Patient Compliance in Avoiding Wrong-Site Surgery

DiGiovanni, Christopher W.; Kang, Lana; Manuel, Jennifer

doi:10.2106/00004623-200305000-00007

Cited by 63 publications

(34 citation statements)

References 11 publications

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“…Patients' compliance with preoperative instructions to mark the surgical site for the prevention of wrong-site surgery was investigated by Di Giovanni, Kang, and Manuel (2003). Patients were advised to mark the extremity not to be operated on as part of general preoperative instructions before elective surgery.…”

Section: Attitudes Toward Participationmentioning

confidence: 99%

Review: Engaging Patients as Vigilant Partners in Safety

2009

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Several initiatives promote patient involvement in error prevention, but little is known about its feasibility and effectiveness. A systematic review was conducted on the evidence of patients' attitudes toward engagement in error prevention and the effectiveness of efforts to increase patient participation. Database searches yielded 3,840 candidate articles, of which 21 studies fulfilled the inclusion criteria. Patients share a positive attitude about engaging in their safety at a general level, but their intentions and actual behaviors vary considerably. Studies applied theories of planned behavior and indicate that self-efficacy, preventability of incidents, and effectiveness of actions seem to be central to patients' intention to engage in error prevention. Rigorous evaluations of major educational campaigns are lacking. Interventions embedded within clinical settings have been effective to some extent. Evidence suggests that involvement in safety may be successful if interventions promote complex behavioral change and are sensitively implemented in health care settings.

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Section: Attitudes Toward Participationmentioning

confidence: 99%

Review: Engaging Patients as Vigilant Partners in Safety

2009

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“…However, a study of orthopedic patients showed that overall 41% of patients failed to comply with preoperative instructions to mark their surgical site correctly. 20 Therefore, we cannot consistently rely on patients or their families to identify the biopsy site for surgery.…”

Section: Discussionmentioning

confidence: 99%

Site identification challenges in dermatologic surgery: A physician survey

Nemeth

Lawrence

2012

Journal of the American Academy of Dermatology

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“…2 Despite continuing efforts of the health care industry to use measures to prevent WSS, this devastating error persists. 6 The existing system could benefit from modifications that improve the team approach of the preoperative doctor-patient interaction. Many surgeons have advocated that patients mark their own contralateral, nonoperative limb with a "NO"; however, there is evidence to suggest that a surprisingly large number of patients do not comply with specific preoperative instructions created explicitly to prevent WSS.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Wrong-Site Surgery Among Foot and Ankle Surgeons

Schweitzer

Brimmo

May

et al. 2010

Foot & Ankle Specialist

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In 1998, the American Academy of Orthopaedic Surgeons initiated the "sign your site" campaign to address the issue of wrong-site surgery (WSS). Using a confidential online survey sent to 1094 active members of the American Academy of Foot and Ankle Surgeons, the authors assessed participation in the "sign your site" campaign and the occurrence of WSS encountered during their careers. A total of 319 responses were received (response rate = 29.2%). In all, 41 of 310 respondents (13%) reported performing WSS at least once, with 4 surgeons (1%) reporting the occurrence twice in their careers; 70 of 310 (23%) surgeons reported that they had prepped the wrong surgical site, but the error was recognized prior to making an incision. In all, 302 of 309 respondents (97.7%) reported that they were aware of the "sign your site" initiative. Since the introduction of the campaign, significantly more (89.2% vs 49.2%) foot and ankle surgeons routinely mark the surgical site (P < .001). The Joint Commission revised the universal protocol for surgical site verification requiring an individual directly involved in a surgical procedure to mark the site as of January 1, 2009. The authors believe this revision will lower the incidence of WSS further.

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Patient Compliance in Avoiding Wrong-Site Surgery

Cited by 63 publications

References 11 publications

Review: Engaging Patients as Vigilant Partners in Safety

Review: Engaging Patients as Vigilant Partners in Safety

Site identification challenges in dermatologic surgery: A physician survey

Incidence of Wrong-Site Surgery Among Foot and Ankle Surgeons

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