. There were seven (1.6%) instances of confusion in pilonidal/perianal/perineal surgeries and six (1.4%) instances of biopsy of the cervix rather than the colon or rectum. Retained surgical swabs were the most common retained items (n = 165; 46.5%). There were 28 (7.9%) laparoscopic retrieval bags with or without the specimen, 26 (7.3%) chest drain guide wires, 26 (7.3%) surgical needles and 9 (2.5%) surgical drains. Wrong stents were the most common (n = 9; 60%) wrong implants followed by wrong breast implants (n = 2; 13.3%). Conclusion This study found 56 common general surgical NEs. This information is not available to surgeons around the world. Increased awareness of these common themes of NEs may allow for the adoption of more effective and specific safeguards and ultimately help reduce their incidence.

Libraries in Africa: Pioneers, Policies, Problems. By ANTHONY OLDEN. Lanham, MD., and London: Scarecrow Press, 1996 (UK agent: Shelwing Ltd., Folkestone). Pp. xx + 170. £35.65 (ISBN 0-8108-3093-0).

1997 ◽  
Vol 38 (1) ◽  
pp. 123-177
Author(s):  
A. D. ROBERTS
Keyword(s):  
United States ◽  
The United States ◽  
University Of Illinois ◽  
Carnegie Corporation ◽  
Library Research ◽  
History Of ◽  
English Speaking ◽  
Per Se ◽  
English Speaking World ◽  
The University

This expensive little book, originally a thesis for the University of Illinois, is an artless but sometimes perceptive account of certain library endeavours in British East and West Africa, based on archival and library research in Britain and the United States. It is not a history of libraries per se so much as a study of instances of external aid to the development of libraries beyond the sphere of teaching institutions. In the 1930s, one such source – as in so much of the English-speaking world – was the Carnegie Corporation. Grants to Kenya underpinned a system of circulating libraries, the depot for which was housed in the McMillan Memorial Library, Nairobi; membership was confined to whites until 1958. In Lagos, Alan Burns, as chief secretary, secured a grant to start an unsegregated but fee-charging library: in 1934 just 43 of its 481 members were African. The grant ended in 1935, but the library was still going forty years later.

Radio Journalism: An Annotated Bibliography

1946 ◽  
Vol 23 (2) ◽  
pp. 193-201
Keyword(s):  
United States ◽  
The United States ◽  
National Council ◽  
Ohio University ◽  
University Of Minnesota ◽  
University Of Iowa ◽  
University Of Illinois ◽  
Emory University ◽  
Broadcasting System ◽  
The University

This bibliography was prepared by a committee of the National Council on Radio Journalism, with the aid of a number of specialists. Cooperating in the work were Miss Gertrude G. Broderick, of the United States Office of Education; Mitchell V. Charnley, of the University of Minnesota; Fred S. Siebert and Frank Schooley, of the University of Illinois; Kenneth Bardett, of Syracuse University; Karl Krauskopf and Paul Wagner, of Ohio University; Floyd Baskette, of Emory University; Paul White, of the Columbia Broadcasting System; Arthur M. Barnes and Wilbur Schramm, of the University of Iowa. Dr. Schramm was chairman of the committee.

Because It's Good for You: An Argument for History of Education in Liberal Education

2014 ◽  
Vol 54 (1) ◽  
pp. 98-102 ◽  
Author(s):  
Karen Graves
Keyword(s):  
Secondary School ◽  
Liberal Education ◽  
History Of Education ◽  
The United States ◽  
University Of Illinois ◽  
First Semester ◽  
Social Foundations ◽  
History Of ◽  
The University ◽  
Educated Person

Whatever we determine a good education to be, and a well-educated person to be, our teachers should be that and no less—not because they are teachers but because they are persons.“This is what college is supposed to be like!” That is what I thought before I was too far along in my EPS 201 course, “Social Foundations of American Education,” at the University of Illinois. I was a transfer student, and it was my first semester at the university. The professor was Paul Violas and my teaching assistant (TA) was Steve Tozer; the course was a survey of the history of education in the United States. I recall one day we had a guest lecture by Professor James Anderson, who drew material from a new book he was working on. What we learned in EPS 201 was substantial. It was, far and away, the most meaningful course in my undergraduate education. It was, also, the most significant preparation I had as a secondary school mathematics teacher.

Promoting Local Change: Models for Implementing NCTM's Curriculum and Evaluation Standards

1992 ◽  
Vol 39 (5) ◽  
pp. 34-37
Author(s):  
Mary M. Hatfield ◽  
Jack Price
Keyword(s):  
United States ◽  
The United States ◽  
School Mathematics ◽  
Study Group ◽  
Education Programs ◽  
Evaluation Standards ◽  
University Of Illinois ◽  
Change Models ◽  
The Subject ◽  
The University

For more than thirty years the mathematics education programs of the United States have been the subject of proposals for change. Such efforts as those of the School Mathematics Study Group (SMSG), the University of Illinois Committee on School Mathematics (UICSM), and the Madison Project were well intentioned but fell short of attaining the anticipated reform.

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