![]() Other problems include ambivalent compliance, lack of engagement, distractions, mislabeled or wrong medical images, omitting one or more of the checklist elements, and a deficient patient safety culture. The most egregious obstacle is failure to perform a time-out (Dillon, 2008). There are a number of challenges in the prevention of incorrect invasive procedures. The facilitation of an effective time-out requires leadership, teamwork, and communication skills (Blanco, Clarke, & Martindell, 2009). Time-out elements include proper verification of patient identity informed consent procedure site and laterality medical images and confirmation of the site mark within the sterile field (Dillon, 2008). The Universal Protocol includes the pre-procedure verification of patient identification and the procedure to be performed confirmation of proper informed consent marking of the procedure site and performance of a purposeful “time-out.” Guided by a checklist and facilitated by two providers, time-outs in the form of a face-to-face discussion occur just prior to every invasive procedure performed. ![]() In an effort to prevent incorrect invasive procedures, The Joint Commission mandates that teams follow the Universal Protocol prior to performing an invasive procedure (Dillon, 2008 Norton, 2007). Patients suffer preventable harm, staff may be censured and emotionally traumatized, and healthcare organizations experience a loss of public reputation and trust. ![]() Although rare, with a reported incidence of 1 in 112,994 cases, incorrect invasive procedures have potentially disastrous consequences for patients, staff, and healthcare organizations (Dillon, 2008). Incorrect surgery and invasive procedures sometimes occur on the wrong patient, wrong side, or wrong site are performed at the wrong level use the wrong implant or in some way represent a wrong procedure on the correct patient. ![]() Paull, MD, MS Linda Williams, RN, MSI and David M. ![]()
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