Wrong-site surgery can have devastating consequences for the patient and a negative impact on the entire surgical team ( Kwan, 2006). Today, as professionals in the health care environment, the phrase "time-out" is used to prevent patient harm and near misses. When one hears the phrase "time-out," it takes us back to our childhood when these words were used as a discipline technique by many parents or a sporting event where there is a pause in the action. One hospital has incorporated a structure to integrate a collaborate approach to keeping patients safe. Seamlessly, we incorporate our education, experience, and hopefully a solid ethical foundation, in an effort to avoid life- and career-altering errors. Countless times each day, we make decisions, great and small, that affect our patients. Ethics infiltrates every aspect of professional practice and conflicting agendas seek to draw us away from the primary goal of all health care practice patient safety. Facing Ethical Challenges with Strength and CompassionĪs the world of health care becomes more and more complex and technology appears to rule the day, it seems imperative to take a breath and get back to basics. Establishing Yourself as a Professional and Developing Leadership Skills.Ensuring Patient & Family Centered Care.Developing Critical Thinking Skills and Fostering Clinical Judgement.Alteplase Injection for Acute Ischemic Events.Affirming Care for Patients who are LGBTQ+.Lippincott Clinical Conferences On Demand.Continuing Education Bundle for Nurse Educators.Lippincott NursingCenter’s Critical Care Insider.Lippincott NursingCenter’s Career Advisor.Academic/Practice Innovation: An Interview with Dr.Becoming Great in Healthcare: Webinar Highlights.People Connections and Building Relationships: An Interview with Cathleen Wheatley.Teamwork is the Bedrock of a High Trust Culture.Connecting as an Organization Post-COVID.Supporting Staff Through Patient-Centered Innovation.Since the UP was published, checklists have been developed that contain additional practices supporting safe surgery, such as assessment of the patient’s risk of blood loss in terms of the units of blood available. The UP focuses on wrong person, wrong procedure, and wrong site surgery, and includes issues that are addressed in many safe surgery checklists. The World Health Organization (WHO) and The Joint Commission are specifically cited as resources. CMS does not require the use of a specific checklist, and provides examples of checklists that can be used. Questions have arisen about how The Joint Commission’s Universal Protocol (UP) can be used to meet this structural measure. The measure has been proposed for the Hospital Inpatient Quality Reporting Program for fiscal year 2016 and beyond (the final rule is anticipated to be issued in early August). Prior to the patient leaving the operating room or procedural area.įor payment determination purposes, the measure will be applied to ambulatory surgery centers for the calendar year 2015 and for the Hospital Outpatient Quality Reporting Program as OP-25 for calendar year 2014.The use of a checklist creates an expectation that organizations assess effective communication and safe practices during three perioperative periods: This information would be submitted via a CMS-designated website annually thereafter. Beginning in 2013, ambulatory surgery centers and hospitals (for outpatients) would report a yes or no response regarding their organization’s use of a safe surgery checklist during 2012. Patient Care Boards/Whiteboard ResurfacingĬMS' safe surgery checklist measure and the Universal ProtocolĪugust 1, 2012- The Centers for Medicare & Medicaid Services (CMS) is implementing a new quality reporting program for ambulatory surgery centers that introduces a CMS structural measure on the use of a safe surgery checklist (ASC-6) the same measure will also be adopted for outpatients in hospitals.
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