Question

See the attached article. Please use in-text citations and references in APA format 7th edition. Please do list bullet points as your answer. Think thoughtfully when responding to questions please.

PERIOPERATIVE GRAND ROUNDS Turn the Other Cheek The Case: A 56-year-old man underwenllwo skin biopsies lo eval- ulate facial lesions. The first biopsy was diagnostic for squamous cell carcinoma (SCC); the site was documented as "lef cheek" in the health record. The second biopsy was an atrophic solar keratosis (a benign finding): the site was documented as “left inferior orhit." The primary care physician referred the patient to a dermatologic surgeon. The referral included a diagram of a face with the SCO biopsy sile marked by an "X" on the lell cheek. The pa- thology report included a description of the anatomic location that said "left cheek." On the day of surgery, the dermatolog surgeon pleted standard preoperative verification and marked the surgical site after the patient confirmed the biopsy site using a mirror. I'wo physicians identified a biopsy scar within a clinical lesion on the let) cheek, reviewed the Jiagram from the relerring physician, and confirmed the anatomic description of the site from the pathology report. The surgeon then excised a lesion on the left cheek. The patient returned to his referring physician, who immediately realized the wrong lesion-referred to as 'leti inferior orbit" rather than "left cheek"— had been excised. The error resulted from ambiguity in the description and the patient's self-identification of the wrong lesion. The patient required a second surgery lo remove the SCC. site office-based surgery is difficult to determine, given a paucity of literature in this setting. Best estimates of wrong site surgeries come from prospectively collected adverse event reporting data in Florida and Alabama. A recent analysis described 46 deaths and 263 procedure- related complications ciecurring from office-lased sur- geries performed in Florida during the past 10 years? of those, dentatologists reported only four lolal com- plications (1.3% of all complications) and no deaths. One of the complications involved a wrong site surgery during a Mohs procedure performed with local anes- thesia. In six years of data from Alabama, there were three deaths and 49 procedure-related complications and hospital transfers. Dermatologists reported one compli- cation (1.9% of all complications) and no deaths. These data suggest that ollice-based surgery does not represent a substantial hazard patients and that dermatologic procedures performed in office settings have an ex- ceedingly low complication rate. Most published reports of dermatology-specilic wruny sile surycry originale lion Muhs surgery dala. The Mahs procedure involves surgically removing skin cancer layer by layer and examining the tissue under a microscope until healthy, cancer-free tissue around the tumor reached recent survey of 300 Mohs surgeons revealed that 14% of their malpractice lawsuits were a result of wrong site surgery. As illustrated in this case, errors in identifying the correct biopsy site during surgical treatment are often the culprit. Discussion: In 2010, dermatologic surgeons performed an estimated 3.1 million procedures for skin cancr rcalının alonu', primarily in the office setting. The incidence of wrong continued on page 173) This content is alapted from AJIRQ WebM&M Morbidin & Mortality Rounds on the Web) with permission from the Agency for Healthcare Research and Quality. The original commentary was written by John Starling III, MD, was adapred for this article hy Nancy J. Girard. PhD, RN, FAAN, consultandowner, verse Collaborations, Hoerne, 1X (Curion: Starling 1. Turn the Other Cheek. AHRQ Wel MAM /serial online]. March 2012 http://webmın ahrq.gov.case.aspx?cascID265. Accessed October 28, 2012). Dr Girard has no declared affiliation that could be perceived as posing a potential conflict of interest in the publication of this article. h.tp::dx.doi.org/10.1016).100.1.2012.11.07 AORN, Inc, 2013 284 AORN Journal • February 2013 Vol 97 No 2
Compose a short report of at least 250 words to include the following elements:

1. List possible risk reduction strategies aimed at preventing wrong-site surgeries.

2. What are the two strategies you will recommend to prevent a similar event from occurring at the hospital and why?

3. How could healthcare organizations improve patient satisfaction?

4. What is the one strategy you will NOT recommend for prevention of a similar event at the hospital and why?

Please use in-text citations and references in APA format 7th edition. Please do list bullet points as your answer. Think thoughtfully when responding to questions please.

Answer 1

List possible risk reduction strategies aimed at preventing wrong-site surgeries.

· Approve data on side and site the prior night medical procedure.

· Require the specialist playing out the methodology to check the site.

· Train all staff individuals on the utilization of a careful agenda.

What are the two strategies you will recommend to prevent a similar event from occurring at the hospital and why?

Approve data on side and site the prior night medical procedure.

The prior night medical procedure, a staff part ought to approve the data required for the following morning. This avoids a minute ago frenzies and allows the patient to affirm the careful subtleties. Numerous clinics will really complete a phone meet the prior night with the patient just to affirm the directions, so they realize the patient will be prepared for medical procedure the following day.

Require the specialist playing out the methodology to check the site.

Prescribes that the specialist mark the careful site with a X or his or her initials preceding medical procedure. This undertaking to the specialist builds his or her responsibility and institutionalizes who plays out the errand all through the association.

How could healthcare organizations improve patient satisfaction?

Educate Staff

Advising all partners on the significance regarding patient administrations and fulfillment is the initial step to guaranteeing understanding driven consideration.

Communicate Effectively

Seeing how to obviously speak with patients and their families is essential to give sheltered and quality consideration.

What is the one strategy you will NOT recommend for prevention of a similar event at the hospital and why?

Wrong-site medical procedure is seen as a therapeutic mistake that ought to never occur, not a restorative hazard that the patient must acknowledge, and in this manner a center patient wellbeing issue.

References

Garber, J. S., Gross, M., & Slonim, A. D. (2012). Avoiding common nursing errors.

Rosenberg, R. J. (2015). Physician quality and patient outcomes: Does skill matter?