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Health, Medicine, Nursing
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English (U.S.)
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Topic:
Preventing Mistakes in Surgery: Upholding the National Patient Safety Goals
Essay Instructions:
Thesis statement: Why is preventing mistakes in surgery important? Preventing mistakes in surgery creates better patient outcomes and lessens the likelihood of a return to acute care.
History behind National Patient Safety goals and why they were implemented, specifically the national patient safety goal of preventing mistakes in surgery.
How the goal you are presenting is important for patient safety.
When can the goal of preventing mistakes in surgery be seen?
Examples to illustrate a positive example when surgery mistake prevention goal is met.
Examples to illustrate a negative outcome when mistakes are not prevented in surgery.
Conclusion
There are several ways in which a mistake can occur during surgery, including performing the wrong procedure or performing surgery on the wrong location of a patient. By following the guidelines presented in the National Patient Safety Goals, surgeons and their medical team can follow the procedures to significantly reduce the number of mistakes that occur during surgery.
References:
DiBlasi Moorehead, L. (2022). Make time for a time out. The Joint Commission. https://www(dot)jointcommission(dot)org/resources/news-and-multimedia/blogs/ambulatory-buzz/2022/06/make-time-for-a-time-out/
Grogan, M., Crowell, N. A., Dalley, C. B., & O'Guin, C. (2022). Identifier Bouffants: An Exploration of the Impact on Verbal Communication Among Interdisciplinary Operating Room Personnel. AANA journal, 90(1), 27–33.
Hafez, A., Omar, I., Ang, A., Aly, M., Pouwels, S., & Smeenk, F. (2023). Common preventable
errors in hand surgery: Analysis of NHS never events data and a proposed safety checklist. International Journal of Risk & Safety in Medicine, 34(3), 169–178. https://doi-org(dot)carrington(dot)idm(dot)oclc(dot)org/10.3233/JRS-220030
Kumar, J., & Raina, R. (2017). 'Never Events in Surgery': Mere Error or an Avoidable Disaster. The Indian journal of surgery, 79(3), 238–244. https://doi(dot)org/10.1007/s12262-017-1620-4
Santos, G., & Jones, M. W. (2023). Prevention of Surgical Errors. StatPearls. StatPearls Publishing.
Essay Sample Content Preview:
Preventing Mistakes in Surgery
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Preventing Mistakes in Surgery
Preventing mistakes in surgery is of paramount importance in ensuring better patient outcomes and reducing the likelihood of complications or a return to acute care. Even a seemingly minor surgical error can have severe and potentially life-threatening consequences for the patient.
The concern over surgical mistakes can be traced back to ancient civilizations, with documentation of legal ramifications following such errors dating as far back as 1700 B.C. in Mesopotamia. Over time, as medical science and technology advanced, the need for standardized protocols and safety measures became increasingly evident. According to DiBlasi Moorehead (2022), influential experiments, figures, and medical outcomes have contributed to the development of the Joint Commission's National Patient Safety Goals (NPSGs), aimed at eliminating surgical "never events" – avoidable mistakes that should never occur.
According to Grogan et al., (2022), NPSGs are very important in keeping patients safe during surgical procedures. An example of their main objectives involves creating an environment where there is effective communication within the surgical team so as to avoid wrong-site, wrong procedure or wrong-patient surgeries. Protocols under this goal include verifying patient information before an operation, marking the operative site clearly, and taking a final time out for assessment before starting any procedure.
Communication should not only be limited between surgeons but also other medical practitioners involved in caring for patients who have undergone surgery like nurses or even anesthesiologists. In fact, good communication before and after surgeries reduces the chances of getting infected amo...
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