Sketch Patch
Sketch Patch
It seems a little bit amazing just to think that the doctors can operate in the wrong site. The informations tell us than this kind of mistake occur more than we think.
- 21% of hand surgeon have admitted to performing a wrong-site surgery in their career.
- 25% of orthopedic surgeons and 25% of neurosurgeons will be involved in a wrongsite surgery during a 25 year career.
- 5 anesthesia wrong-site blocks occur 5x for every 10,000.
- Occur 40 times a week in the U.S.
- The average of mortality rate associated with wrong-site surgeries, is 8% with 41% resulting in permanent injury.
- A hospital can expect to have at least one wrong-site surgery every 5-10 years.
Contents: Temporary body sticker, wet wipe, surgical marking pen.
Instructions for se:
- 1. Clean the correct operative spot.
- 2. 2. Peel off the transparent protective film from the temporary body sticker.
- 3. 3. Apply the temporary body sticker with the sticky colored part facing the skin.
- 4. 4. Take out the wet wipe, unfold it and place it on the temporary body sticker so that it completely covers it. Slightly press for 30 seconds, then take off the white paper carefully. If the white paper does not come off easily, moisten the wipe with clean water and repeat step 4.
- 5. Let the temporary body sticker dry for 3 minutes.
- 6. Each member of the team including the patient must place their initials or personal mark in the respective space, indicating that this is the correct operative spot. In case the patient does not reach the place, they must be assisted by a member of the team to place his…her initials or mark.
- 7. The temporary body sticker must be completely removed before the surgery by carefully scrubbing or cleaning the area with an anticeptical solution.
Discontinue use if an allergic reaction occurs. emo e the temporary o y sticker completely, using a gauze with clean water.
FINANCIAL / ADMINISTRATIVE COST
| Description | Cost |
|---|---|
| Average malpractice payment for one wrong-site surgery. | $ 156,281.00 |
| Lost reimbursement for original cost + cost to repair. | $ 28,259.00 |
| Value-Based CMS penalties. | $ 2,551,810.00 |
| TOTAL | $ 2.736.350,00 |
| In cases resulting death. | $ 3.736.350,00 |
WRONG SITE SURGERIES OCCUR 40x A WEEK
Each wrong-site event can cost a hospital up to $3.7M in penalties, malpractice payments, and loss of reimbursement for the mistake, add the cost of medical care to fix the error. From a malpractice perspective, wrong-site surgeries are indefensible and most claims are paid before trial.
Commissions
The Joint Commission exposed a serious problem when it wrote than wrong-site surgeries occur at least 40 times a week in the U.S.A. and that number increase each year.
Orthopedic
1 in 4 orthopedic surgeons will commit a wrong-site error.
Surgeons
21% of hand surgeons report having a wrong-site surgery at least once in their career.
DAMAGED REPUTATION
LWrong-site surgical erros are considered “NEVER EVENTS” by the Center for Medicare
Studies 
. After an event, hospitals are required to conduct a comprehensive systems
analysis of the error and in loss of accreditation by the Joint Commission an Medicare
reimbursement.
- 8% motalilty and 41% permanent injury. A study of malpractice claims reveals that wrong-site surgeries carry a 8% mortality rate, and 41% of patients suffer permanent injury.
- Top 3 errors reported to the Joint Commission, over 15 years is the wrong-site surgeries.
WHY WRONG-SITE SURGERIES HAPPEN´S?
SPEED
Often the operative personal sacrificed safety for speed. Sometimes steps for confirming the correct operative site are skipped.
FATIGUE
Long periods of work of the operative personal, a lot of times are the reazon for the wrong-side surgeries.
SPECIALIZED ROOMS
Many room have become uniquely sided, wich can lead to inadvertent wrong-sided surgical errors.
RIGHT OR LEFT SIDE?
Many people are prone to confusing right with left. Also personnel can be confused when patients are turned around.To operate on the back of someone´s leg, the surgeon may turn the patient from spine to prone, and so left becomes right.
MARKING THE WRONG PLACE.
The most common factors that cause a wrong-site surgery comes from incorrect pre-operative surgical markings.
IMPROVED COMPLIANCE WITH JOINT COMMISSION STANDARDS
Joint Commission Standards Regarding Site Verification. The Universal Protocol applies to all surgical and nonsurgical invasive procedures and is based on the following principles:
Approach
A robust approach using multiple, complementary strategies is necessary to achieve the goal of always conducting the correct procedure on the correct person, at the correct site.
Effective Methods
Active involvement and use of effective methods to improve communication among all members of the procedure team are important for success.
Participation
To the extent possible, the patient and (as needed) the family are involved in the process.
Protocols
Consistent implementation of a standardized protocol in most effective in achieving safety.
PATIENT SAFETY, SITE MARKING, AND THE UNIVERSAL PROTOCOL.
Sketch PATCH complies with all standards required for the Joint Commission.
1 Standard
Sketch PatchCorrect patient position
2 Standard
Sketch PatchAgreement on the procedure to be done.
3 Standard
Sketch PatchConfirmation that the correct side and site are marked.
4 Standard
Sketch PatchAn accurate procedure to be done.
5 Standard
Sketch PatchIt involves the immediate members of the procedure team.
Contact Us
Any question you have, you can let us know.