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Wrong Site, Wrong Procedure, and Wrong Patient Errors Essay

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The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
Quality and Safety Issue
Wrong site, wrong procedure, and wrong patient errors are avoidable safety issues. Nearly 1.9 trillion dollars are spent on medical errors each year in the United States (Catalano & Fickenscher, 2008). Between 1995 and 2007, 691 wrong-site surgeries have been reported to The Joint Commission's Sentinel Event data repository (AHC Media LLC, 2008). In 2003 in response to the outcry for better patient safety The Joint Commission …show more content…

It has been developed over the years and is now known as Universal Protocol.
Impact on Health Care Delivery
Wrong site surgery remains the most frequently reported sentinel event, with 908 wrong site surgeries reported since 1995 (AORN, 2010). During the late 1990’s and early 2000’s there was a tremendous public concern and lack of trust for the medical profession, especially within surgical services. We as healthcare professionals needed to step up to the plate, slow down, and take responsibility to improve the quality of care we provide for our patients. Although there still is some resistance from surgeons and other healthcare professionals, overall there has been a general acceptance to universal protocol.
In spite all the literature, documentation, and the lack of decrease in wrong site surgery, there are still providers who continue to rush and have the philosophy that time is money. Safety events and adverse events cost a lot of money (Laureate Education, 2010). Although adherence to universal protocol is required by Joint Commission since July 1, 2004, wrong site, wrong procedure, and wrong patient errors still occur. The incidence of wrong site surgery can be improved but needs to have the full participation of everyone involved in the process. Some of the reasons believed to add to the risk of wrong site surgery include poor planning, lack of

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