Zeroing in on errors
Joint Commission targets wrong-site surgery
Alist of potential causes of wrong-site surgery and solutions that organizations can use to prevent such events are part of the latest project of the Joint Commission’s Center for Transforming Healthcare, the collaborative quality-improvement arm of the accreditation organization.
Participating with the Oakbrook Terrace, Ill.based Joint Commission is a group of eight hospitals and surgery centers that used robust process-improvement tools to identify problems and develop focused interventions, according to the Joint Commission. For instance, a standardized method of gathering patient information at the time of scheduling can reduce the likelihood of surgical errors, Dr. Mark Chassin, president of the Joint Commission, said during a conference call.
During the first phase of the project in 2009 and 2010, the participating sites reduced their number of defective cases—cases that could result in wrong-site surgery—to 21% from 39% in surgical scheduling and to 19% from 52% in the preoperative phase, according to a Joint Commission news release.
After pilot-testing in other organizations, the Joint Commission will make the interventions available this fall as part of the Center for Transforming Healthcare’s Targeted Solutions Tool.