Catalog Number : ngd1437
Title : Preventing Wrong Site Surgery: The Joint Commission Standards Made Simple
Speaker : Sue Dill

Webplay Recording Date : 2-11-2010
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

The Joint Commission has revised the 2010 National Patient Safety Goals which contains the Universal Protocol requirements. Hospitals will need to revise their process and policies and procedures to reflect these changes. The Universal Protocol has three parts and was written to prevent wrong sit surgery. This is one of the areas that the Joint Commission considers a high priority to ensure safety and quality for patients. This program will discuss the proposed 2010 changes along with the different organizations and their position statements on how to prevent wrong site surgery. Wrong procedure or wrong site surgery is the number one sentinel event of the Joint Commission. This is important to prevent an embarrassing “never event” and one in which there is no payment for. A Rhode Island hospital was fined $150,000 in November of 2009 after their fifth wrong site surgery. It involves surgery on the wrong finger. In January 2010 a physician losses his medical staff privileges from the state medical board for a second wrong surgery/wrong procedure. Wrong site surgery can be devastating not only for the patient but for the staff and the facility. This program is essential to help make sure that process and policies are in effect that meet the standards to prevent wrong site surgery and procedures.

Target Audience:

• Risk managers
• Joint Commission Coordinator
• Chief Nursing Officer
• OR staff and Nurse Manager
• Patient Safety Officer
• Quality Director
• In-house legal counsel
• Hospital Administrators
• Nurses and Nurse Managers
• Physicians
• Anesthesiologists
• Perioperative Nurses
• ED Directors
• Compliance Directors

Webinar Objectives:

• List the common types of wrong-site surgery
• Describe the new 2010 Universal Protocol requirements by the Joint Commission
• Classify practices and errors that lead to wrong-site surgery
• Discuss practices that will reduce occurrences of wrong-site surgery such as check off list (now called a standardized list by TJC)
• Discuss what should be done when a wrong site surgery or procedure is discovered

The following are a few of the topics to be discussed:

• Definition and types of wrong-site surgery (WSS)
  • Getting it right: Universal Protocol
  • Understanding The Joint Commission’s matrix requirements
  • Briefings, teamwork, and limiting distractions
  • Headlines you don’t want to see
  • AHRQ evidence based literature on WSS; a preventable medical error
  • System and process factors of the causes of WSS
  • CMS does not pay for WSS
  • WSS as a Never Event
  • Definitions of WSS
  • Statistics on occurrence of WSS
  • Surgical checklists (standardized list)
• Factors to reduce instances of wrong-site surgery
• Errors that lead to wrong-site surgery
  • Root causes of wrong-site surgery
  • Sentinel event alerts and trend
  • Conducting a root cause analysis in your facility
  • TJC Matrix and what needs to be in RCA
  • Discuss of 2 TJC SE alerts on WSS
  • The Minnesota reports
  • National Position Statements
    • American College of Surgeons
    • American Academy of Orthropedic Surgeons
    • American Association of peri-Operative Registered Nurses
    • North American Spine Society etc.
• The Joint Commission National Patient Safety Goals
  • Time out before surgery: Does it work?
  • Preoperative verification
  • Surgical site marking
  • Using modified patient bracelets
  • Time out towels
• Interactive Q&A segment

In this 90-minute interactive audio conference, our expert speaker will present implementation strategies for The Joint Commission's Universal Protocol and how to develop a framework to improve error prevention efforts.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.