Risk Factors for Wrong-Site Surgery: A Study of 1,166 Reports of Informed Consent and Schedule Errors.
Background: The accuracy of informed consent and procedural schedule are important components in a process for preventing wrong-site surgery. Methods: In our study of a four-year period, we used the Pennsylvania Patient Safety Reporting System (PA-PSRS) database to explore the occurrence of consent...
| Publicado en: | Patient Safety (2689-0143) Vol. 6; no. 1; pp. 1 - 12 |
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| Autores principales: | , |
| Formato: | Journal Article |
| Publicado: |
Pennsylvania Patient Safety Authority
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191917499&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191917499 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26890143 N1OO jtl: Patient Safety (2689-0143) issn: 26890143 maglogo: N pubinfo: dt: 2024 vid: 6 iid: 1 pid: 50366 pub: Pennsylvania Patient Safety Authority place: Harrisburg, Pennsylvania artinfo: ui: 191917499 10.33940/001c.117084 191917499 ppf: 1 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Risk Factors for Wrong-Site Surgery: A Study of 1,166 Reports of Informed Consent and Schedule Errors. aug: au: Taylor, Matthew A. Yonash, Robert A. affil: Patient Safety Authority sug: ab: Background: The accuracy of informed consent and procedural schedule are important components in a process for preventing wrong-site surgery. Methods: In our study of a four-year period, we used the Pennsylvania Patient Safety Reporting System (PA-PSRS) database to explore the occurrence of consent and/or schedule errors at all licensed hospitals and ambulatory surgical facilities (ASFs) in Pennsylvania. We also evaluated the reports for consent and schedule error subtypes: side, procedure, site, and patient. Results: Over a four-year period, 1,166 event reports described a consent and/or schedule error, and 86% of the reports were from hospitals and 14% were from ASFs. Among the 1,166 reports, 56% described a schedule error, 34% had a consent error, and 10% involved both error types. In the sample of reports, the frequency of error subtypes were ranked in the following sequence: side (69%), procedure (24%), site (4%), and patient (3%). The analysis also revealed similarities and differences in the distribution of error types and subtypes across hospitals and ASFs. Conclusions: Based on the results, it is evident that consent and schedule errors are issues across many healthcare facilities. The findings by error subtype (side, procedure, site, patient) show some similarity in distribution with previous studies of wrong-site surgery events. We recommend that readers review Table 4 and Table 5 for a brief literature review of risk factors for consent and schedule errors and strategies for preventing and detecting the occurrence of those errors, respectively. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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