Surgery and procedures
In the years following the implementation of the adverse health event reporting law, wrong-site surgery and procedures (the wrong procedure being performed, or a procedure being performed on the wrong body part or patient) were on the rise.
An analysis of the data and root cause analyses showed that these events were primarily a breakdown in following basic best practices. In response, in 2007, Minnesota Hospital Association initiated the Call to Action framework for SAFE SITE. Like MHA’s other Calls to Action, it provides a road map of best clinical practices and a tool kit to implement the road map recommendations. The SAFE SITE road map builds on the Institute for Clinical Systems Improvement (ICSI) Safe Site Surgical Protocol. The initial efforts were focused on the operating room, but have expanded to include anesthesia, radiology, CV lab, endoscopy, bedside procedures, the emergency department, clinic settings and radiation therapy.
Download the Surgery road map.