Artigo Revisado por pares

Implementing the Universal Protocol Hospital‐Wide

2007; Wiley; Volume: 85; Issue: 6 Linguagem: Inglês

10.1016/j.aorn.2007.03.002

ISSN

1878-0369

Autores

Elizabeth Norton,

Tópico(s)

Healthcare Technology and Patient Monitoring

Resumo

AORN JournalVolume 85, Issue 6 p. 1187-1197 Management Implementing the Universal Protocol Hospital-Wide Elizabeth Norton RN, BSN, CNOR, Elizabeth Norton RN, BSN, CNORSearch for more papers by this author Elizabeth Norton RN, BSN, CNOR, Elizabeth Norton RN, BSN, CNORSearch for more papers by this author First published: 07 June 2007 https://doi.org/10.1016/j.aorn.2007.03.002Citations: 29 The author thanks Marcie Brostoff, RN, MS, director of nurse education/staff development; Anne Micheli, RN, MS, director of perioperative programs; Jackie Berlandi, RN, MS, nurse manager; Trevor McGill, MD, Universal Protocol physician co-champion; David Roberson, MD, cochair of the Program for Patient Safety and Quality Implementation Committee (PPSQIC); Nina Rauscher, RN, MS, Program for Patient Safety and Quality executive director; and Patricia Hickey, RN, MS, MBA, CNAA, cochair of the PPSQIC, Children's Hospital Boston, Mass, for their support and mentorship during this project. The author also thanks Linda Connor, RN, Children's Hospital Boston, for helping to edit the manuscript and Linda Cunniff, RN, staff nurse, Children's Hospital Boston, for helping to coordinate data collection. Editor's notes: The Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery is a registered trademark of the Joint Commission, Oakbrook Terrace, Ill. The "Just Do It" slogan is a registered trademark of Nike, Inc, Beaverton, Ore. PowerPoint is a registered trademark of Microsoft Corp, Redmond, Wash. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat ABSTRACT • BEGINNING IN JULY 2004, Joint Commissionaccredited hospitals were required to adhere to the Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery by implementing time outs and site verifications for all invasive procedures. • AT CHILDREN'S HOSPITAL BOSTON, Mass, this requirement necessitated extensive editing of the existing time out and site verification policy and the development of a hospital-wide implementation plan. • THE HOSPITAL'S UNIVERSAL PROTOCOL champion developed an action plan that involved including nurse and physician representatives from each target area; rolling out the policy; creating materials for advertising the policy; and formulating an education, monitoring, and evaluation plan. AORN J 85 (June 2007) 1187-1197. © AORN, Inc, 2007. References 1 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Joint Commission on Accreditation of Healthcare Organizations, Available at: http://www.jointcommission.org/NR/rdonlyres/E3C600EB-043B-4E86-B04E-CA4A89AD5433/0/universal_protocol.pdf, Accessed April 4, 2007 Google Scholar 2 Facts about the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. The Joint Commission. September 2006, Available at: http://www.jointcommission.org/PatientSafety/UniversalProtocol/up_facts.htm, Accessed April 18, 2007. Google Scholar 3American Academy of Orthopaedic Surgeons. October 1997 Bulletin: OK plan to end wrong-site surgeries, Available at: http://www2.aaos.org/aaos/archives/bulletin/oct97/wrong.htm, Accessed April 30, 2007. Google Scholar 4Joint Commission on Accreditation of Healthcare Organizations. Lessons learned: wrong site surgery. Sentinel Event Alert. August 28, 1998: 6, Available at: http://www.jointcommission.org/sentinelevents/sentineleventalert/sea_6.htm, Accessed April 30, 2007. Google Scholar 5Wrong Site Surgery Summit addresses current problems, future solutions. Joint Commission Perspectives. 2003; 23(8): 8–9. Google Scholar 6 Implementation Expectations for the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. 2003. The Joint CommissionAvailable at: http://www.jointcommission.org/NR/rdonlyres/DEC4A816-ED52-4C04-AF8C-FEBA74A732EA/0/up_guidelines.pdf, Accessed April 18, 2007. Google Scholar 7 AORN position statement on correct site surgery. In Standards, Recommended Practices, and Guidelines. Denver, Colo: AORN, Inc. 2002, 123–125. Google Scholar 8 2004 National Patient Safety Goals. The Joint CommissionAvailable at: http://www.jointcommission.org/PatientSafety/nationalpatientsafetygoals/04_npsgs.htm, Accessed April 18, 2007. Google Scholar 9F Knight, R Galvin, M Davoren, KP Mason. The evolution of Universal Protocol in interventional radiology. J Radiol Nurs. 2006; 25: 106–115. 10.1016/j.jradnu.2006.08.003 Google Scholar Resources MR Chassin, EC Becher. The wrong patient. Ann Intern Med. 2002; 136: 826–833. 10.7326/0003-4819-136-11-200206040-00012 PubMedWeb of Science®Google Scholar Joint Commission Announces 2003 National Patient Safety Goals. JCAHOnlineAvailable at: http://www2.state.tn.us/health/HCF/PDF/Appendix_XI.pdf. August 2002, Accessed April 4, 2007. Google Scholar National Patient Safety Goals, Joint Commission requirements, and compliance solutions. Joint Commission Perspectives on Patient Safety. August 2005; 5(8): 4–20, Available at: http://www.premierinc.com/all/safety/publications/08-05-downloads/11-perspectives-07-05.pdf, Accessed April 4, 2007. Google Scholar New York State Health Department Releases Pre-Operative Protocols to Enhance Safe Surgical Care [news release]. Albany, NY: New York State Department of Health. February 8, 2001, Available at: http://www.health.state.ny.us/nysdoh/commish/2001/preop.htm, Accessed April 4, 2007. Google Scholar Special Report! Helpful solutions for meeting the 2006 National Patient Safety Goals. Joint Commission Perspectives on Patient Safety. August 2005; 5(8): 1–3, Available at: http://www.premierinc.com/all/safety/publications/08-05-downloads/11-perspectives-07-05.pdf, Accessed April 4, 2007. Google Scholar Citing Literature Volume85, Issue6June 2007Pages 1187-1197 ReferencesRelatedInformation

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