Ze­ro­ing in on er­rors

Joint Com­mis­sion tar­gets wrong-site surgery

Modern Healthcare - - The Week In Healthcare - Mau­reen Mckinney

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.

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