Art Horoscopy Case Study

Question 2:
In the event where the arthroscopy was performed on the wrong knee of the patient, there could have been many measures that could have been conducted prior to the surgery to avoid this event. To avoid or prevent medical errors like this one, it is necessary to implement a system or a proper check list to ensure the understanding of the process between the patient, the surgeon, and the medical staff. In something as complex as surgery, it is not just one person that is involved. It is a group of people, starting from the person registering the patient, pre-op nurses, anesthesiologist, technicians, surgeons. All of them need to work together as a team to provide a good outcome. It is essential that each one of the professionals
This practice determines causes and finds ways to lessen probable errors for future procedures. In this specific case, the RCA team identified various causes for the wrong surgery event. For example, the surgeon failed to provide a copy of the patients history and physical examination to the hospital at least 72 hours prior surgery. Since this didn’t happen, the person in charge of scheduling was not able to check the accuracy of the surgery before the patient arrived, The nurse also relied on what was written on the surgical schedule instead of reading the patients history and physical report. The doctor marked the right knee but the nurse had her mind already set that the left knee was going to be the one in need of surgery, so the nurse didn’t notice that the right knee was marked and the surgeon didn’t notice that he was operating the wrong knee. The Joint Commission stimulates health facilities to conduct an RCA after accidents had happened or an extreme incident that had threatened the well-being of the patient not resulting in death. The purpose of RCA is to help to minimize medical errors and investigate new techniques that help to prevent these adverse
This means verify that they have the correct person for the procedure, the type of procedure itself, and verify this information once more with the patient. Another strategy is marking the operative site with a permanent marker that could be visible enough after the skin has been prepped, this helps identify the surgeon which site needs to be operated. Taking the time out with all the team members before procedure allows verification of which site will be operated, verify the patient’s identity, correct site etc. Adapting the requirements to all procedures settings should be consistent throughout all the facility, not just the OR (Ridge, 20008). If the hospital implements these strategies, it will help prevent future similar