Catalog Number : ngd1568
Title : Joint Commission Tracers
Speaker : Sue Dill

Webplay Recording Date : 2-2-12
Webplay Price : $ 200 for two weeks viewing

Webinar Description:

CMS has ten categories of hospital-acquired conditions in which there will be no additional payment. Two of these include foreign objects retained after surgery (retained surgical items or RSI) and wrong site surgery. The National Quality Forum (NQF) Safe Practice number 26 addresses wrong-procedure and wrong-person surgery prevention and this safe practice should be followed in every hospital. The Joint Commission 2012 targeted solution toolkit to prevent wrong site surgery will be discussed. Wrong procedure or wrong site surgery is one of the top sentinel events of the Joint Commission. This webinar 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 Officers

Webinar Objectives:

• Describe that the Joint Commission has a NPSG on Universal Protocol that includes the requirement to document a time out
• Discuss practices that will reduce the occurrences of wrong-site surgery such as a check-off list (now called a standardized list by TJC)
• Discuss what should be done when a wrong site surgery or procedure is discovered
• Recall that one of the 34 National Quality Forum Safe Practices is to prevent wrong-site surgery
• Recall that the Joint Commission has a targeted solution tool to help prevent wrong site surgery

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
• TJC Targeted Solution Tool
  • Second project and part of Center for Transforming Healthcare
  • No additional charge for TJC accredited hospitals
  • 29 main causes of WSS
  • TJC posters on universal protocol
  • TJC speak up brochure
• 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
  • National Quality Forum Safe Practice 26 to prevent WSS
  • WHO checklist
• 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
• Preventing retained foreign bodies
• Interactive Q&A segment
• Additional resources are provided on the following:
  • The Minnesota reports
  • National Position Statements
    • American College of Surgeons
    • American Academy of Orthopedic Surgeons
    • American Association of peri-Operative Registered Nurses
    • North American Spine Society etc.

**In this 90-minute interactive audio conference, our expert speaker will present implementation strategies for The Joint Commission's Universal Protocol and other standards 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.