Assignment: Wrong Person Surgery

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Assignment: Wrong Person Surgery

Assignment: Wrong Person Surgery

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National Patient Safety Goals for other types of healthcare providers can be accessed via The Joint Commission website at

In conjunction with the NPSGs, The Joint Commission also introduced the Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery. The Universal Protocol applies to all surgical and invasive nonsurgical procedures and requires that hospitals conduct a preprocedure verification process, mark the procedure site, and perform a time-out before the procedure (Joint Commission 2016).

The Joint Commission’s 2016 hospital accreditation manual featured a new chapter entitled “Patient Safety Systems,” the stated intent of which was “to provide health care organiza- tions with a proactive approach to designing or redesigning a patient-centered system that aims to improve quality of care and patient safety, an approach that aligns with the Joint Commission’s mission and its standards.” The new chapter reflects the Joint Commission’s understanding that patient safety and quality are “inextricably linked” (Joint Commission 2016, PS-1).

effects of QuAlIty on ProfItAbIlIty Deming and others have long argued that quality improvements lead to higher profitability. Deming introduced the following chain reaction analogy: Improvements in quality (fewer errors) lead to improvements in productivity, which lead to lower costs, which lead to lower prices, which lead to improved market position, which leads to increased volumes, which lead to increased profit (Deming 1982).

Significant evidence shows that improved quality has led to improved profitability in healthcare. Solucient ranked the nation’s top 100 hospitals using clinical measures (now ranked by Truven Health Analytics—an IBM Company). In 2003, Modern Healthcare for the first time reported financial data for the top 100 hospitals. These hospitals consistently out- performed their peer group hospitals on both the clinical and financial measures.

orgAnIzAtIonAl etHIcs And HeAltHcAre fInAncIAl mAnAgement The Joint Commission and healthcare profes- sional associations such as ACHE and HFMA







00_Nowicki (2339) Book.indb 13 5/17/17 10:57 AM

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