Minnesota Hospital Association

Quality & Patient Safety

May 11, 2012

Implant Verification Alert

Implant Verification

Close to 40% of wrong surgeries/procedures reported under the Minnesota Adverse Event Reporting Law last year (Oct. 7, 2010 -Oct. 6, 2011) were related to wrong implants.

Review of reported wrong procedure events involving implants indicated issues with verification of the correct implant at each step of the process including:

  • Scheduling
  • Requesting the implant(s)
  • Pulling the implant(s) prior to case
  • Team Briefing
  • Pre-procedure verification
  • Time Out
  • Selecting implant(s) from case cart

In January of 2007, a Minnesota Safety Alert was issued related to preventing wrong eye/wrong lens procedures.

The Minnesota Department of Health and Minnesota Hospital Association have reviewed: 1) the root cause analyses from wrong procedure events occurring this past year involving implants; and 2) national and local best practices to develop a set of recommendations for implant verification. The recommendations include verifications steps for:

  1. Intraocular implants (IOL)
  2. Other implants — when implant is known prior to the case
  3. Other implants — when implant is not known prior to the case, e.g. hip or knee replacements.

For more information on this alert, contact Julie Apold, MHA director of patient safety, 651- 641-1121 or toll-free at 800-462-5393 or Rachel Jokela, adverse health event program director, MN Department of Health,  651-201-5807.

Sallee
Tuesday, September 26, 2023 1:15 PM
https://gamblingsites.pro/online-roulette/
Paulsen
Thursday, September 28, 2023 6:53 AM
https://gamblingsites.pro/texas-hold-em/
Daniel
Thursday, September 28, 2023 2:05 PM
https://gambleonline.guru/
Parramore
Thursday, September 28, 2023 11:36 PM
https://casinosnearme.guru/
Lahey
Saturday, September 30, 2023 9:55 PM
https://gamblingsites.pro/florida/
Mattingley
Sunday, October 1, 2023 3:43 PM
https://gamblingsites.pro/california/
Brewster
Monday, October 2, 2023 10:02 AM
https://bettingonline.plus/
Sanmiguel
Wednesday, October 4, 2023 3:15 AM
https://onlinebetting.support/
Moulden
Wednesday, October 4, 2023 4:19 PM
https://realcasinoshub.com/
Edward
Wednesday, October 25, 2023 3:26 AM
https://onlinegamblingme.com/casino/real-money-roulette/
Sorensen
Wednesday, November 1, 2023 3:37 PM
https://casinosonlinereal.money/slots/
kaiseonline
Sunday, December 10, 2023 2:00 PM
It is said, prevention is always better than cure and the steps taken by you will really help in developing a new process which will bring a change in the work culture of the concerned experts... Thanks!

Post Comment

Name (required)

Email (required)

Website

-->