Question

Write a literature rivew for risk reduction strategies aimed at preventing wrong site surgeries.

Answer 1

Literature review

Abstract

The purpose of this study is to explore the causes of surgery at wrong site , why it happens, and what all are the steps that can be taken to prevent it.

Few years before first unveiled necessary rules to prevent operations on the wrong site of the body part, it was estimated that wrong site surgery occurs 40 times a week in us hospitals and clinics with 93 case reported in 2010 to accrediting organisation.

It's result can be devastating for the patient, physicians, and facility alike, hence the push by accrediting and patient safety organs to make this issue a "never event".

How to prevent this from happening.

Literature review

1. Informing continuously on the site and checking side of surgeries.

Doctor says and evening before the surgery a staff of hospital should validate the inform needed for the morning to prevent last minute hassle, panics and give the chance to the patient for surgical details, most of the hospitals do a telephonic interview with the patient and night before surgery just to confirm the instruction.

it is may be frustrating for the patient but at least it will reduce the chance of mishappening.

2. preoperatively make sure all the documents agree on the site and site of surgery.

prior to surgery, a staff member has to check all the documents related to the surgery to make sure the information about the surgical side matches up.

a staff member must check the informed consent ,sign of patient, procedure, type of surgery, site of surgery, written note of physician preoperatively.

3. Marking of the surgical .

site of surgery must be marked with X with his or her initials prior to surgery , the physician performing the surgery is responsible and accountable for patient and the procedure ,there are chances of marking wrong surgery side when it is done by partner other than physician.

4. Institute" Red rules".

To stop surgical process

Team members confirm site and side of surgery and surgeon marks location, the critical thinker is everything is stopped and focused on the part and what you are about to do, if any hesitant from the team member acres the surgical process should be stopped this policy called" red rules"

this rule says if anybody on the team see something that is not according to the protocol has the authority to call the red rule.

5. Training of staff members on use of a surgical checklist .

it is used to prevent errors such as wrong site surgery, there are some people who take the checklist and check it out and get roughly about it rather than going through it, if checklist before surgery is not used properly its going to create a mistake.

6. Involve patient in marking the site.

patient should be awake during marking site and side of surgery, it help in confirming correct surgical site and location.

7. Share incidents on wrong site surgery.

some may not experience as they have not experienced, but some has to explain their experience to prevent any kind of mishappening that make threaten patient's life.

Method.

if I were to conduct this study I think the best way to do would be so by combination of quantitative and qualitative method, I would choose to use survey on these mistakes and why it happens, what all are the factors that leads to these mistakes.

Sample selection

for my simple I would choose sample from the hospital staff and the surgeon and from the OT staff those who are performing the surgeries.

Procedure

For any study it is important to base a 10 to 15 survey on more than one sample to make sure the exact cause of making mistake at surgical site.

References.

At last it is important to mention from where you have taken the reference to make your review of literature.

For exexample:----

Some books, jargon, website etc....