Dunn Debra
St Joseph's Wayne Hospital, NJ 07470, USA.
J Perianesth Nurs. 2006 Oct;21(5):317-28; quiz 329-31. doi: 10.1016/j.jopan.2006.07.005.
Performing the correct procedure on the correct patient has always been of prime importance to all health care providers. For the past six years, it has been a patient safety initiative priority of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Before JCAHO took the lead in this arena, however, health care facilities handled this issue with individualized policies and procedures. This became problematic because physicians practice in multiple institutions that could have conflicting policies, which could confuse the issue. This case study presents the evolution of the surgical side marking and site verification policy at St Joseph's Wayne Hospital, Wayne, NJ. It has been a painful process, requiring numerous policy rewrites with updated information as prescribed by JCAHO. Enforcing physician compliance and continually re-educating nurses with each new JCAHO change proved challenging. The marking of surgical sides and verification of all sites, however, has proven to be a collaborative effort with safe patient outcomes as the shared goal.
对所有医疗服务提供者来说，在正确的患者身上执行正确的程序一直至关重要。在过去六年里，这一直是医疗组织认证联合委员会（JCAHO）患者安全倡议的重点。然而，在JCAHO在这一领域发挥带头作用之前，医疗机构通过个性化的政策和程序来处理这个问题。这就产生了问题，因为医生在多个机构执业，而这些机构的政策可能相互冲突，这会使问题变得混乱。本案例研究展示了新泽西州韦恩市圣约瑟夫韦恩医院手术部位标记和部位核查政策的演变过程。这是一个痛苦的过程，需要根据JCAHO的规定，随着信息的更新多次重写政策。事实证明，要让医生遵守规定，并随着JCAHO的每次新变化不断对护士进行再培训是一项挑战。然而，手术部位的标记和所有部位的核查已被证明是一项需要各方协作的工作，其共同目标是实现患者的安全结局。
