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Saturday 4:56 CST, February 4, 2012

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"Finding risks for wrong site surgery" - AORN Periop Insider - 2/1/12

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Related News: About the Center, Wrong Site Surgery, Targeted Solutions Tool

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02/02/2012

The Joint Commission and JCR Announce 2012 Board Appointments

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The Joint Commission announces the incoming Board of Commissioners for 2012, and the Board’s decision to make the three field representatives for long term care, behavioral health care and home care full voting members. Previously, the field representatives voted on Board committees, but not at the full Board.

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01/11/2012

“New Approaches in the fight against SSI” - AORN Connections

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Despite rigorous efforts to implement clinical interventions throughout the perioperative process to prevent surgical site infections, these dangerous and costly health care-acquired infections still occur. New funding and collaborative efforts from several leading health care organizations are focused on testing and sharing new methods for preventing surgical site infection (SSI) that address not only the evidence-based clinical interventions that are known to protect patients from SSI. . .

Related News: Surgical Site Infections

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01/01/2012

“Lovell FHCC Joins Joint Commission's Healing Healthcare Partnership” - TRIB local: Gurnee, IL

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The Captain James A. Lovell Federal Health Care Center has joined the Joint Commission Center for Transforming Healthcare’s Healing Healthcare Partnership™, a campaign that brings together healthcare organizations and industry to improve patient safety and lower the cost of health care. “The Lovell FHCC is honored to be partnering with key healthcare organizations with a common goal,” said Patrick L. Sullivan, Captain James A. Lovell Federal Health Care Center Director.

Related News: Hand Hygiene

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11/17/2011

“6 Oversights That Can Cause Trouble for an ASC” - Becker’s ASC Review

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It's essential for an ambulatory surgery center to keep its schedule full and its physicians busy in order to be profitable. Because of this busy atmosphere, centers need to implement checkpoints and processes to ensure everything runs smoothly and nothing is overlooked. Michael Kulczycki, executive director of the Ambulatory Care Accreditation Program of The Joint Commission, and Steven Gunderson, DO, CEO and medical director of the Rockford Ambulatory Surgery Center, discuss six oversights.

Related News: Wrong Site Surgery

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11/11/2011

“Improving Surgical Safety: Time-Outs, Use of Checklists, Systems Improvement” - MISSION: Improvement - H&HN

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This article in Hospitals and Health Networks provides some interesting insights into successful interventions undertaken by many hospitals to reduce the likelihood of "wrong-sided surgeries" - an event so infrequent, that it is hard to muster an institution's scant resources to address. However, a number of institutions referenced in this article did exactly that.

Related News: Wrong Site Surgery

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11/08/2011

“Wrong Site Surgery” - H&HN

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Sometimes the problems that you expect to be the easiest to fix turn out to be the most vexing. Since the Joint Commission first highlighted the problem of wrong-site surgery (1998), the issue has been the subject of summits, protocols, checklists and process-improvement proj­ects across the country. And yet, surgeries on the wrong side of the body, the wrong site or even the wrong patient continue to occur an estimated 40 times every week, according to Joint Commission President Mark Chassin.

Related News: Wrong Site Surgery

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11/01/2011

Getting Doctors to Wash Their Hands - New York Times

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A new study has a message for doctors and nurses who fail to wash their hands: Don’t think about yourself. Think about your patients. Getting health care professionals to comply with notices to wash their hands before and after dealing with patients has been something of a thorn in the side of many hospitals. Although this simple measure limits the spread of sickness — and could potentially reduce the nation’s hospital health care bill by billions of dollars — many doctors and nurses.

Related News: Hand Hygiene

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09/01/2011

“A new standard: Aim for safety of planes, nuclear plants” - Modern Healthcare

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Everyone counts on high-reliability organizations to ensure our personal safety when we fly on commercial airliners or travel near a nuclear power plant. Air traffic control, nuclear submarines,... Please note: access to the entire linked article requires a Magazine Subscription.

Related News: About the Center

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08/01/2011

“Holy Spirit Hospital participates in project to reduce surgery errors” - The Patriot-News

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Holy Spirit Hospital recently took part in a national project to find ways to prevent surgeons from operating on the wrong body part. “Right now, there are 40 wrong-site surgeries in the country every week,” said Lisa Lewis, vice president of patient care services and chief nursing officer at Cumberland County-based Holy Spirit Health System.

Related News: Wrong Site Surgery

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07/11/2011

“Risks under the knife” The Sentinel

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When a patient prepares for a surgery, there are any number of concerns about what complications may arise. Having a surgeon operate on the wrong part of the body, however, isn't usually one of them. Wrong site surgery is uncommon but not unheard of, according to Dr. Joseph Torchia, chief medical officer at Holy Spirit Hospital.

Related News: Wrong Site Surgery

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07/11/2011

“Joint Commission Unveils Wrong Site Surgery Prevention Tool” - HealthLeaders

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With wrong-site surgeries occurring an estimated 40 times a week in the U.S., the Joint Commission teamed up with several hospitals to nail down precisely where and how these mistakes keep happening.

Related News: Wrong Site Surgery

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07/05/2011

“Surgical Mishaps” podcast WGN Radio

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Podcast of an evening radio call-in talk show hosted by Brian Noonan. Topic: “Surgical Mishaps”. This show was broadcast July 5, 2011 on WGN Radio 720 Chicago, Illinois.

Related News: Wrong Site Surgery

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07/05/2011

"Orange center part of wrong-site surgery prevention study" - The Orange County Register

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An Orange surgery center is among eight U.S. health care facilities working to reduce the problem of wrong-site surgeries. La Veta Surgical Center spent the past year participating in the safety project led by the nonprofit Joint Commission, an accreditation body that oversees more than 19,000 health care organizations. The objective was to collect data on the types of scheduling and pre-operative errors that can culminate in wrong site surgeries.

Related News: Wrong Site Surgery

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06/29/2011

"Joint Commission targets wrong-site surgery" - Modern Healthcare

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The Joint Commission has unveiled a list of potential causes of wrong-site surgery as well as customized solutions that organizations can use to prevent such events. The list is a project of the Center for Transforming Healthcare. National rates of wrong-site surgeries—which include wrong procedure, wrong side and wrong patient—can reach as high as 40 incidences a week, according to a Joint Commission news release.

Related News: Wrong Site Surgery

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06/29/2011

“Project slashes risks linked to wrong-site surgery" - DOTmed News

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Eight hospitals and surgery centers say a series of process-improvement measures using features from Lean Six Sigma were able to reduce the errors that can lead to surgeons mistakenly performing procedures on the wrong patient or body part. The project, designed by the Joint Commission, helped cut the number of process defects linked with wrong-site surgeries by as much as half for some parts of the surgical process.

Related News: Wrong Site Surgery

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06/29/2011

“Joint Commission Center for Transforming Healthcare Aims to Reduce Risk of Wrong-Site Surgery” - Infection Control Today

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Healthcare professionals and patients all agree that wrong site surgery is a serious and preventable adverse event that should never happen. Although reporting is not mandatory in most states, some estimates put the national incidence rate, which includes wrong patient, wrong procedure, wrong site, and wrong side surgeries, as high as 40 per week. Recognizing this as a critical patient safety issue, eight U S hospitals and ambulatory surgical centers teamed up with the Joint Commission Center...

Related News: Wrong Site Surgery

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06/29/2011

“Rhode Island Hospital: No wrong-site surgeries since 2009” - The Providence Journal

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New procedures aimed at preventing wrong-site surgery have proved effective at Rhode Island Hospital, Dr. Mary Reich Cooper, senior vice president and chief quality control officer for Lifespan Corporation, the hospital's parent company, said Wednesday during a teleconference sponsored by the Joint Commission Center for Transforming Healthcare. Lifespan is among the eight hospitals and ambulatory surgical centers around the country participating in a quality-control assessment...

Related News: Wrong Site Surgery

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06/29/2011

"Southern Nevada doctor part of effort to eliminate surgical errors" - Las Vegas Review-Journal

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The real-life medical dramas in the operating rooms at Seven Hills Surgery Center in Henderson all begin with this commanding call-to-order from a nurse: "LET'S START WITH A TIMEOUT." Then, when the only sound in the OR is the drone of medical equipment, members of the medical team stand near the patient and verbally go through a scripted checklist much like an airline pilot does before taking off.

Related News: Wrong Site Surgery

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06/29/2011

Center for Transforming Healthcare Aims to Reduce the Risk of Wrong Site Surgery

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Health care professionals and patients all agree that wrong site surgery is a serious and preventable adverse event that should never happen. Although reporting is not mandatory in most states, some estimates put the national incidence rate, which includes wrong patient, wrong procedure, wrong site, and wrong side surgeries, as high as 40 per week.

Related News: About the Center, Wrong Site Surgery

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06/29/2011

"6 Steps to Prevent Wrong-Site Surgery" - Becker’s ASC Review

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In June, the Joint Commission Center for Transforming Healthcare reported that despite intense efforts to curb wrong-site surgery, the adverse event still occurs approximately 40 times a week nationwide. Wrong-site surgery — which includes wrong procedure, wrong patient, wrong side and wrong site — was the third most common sentinel event reported in 2010. Linda Groah, CEO of AORN, discussed six ways hospitals and ambulatory surgery centers can prevent-wrong site surgery.

Related News: Wrong Site Surgery

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06/01/2011

"Drive Hand Hygiene Compliance with Dispenser Placement" Hand Hygiene Times Newsletter - Knowledge Segment, Volume 3-Issue 2

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During the past year The Joint Commission Center for Transforming Healthcare began to address and find solutions for quality and safety problems in healthcare. Teaming with nationally recognized hospitals, they implemented the Robust Process Improvement TM (RPI) methods and tools such as Lean Six Sigma that other industries have been using for years to improve quality, safety and efficiency.

Related News: Hand Hygiene

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05/26/2011

"Hand Hygiene Measurement and Education: Compliance improvement can be successful, sustained, and cost effective” Patient Safety & Quality Healthcare - May/Jun 2011

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Hand hygiene (HH) is one of the most effective practices that all individuals in a healthcare facility who deliver healthcare services and have direct contact with the patient (healthcare worker, or HCW) can perform to help prevent the spread of infection among patients. Measurement and feedback of HH performance encourages improvement. In the United States, HCWs are performing at or below 50% compliance even after monitoring has been implemented over a period of time.

Related News: Hand Hygiene

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05/19/2011

Becker’s ASC Review: High Reliability in Healthcare: Q&A with Dr. Mark Chassin of The Joint Commission

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Dr. Mark R. Chassin, MD, FACP, MPP, MPH, is president of The Joint Commission and also president of the Joint Commission Center for Transforming Healthcare. Previously, he was the Edmond A. Guggenheim Professor of Health Policy and founding chairman of the department of health policy at the Mount Sinai School of Medicine, New York, and executive vice president for excellence in patient care at The Mount Sinai Medical Center. He also served as commissioner of NY State Department of Health.

Related News: About the Center

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05/10/2011

Dr. Mark Chassin discusses the federal government's new patient safety initiative, Partnership for Patients, Modern Healthcare

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On this Modern Healthcare video news short, Joint Commission President Dr. Mark Chassin discusses the federal government's new patient safety initiative, Partnership for Patients, and how that program compliments the work of The Joint Commission and the Center for Transforming Healthcare.

Related News: About the Center

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05/04/2011

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