Experience of wrong site surgery and surgical marking practices among clinicians in the UK
| Autor: | Penny Rhodes, John Wright, Gary Cook, Melanie J Maxwell, Sally J Giles, Gill Clements, Ruth Hayton, Trevor A Sheldon |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Patient Identification Systems
Safety Management medicine.medical_specialty Leadership and Management Writing MEDLINE Ophthalmologic Surgical Procedures Urologic Surgical Procedure State Medicine Nursing Surveys and Questionnaires Preoperative Care medicine Humans Orthopedic Procedures General Nursing Medical Errors Hospitals Public business.industry Incidence Health Policy Public Health Environmental and Occupational Health Software package medicine.disease National health service Organizational Policy United Kingdom Mental Recall Practice Guidelines as Topic Orthopedic surgery Urologic Surgical Procedures Original Article Medical emergency business Wrong-Site Surgery Ophthalmologic Surgical Procedure |
| Zdroj: | Quality and Safety in Health Care. 15:363-368 |
| ISSN: | 1475-3901 1475-3898 |
| DOI: | 10.1136/qshc.2006.018333 |
| Popis: | Background: Little is known about the incidence of “wrong site surgery”, but the consequences of this type of medical error can be severe. Guidance from both the USA and more recently the UK has highlighted the importance of preventing error by marking patients before surgery. Objective: To investigate the experiences of wrong site surgery and current marking practices among clinicians in the UK before the release of a national Correct Site Surgery Alert. Methods: 38 telephone or face-to-face interviews were conducted with consultant surgeons in ophthalmology, orthopaedics and urology in 14 National Health Service hospitals in the UK. The interviews were coded and analysed thematically using the software package QSR Nud*ist 6. Results: Most surgeons had experience of wrong site surgery, but there was no clear pattern of underlying causes. Marking practices varied considerably. Surgeons were divided on the value of marking and varied in their practices. Orthopaedic surgeons reported that they marked before surgery; however, some urologists and ophthalmologists reported that they did not. There seemed to be no formal hospital policies in place specifically relating to wrong site surgery, and there were problems associated with implementing a system of marking in some cases. The methods used to mark patients also varied. Some surgeons believed that marking was a limited method of preventing wrong site surgery and may even increase the risk of wrong site surgery. Conclusion: Marking practices are variable and marking is not always used. Introducing standard guidance on marking may reduce the overall risk of wrong site surgery, especially as clinicians work at different hospital sites. However, the more specific needs of people and specialties must also be considered. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|