AORN Journal
Volume 84, Issue 1, Supplement 1 , Pages S13-S29 , July 2006

Best Practices for Preventing Wrong Site, Wrong Person, and Wrong Procedure Errors in Perioperative Settings

Notes 

  1. In: “AORN position statement on correct site surgery” in Standards, Recommended Practices, and Guidelines . Denver: AORN, Inc; 2006;p. 348; Also available at http://www.aorn.org/about/positions/pdf/Final%20PS%20on%20Correct%20Site%20Surgery.pdf (accessed 17 May 2006)
  2. “Help prevent errors in your care: For surgical patients” Joint Commission on Accreditation of Healthcare Organizations . http://www.jointcommission.org/NR/rdonlyres/2020EE90-CBD6-482D-8FE3-24593431A313/0/wrong_site_brochure.pdf (accessed 17 May 2006)
  3. “Universal protocol for preventing wrong site, wrong procedure, wrong person surgery” Joint Commission on Accreditation of Healthcare Organizations . http://www.jointcommission.org/NR/rdonlyres/E3C600EB-043B-4E86-B04E-CA4A89AD5433/0/universal_protocol.pdf (accessed 17 May 2006)
  4. “Frequently asked questions about the Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery” Joint Commission on Accreditation of Healthcare Organizations . http://www.jointcommission.org/PatientSafety/UniversalProtocol/up_faqs.htm (accessed 17 May 2006)
  5. Sentinel event trends  . Wrong site surgeries reported by year” Joint Commission on Accreditation of Healthcare Organizations . http://www.jointcommission.org/NR/rdonlyres/6F94288C-EC8E-4B95-91F6-0A1C96C09708/0/se_trends_wss_reported.gif (accessed 17 May 2006)
  6. Davis R . “‘Wrong site’ surgeries on the rise” USA Today, 17 April 2006, Health and Behavior . Also available at http://www.usatoday.com/news/health/2006-04-17-wrong-surgery_x.htm (accessed 17 May 2006)
  7. “Implementation expectations for the Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery” Joint Commission on Accreditation of Healthcare Organizations . http://www.jointcommission.org/NR/rdonlyres/E3C600EB-043B-4E86-B04E-CA4A89AD5433/0/universal_protocol.pdf (accessed 17 May 2006)
  8. Correct Site Surgery Tool Kit . Denver: AORN, Inc; 2004; Also available at http://www.aorn.org/toolkit/Default.asp (members only; accessed 22 May 2006)
  9. Beyea SC . Perioperative Nursing Data Set: The Perioperative Nursing Vocabulary . second ed.. Denver: AORN, Inc; 2002;
  10. In: “Competency statements in perioperative nursing” in Standards, Recommended Practices, and Guidelines . Denver: AORN, Inc; 2006;p. 21–95
  11. Institute of Medicine  . Keeping Patients Safe: Transforming the Work Environment of Nurses . Washington, DC: National Academies Press; 2004; Also available at http://fermat.nap.edu/books/0309090679/html (accessed 17 May 2006)
  12. In: “AORN guidance statement: Creating a patient safety culture” in Standards, Recommended Practices, and Guidelines . Denver: AORN, Inc; 2006;p. 289–294 Also available at http://www.aorn.org/about/positions/pdf/PatSafetyCulture-2006.pdf (accessed 17 May 2006)
  13. “Dictionary.com” http://dictionary.reference.com (accessed 17 May 2006)
  14. Beyea SC . “Systems that reduce the potential for patient identification errors” (Patient Safety First) . AORN Journal . September 2002;76:504–506
  15. 2006 critical access hospital and hospital national patient safety goals  . Joint Commission on Accreditation of Healthcare Organizations . http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/06_npsg_cah.htm (accessed 17 May 2006)
  16. “FAQs for the 2006 National Patient Safety Goals (updated 2/06),” Joint Commission on Accreditation of Healthcare Organizations . http://www.jointcommission.org/NR/rdonlyres/25E48E23-6946-43E4-916C-65E116960FD5/0/06_npsg_faq2.pdf (accessed 17 May 2006)
  17. “Guidance memorandum: Title VI prohibition against national origin discrimination—Persons with limited-English proficiency,” (Jan 29, 1998) Department of Health and Human Services, Office for Civil Rights . http://www.hhs.gov/ocr/lepfinal.htm (accessed 17 May 2006)
  18. Beyea SC . Too tired to work safely? . AORN Journal . September 2004;80:559–562
  19. In: “AORN guidance statement: “‘Do-not-use’ abbreviations, acronyms, dosage designations, and symbols” in Standards, Recommended Practices and Guidelines . Denver: AORN, Inc; 2006;p. 239–241
  20. Beyea SC . “Creating a culture of safety” (Patient Safety First) . AORN Journal . July 2002;76:163–166

PII: S0001-2092(06)60082-3

doi: 10.1016/S0001-2092(06)60082-3

AORN Journal
Volume 84, Issue 1, Supplement 1 , Pages S13-S29 , July 2006

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