This paper aims at evaluating a surgical guideline as recommended by the Universal Protocol created by the Joint Commission on Accreditation of Healthcare Organizations JCAHO. The universal protocol aims at preventing wrong site, wrong procedure, and wrong person surgery. To…
The universal protocol for preventing wrong site, wrong procedure and wrong person surgery was approved by the Joint Commission Board of Commissioners in July 2003. However, it took one year before it was effective in July 1, 2004 for all accredited hospitals, ambulatory care and office-based surgery facilities. There was an increasing and continuing occurrence of wrong site, wrong procedure and wrong person surgery that prompted the creation of the universal protocol of the Joint Commission. The university protocol incorporated a series of requirements under the Joint Commission’s 2003 and 2004 National Patient Safety Goals. The universal protocol involves a number of steps, viz:
1.) A preoperative verification process which entails verifying a checklist to confirm that the relevant and appropriate documents (e.g., medical records, imaging studies) are available. Preferably, this process should take place when the patient is awake and aware.
3.) “Time-out” or “Surgical Pause” immediately before starting the procedure. This process helps the surgeons to correctly identify the correct patient, procedure and site (Joint Commission, 2003). In hospitals and surgical centers, it should always be ensured that the patient feels safe and confident. This can be possible through the use of the universal protocol. Nurses who are involved in this should help maintain patient safety by utilizing the universal protocol.
In the search strategy, databases used were from Jacksonville University online resources. The databases included EBSCO and ScienceDirect. Both PubMed and CINAHL PLUS databases were systematically searched between 1990 and March 2007 to identify both theoretical and empirical data that discussed the implementation process for the universal protocol recommendations. Searches were also conducted from January 1, 1999- ...
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To enable this, I am going to critically examine a number of published articles regarding the same. All the articles to be analyzed share the components of the universal protocol: teamwork, communication and the goal of the overall safety of the patient. This paper finds out that effective implementation of the Universal Protocol significantly reduces cases of wrong site, wrong procedure, and wrong person surgery.
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