Norton Elizabeth
Children's Hospital Boston, Mass., USA.
AORN J. 2007 Jun;85(6):1187-97. doi: 10.1016/j.aorn.2007.03.002.
Beginning in July 2004, Joint Commission-accredited hospitals were required to adhere to the Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery by implementing time outs and site verifications for all invasive procedures. At Children's Hospital Boston, Mass, this requirement necessitated extensive editing of the existing time out and site verification policy and the development of a hospital-wide implementation plan. The Hospital's Universal Protocol champion developed an action plan that involved including nurse and physician representatives from each target area; rolling out the policy; creating materials for advertising the policy; and formulating an education, monitoring, and evaluation plan.
从2004年7月开始，获得联合委员会认证的医院必须通过对所有侵入性手术实施暂停程序和部位核查，来遵守《防止手术部位、手术程序、手术对象错误通用协议》。在马萨诸塞州波士顿儿童医院，这一要求使得对现有的暂停程序和部位核查政策进行大量修订，并制定一项全院范围的实施计划成为必要。该医院的《通用协议》倡导者制定了一项行动计划，其中包括吸纳每个目标领域的护士和医生代表；推行该政策；制作宣传该政策的材料；以及制定一项教育、监督和评估计划。
