Prevention of wrong site surgery, retained surgical items, and surgical fires : a systematic review / prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Center, West Los Angeles, CA ; principal investigators, Susanne Hempel, Paul G. Shekelle ; co-investigators, Melinda Maggard Gibbons, David Nguyen, Aaron J. Dawes ; research associates, Isomi M. Miake-Lye, Jessica M. Beroes, Roberta Shanman.

Format:

Book

Government document

Author/Creator:

Hempel, Susanne, author.

Contributor:

United States. Department of Veterans Affairs. Health Services Research and Development Service, issuing body.

Quality Enhancement Research Initiative (U.S.)

West Los Angeles VA Medical Center. Evidence-Based Synthesis Program Center

Evidence-based Synthesis Program (U.S.)

Language:

English

Subjects (All):

Surgical errors--United States--Prevention.

Surgical errors.

Surgical instruments and apparatus--United States.

Surgical instruments and apparatus.

Medical errors--United States--Prevention.

Medical errors.

Surgery--United States.

Surgery.

Surgery, Operative--United States.

Surgery, Operative.

Medical Errors--prevention & control.

Surgical Procedures, Operative.

United States.

Medical errors--Prevention.

Surgical errors--Prevention.

Medical Subjects:

Medical Errors--prevention & control.

Surgical Procedures, Operative.

United States.

Physical Description:

1 online resource (iii, 113 pages) : illustrations

Place of Publication:

Washington, DC : Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service, September 2013.

Summary:

The VA National Center for Patient Safety has requested an evidence review to examine the prevalence and the root causes of wrong site surgery, retained surgical items, and surgical fires. The evidence review also evaluates current guidelines and the effectiveness of interventions for the prevention of these events. Studies examining VA-specific data were of special interest. The evidence synthesis will be used to develop a standardized, single, strong recommendation to VA facilities in the effort to eliminate these events. The key questions are: Key Question 1. What is the prevalence of: wrong site surgery, retained surgical items, and surgical fires? Key Question 2. What are the identified root causes of: wrong site surgery, retained surgical items, and surgical fires? Key Question 3. What is the quality of current guidelines in use to prevent wrong site surgery, retained surgical items, and surgical fires? Key Question 4. What is the effectiveness of the individually identified interventions for the prevention of wrong site surgery, retained surgical items, and surgical fires?

Notes:

"Evidence-based synthesis program."

"September 2013."

Includes bibliographical references (pages 88-104).

Description based on online resource; title from PDF cover (VA, viewed April 14, 2021).

OCLC:

919860287