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ASA NEWSLETTER
 
 
February 2004
Volume 68
Number 2

Administrative Update


Not an Urban Myth

Eugene P. Sinclair, M.D.

Eugene P. Sinclair, M.D.


For many years, I regarded wrong-site surgery as urban mythology. In my mind, both were tales of appalling events that had never happened; they were fiction, complete fabrication, never authentic. On April 1, 1984, a friend told me about his uncle, a successful businessman and, despite blindness in one eye secondary to a childhood injury, top-notch golfer who twice had been the Wisconsin amateur champion. Because the blind eye had become painfully diseased, his uncle agreed to its surgical removal. After surgery he awoke to total darkness and asked where he was. The surgeon answered, “Mr. ______, I made a terrible mistake.” I promptly told my friend that he had terrible taste in his choice of April Fool’s pranks. Sadly this gut-wrenching story was true.

Wrong-site surgery is not urban mythology. Although measuring its true incidence is elusive, it occurs with distressing, preventable frequency. A 1997 American Academy of Orthopaedic Surgeons (AAOS) task force estimates that an orthopedic surgeon has a 1-in-4 chance of performing a wrong-site operation in a 35-year career. From January 1995 to May 2003, 11.8 percent of 2,034 sentinel events investigated by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) were wrong-site operations. The ratio of self-reported cases to nonself-reported cases was 1:2. The New York State Department of Health received reports of 46 wrong-site surgeries during the first two years of mandatory reporting. Estimates of the number of cases range from 200 to 1,000 cases per year in the United States.

Factors associated with wrong-site surgery are listed in the table. Note that incompetence and malevolence are not factors. Wrong-site surgery is a systems problem. It is a preventable error that requires a team approach. The name/blame/shame technique of the past will not work.

Organized medicine in the United States has undertaken initiatives to prevent this tragic complication. Since the mid 1990s, AAOS has promoted its “Sign Your Site” and “Pause for the Cause” programs to the profession and the public. In October 2002, the American College of Surgeons (ACS) Board of Regents approved guidelines for avoidance of wrong-site surgery. It requires the surgeon to mark the surgical site in the case of a bilateral organ, limb or anatomic site prior to the patient being given narcotics, sedation or anesthesia and to conduct a final verification process with members of the surgical team to confirm the correct patient, procedure and surgical site. Among its other requirements is verification that the correct procedure is recorded on the operating room schedule and that the correct patient is taken to the operating room. The full statement was published in the December 2002 Bulletin of the American College of Surgeons.

On May 9, 2003, I was privileged to represent ASA at a Summit Conference on Wrong-Site Surgery sponsored by JCAHO, ACS AAOS, the American Medical Association, the American Hospital Association, the American College of Physicians and the American Dental Association. More than 40 organizations participated in the development of strategies to prevent wrong-site surgery. The product of this meeting resulted in the Universal Protocol™ announced in a JCAHO December 2, 2003, press release that addresses:

1. Preoperative verification process

2. Marking the operative site

3. “Time-Out” for surgical team to make sure all members agree upon the identity of the patient, procedure and site.

The JCAHO press release and Universal Protocol™ are available on the ASA Web site at <www.ASAhq.org/news/jcahoalert120403.htm> and are covered in detail in this issue’s “Practice Management” column. A more thorough discussion of incidence and contributing factors can be found in the 2003 ASA Annual Meeting Abstract #A-1355 authored by Samuel C. Seiden, a medical student who participated in the JCAHO summit.



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