Accreditation

Proposed changes would make doctors mark the site

Ambulatory Quality and Compliance Insider, July 1, 2008

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The Joint Commission’s proposed changes to the Universal Protocol would make the National Patient Safety Goals (NPSG) much more prescriptive than they have been and require significantly more documentation.

Perhaps most important of the proposed changes is the requirement that a staff member directly involved with performing the procedure mark the surgery site with his or her initials.

“Most controversial is the insistence on having the surgeon mark the site,” says John Clarke, MD, professor of surgery at Drexel University in Philadelphia, clinical director for patient safety and quality initiatives at the ECRI Institute in Plymouth Meeting, PA, and clinical director of the Pennsylvania Safety Authority.

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