While VA Wrong Surgery Rates Drop, Close Calls Rise
The VA has since updated its procedure directives, "adding greater specificity such as the attending surgeon must personally confirm the position of the spine marker, there must be read-back on implants, and the operative site must be marked prior to anesthesia providers performing regional nerve blocks," they wrote.
"The rate of reported adverse events and harm decreased while close calls increased," they summarized. "Current plans and actions include sharing lessons learned from root cause analyses, policy changes" and additional MTT training.
Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
- CEO Exchange: Preparing for Population Health
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Better HCAHPS Scores Protect Revenue
- Narrow Networks Cut Costs, Not Quality, Economists Say
- 3 Strategies for Retaining Millennial Employees
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- Two NY hospitals to offer free hip and knee replacement surgeries for qualifying patients in December
- Hospital mergers may lead to higher prices
- 'Early Offer' Malpractice Programs May Spur Reform
- EHR Systems 'Immature, Costly,' AMA Says