At the 2011 Orthopedic, Spine and Pain Management-Driven ASC Conference in Chicago, Ray Grundman, senior director of external relations and accreditation surveyor at AAAHC, outlined the most common accreditation problems plaguing orthopedic, spine and pain management-driven ambulatory surgery centers.
He said one of the most common deficiencies is adequate “time outs.” Time outs are designed to help ensure the right procedure, the right site and right patient before surgery begins. Mr. Grundman said ASC time outs are oftentimes inadequate due to inaudible confirmations about procedure, site or patient; an inattentive team; multiple conversations and activities taking place at the same time; or missing team members.
In order to prevent a citation for inadequate time outs, Mr. Grundman suggested the lead surgeon or procedurialist call the time out or utilize a checklist to ensure all safety items have been addressed. Mr. Grundman added that time outs should be applied to all invasive procedures, including nerve blocks.
Another standard that orthopedic, spine or pain-driven ASCs commonly struggle with is cross-infection reduction practices. Opening all sterile trays at the beginning of the work day and covering them with a sterile drape is not sufficient to prevent cross-infection, Mr. Grundman said. In addition, multi-dose vials must be accessed away from the patient area with a new, single-use syringe or needle. Vials also cannot be transported or stored in clothing or pockets.
Medication error prevention is also a challenging factor among ASCs. Look-alike and sound-alike drugs must be adequately marked in order to prevent a medication error, and emergency carts must be marked as high-risk areas. Mr. Grundman suggested using bright colors, labels and locks as safeguards against medication error.
Related Articles on Quality:
NQF Releases Updated List of 29 Serious Reportable Events
Dr. Peter Pronovost Named Director of Johns Hopkins New Patient Safety Center
Delaware Lawmakers Argue Over Authorship of Medical Accreditation Bill
He said one of the most common deficiencies is adequate “time outs.” Time outs are designed to help ensure the right procedure, the right site and right patient before surgery begins. Mr. Grundman said ASC time outs are oftentimes inadequate due to inaudible confirmations about procedure, site or patient; an inattentive team; multiple conversations and activities taking place at the same time; or missing team members.
In order to prevent a citation for inadequate time outs, Mr. Grundman suggested the lead surgeon or procedurialist call the time out or utilize a checklist to ensure all safety items have been addressed. Mr. Grundman added that time outs should be applied to all invasive procedures, including nerve blocks.
Another standard that orthopedic, spine or pain-driven ASCs commonly struggle with is cross-infection reduction practices. Opening all sterile trays at the beginning of the work day and covering them with a sterile drape is not sufficient to prevent cross-infection, Mr. Grundman said. In addition, multi-dose vials must be accessed away from the patient area with a new, single-use syringe or needle. Vials also cannot be transported or stored in clothing or pockets.
Medication error prevention is also a challenging factor among ASCs. Look-alike and sound-alike drugs must be adequately marked in order to prevent a medication error, and emergency carts must be marked as high-risk areas. Mr. Grundman suggested using bright colors, labels and locks as safeguards against medication error.
Related Articles on Quality:
NQF Releases Updated List of 29 Serious Reportable Events
Dr. Peter Pronovost Named Director of Johns Hopkins New Patient Safety Center
Delaware Lawmakers Argue Over Authorship of Medical Accreditation Bill