[Insight-users] Need help with orientation of images : Wrong-site surgery

[John Biddiscombe]

Luis

> Here are some links that you may find interesting.

Thanks very much. I can't believe you went to such trouble to find so many
links. I hope you had this list already prepared.

Cheers.

JB


>
> Probably the best reference is the one from JCAHO.
> Notice that the percent in this case will be around
> 12% instead of 2%.
>
>
> Regards,
>
>
>     Luis
>
>
> ----------------------------------------------------
>
> A) Report from the Institue of Medicine
>
>     "To Err is Human: Building a Safer Health System"
>
>          http://www.nap.edu/openbook/0309068371/html/
>
>
>    "Based on the findings of one major study, medical errors kill some
>     44,000 people in U.S. hospitals each year. Another study puts the
>     number much higher, at 98,000. Even using the lower estimate, more
>     people die from medical mistakes each year than from highway
>     accidents, breast cancer, or AIDS."
>
>
>
> B) from the Joint Commision on Accreditation of
> Healthcare Organizations.
>
>              http://www.jcaho.org/
>
>     Statistics on causes of wrong site surgery
>
http://www.jcaho.org/accredited+organizations/ambulatory+care/sentinel+events/rc+wrong+site+surgery.htm
>
>     Statistics on number of wrong side surgery (reported)
>
http://www.jcaho.org/accredited+organizations/ambulatory+care/sentinel+events/se_trends_wrgsite_events.htm
>     Note that the scary aspect here is that
>     most medical errors are unreported...
>
>     Wrong side surgery events as a percent of reported
>     medical errors.
>
http://www.jcaho.org/accredited+organizations/ambulatory+care/sentinel+events/set+wrong+site+surgery.htm
>
>     An overview of the events for which this organization
>     collect statistics.
>
http://www.jcaho.org/accredited+organizations/office+based+surgery/sentinel+events/se_stats.pdf
>
>     An HTML version is here.
>
http://www.jcaho.org/accredited+organizations/ambulatory+care/sentinel+events/sentinel+event+statistics.htm
>
>     Note that the percents are computed over the number
>     of events collected and some of the events may not
>     be what we considered "medical errors", for example:
>     "patient suicice" which surprisingly accounts for 15%
>     of the collected events.
>
>
>     Here is the Universal Protocol for preventing wrong
>     side surgery.
>
http://www.jcaho.org/accredited+organizations/patient+safety/universal+protocol/universal+protocol.pdf
>
>
>
>
> C) From the Association of Operating Room Nurses
>     http://www.aorn.org/about/positions/correctsite.htm
>
>
>
> D) From the US Department of Veterans Affairs
>     "Ensuring correct surgery" directive
>     http://www.patientsafety.gov/CorrectSurgDir.pdf
>
>
>
> E) From the American Academy of Orthopaedic Surgeons
>     http://www.aaos.org/wordhtml/papers/advistmt/1015.htm
>     (with a checklist protocol for preventing wrong side
>      surgery).
>
>     Report of the Task Force on Wrong-Site surgery
>     http://www.aaos.org/wordhtml/meded/tasksite.htm
>
>
> F) From the North American Spine Society
>     http://www.spine.org/smax.cfm
>     Prevention of Wrong-Site surgery
>
>
> G) "Indicednce of wrong-site surgery among hand surgeons"
>     J. Bone Joing Surg.
>
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12571293&dopt=Abstract
>
>
>
>
> --------------------------------------------------------------
> John Biddiscombe wrote:
>
> >>But.. this is *very* dangerous ! Note that 2% of the
> >>(reported) medical errors in the US are "wrong side"
> >>surgery. (e.g. operating on the left side instead of the
> >>right side.).
> >
> >
> > Luis,
> >
> > Do you have a source/reference for this comment? I'm responsible for
> > making sure our images ar the right way round from various formats and
> > I'd like to quote something this in some internal docs.
> >
> > Any idea where I could find this mentioned that's referenceable.
> >
> > Thanks
> >
> > JB
> > _______________________________________________
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> > Insight-users at itk.org
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> >
>
>
>
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