Case Study Assignment Wrong Site Surgery Procedure

Wrong Site Surgery
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Wrong Site Surgery
The case involves a surgery procedure that was performed on the wrong site. At the same time, the doctor performed the wrong procedure on the wrong patient. This is a case that involves a 65-year-old patient who had a trigger finger. The patient had had several visits to the hospital in the orthopedic section where she complained of pain and stiffness in her ring finger on the left hand. Most of the treatment and medication that she had had, did not work prompting the doctors to suggest surgery to correct that problem. The doctor, Dr. David C. Ring, was in charge of the operation. Before getting to the patient in question, the doctor had operated on two other patients. Due to the fact that the doctor was distracted from having two other surgeries, they made a mistake with the third patient. There were also some distractions that took place before the surgery (Ring, Herndon, & Meyer, 2010). These included the fact that the surgery was delayed, the surgery room was changed the last minute and the nurse that had performed the patient assessment was called away on another operation. As such, the doctor was distracted and made an operation on the wrong patient, and the wrong operation. This is further contributed by the fact that the preparation of the patient also led to the fact that the marking on the site to be operated were washed off (Ring, Herndon, & Meyer, 2010). It was latter during the report dictation that the doctor realized they had performed the wrong procedure. Later on the doctor did the correct procedure to correct that mistake (Butcher, 2016).
The patient had three months prior to the surgery come in to the orthopedic clinic, complaining of pain and stiffness on the ring finger on her left hand. Most of the procedures and the medication that the patient received at the time did not have any effect, with reference to relieving the pain and the stiffness. The patient was then advised to have corrective surgery on the finger. Ten days later the patient was admitted to the day surgery unit for the corrective procedure. Prior to the surgery in question, the doctor had two other surgeries that day. The two patient had had carpal-tunnel release surgery. Before the patient was taken to surgery, there were some changes. The operating room where the patient was to be operated in was changed the last minute (Ring, Herndon, & Meyer, 2010). The nurse that had assessed the patient was called away and thus would not be present for the operation. During the preparation of the patient, the markings that indicated the site to be operated was washed off. The doctor then performed the operation (Butcher, 2016). During the report dictation, the doctor realized that they had performed the wrong procedure on the wrong patient. The doctor then informed the patient of the mistake and requested for the correct procedure, which the patient agreed to. The doctor the filed a safety report and notified the risk manager at the hospital about the error and the rectification procedure. The doctor then spoke to the son of the patient to make an apology for the wrong operation.
The first problem area was the poor preparation that was done on the patient (Butcher, 2016). The fact that the doctor did not make the right diagnosis at the time of the preparation c...