Abstract
Wrong person, wrong site, and wrong procedure of the operation are uncommon adverse events, but these are very shocked at the occurrence of them. The purpose of this study is to clarify the usefulness of “5 steps” in the Veterans Affairs in U.S.A. to correct surgery. At the days to hours before procedure, the consent form is administered and executed properly and the consent form must include patient's full name, procedure site, name of procedure, and reason for procedure (Stepl), and the operative site is marked (Step 2). Just before entering operating room or treatment room, the patient is actively identified using required techniques (Step 3) and operating staff must confirm the patient's full name, date of birth and marking site. Immediately prior to procedure, a “time out” briefing is conducted in the operating room prior to starting the operation or invasive procedure, and operating staff must confirm the presence of the correct patient, the correct site has been marked, operating procedure and the availability of the correct implant, if applicable (Step 4). Finally, two or more members of the operating team review imaging data prior to the surgical procedure (Step 5) and confirm that the images are correct and properly labeled.
Because of simple intervention and priceless, this method will be very contributable if misidentification of patients, inappropriate surgery are to be reduced.
