|Title:||Correct patient, correct procedure and correct site surgery policy and guidelines|
|Document ID:||Operational Circular OP 1933/05|
|Date of issue:||Thursday, 31 March 2005|
|Status:||NO LONGER APPLICABLE|
|Description:||The Correct Patient, Correct Site and Correct Procedure Policy and Guidelines have been developed the to reduce the risk of wrong site surgical, medical, radiology and oncology procedures in WA health services. The Correct Patient, Correct Site and Correct Procedure Policy and Guideline is applicable or adaptable to all surgical and clinically invasive procedures that potentially expose patients to harm, including diagnostic procedures and those procedures performed in settings other than the operating room.|
|Applicable to:||Doctors, nurses and health service administrators|
|Period of effect:||from 29 March 2005|
|Authorised by:||Dr Brian Lloyd, Chief Medical Officer, Department of Health, 23-Mar-2005|
|Print version:||View print version|
Correct patient, correct procedure and correct site surgery policy and guidelines
In April 2004 Australian Health Ministers endorsed the Australian Council for Safety and Quality in Health Care's 'correct patient, correct site, correct procedure' protocol, which has been endorsed by the Royal Australasian College of Surgeons.
Health Ministers also agreed in April 2004 that:
THE WESTERN AUSTRALIAN CORRECT PATIENT, CORRECT SITE AND CORRECT PROCEDURE POLICY AND GUIDELINES
The WA Council for Safety and Quality in Health Care and Office of Safety and Quality in Health Care have jointly developed a 'correct patient, correct site and correct procedure' policy and guidelines to reduce the risk of wrong site surgical, medical, radiology and oncology procedures in WA health services. This policy and guideline is consistent with the Royal Australasian College of Surgeons' 'correct patient, correct site, correct procedure' guidelines.
The WA 'correct patient, correct site and correct procedure' policy and guidelines applies to all public hospitals/facilities in Western Australia where surgery and other medical, radiology and oncology procedures are performed. It is expected that all members of the surgical or procedural team will follow the procedures outlined in this document.
It is also recommended that all licensed private hospitals and day hospitals refer to this policy when developing their own local guidelines.
THE FIVE STAGES OF THE 'CORRECT PATIENT, CORRECT SITE AND CORRECT PROCEDURE' POLICY AND GUIDELINES
The 'correct patient, correct site and correct procedure' policy and guidelines provides a standardised approach for WA health professionals to prepare patients for surgical, medical, radiology and oncology procedures.
The definition of 'correct site' includes identifying the correct side (ie left or right) and the correct and precise anatomical location of the surgery or procedure, (eg anatomical location, specific vertebral body or finger etc).
The policy and guidelines outlines the five steps that must be taken by the clinical team to ensure that the correct surgery/procedure is performed on the correct patient, at the correct site, and if relevant with the correct implant:
REQUIRED ACTION IN THE EVENT OF A WRONG PATIENT, WRONG PROCEDURE OR WRONG SITE INCIDENT
Procedures conducted on the wrong patient or wrong site are a reportable sentinel event. It is Department of Health requirement that a sentinel event reporting form is completed and forwarded to the Chief Medical Officer within seven (7) working days of the wrong patient, wrong procedure or wrong site incident occurring. Please refer to the Office of Safety and Quality in Health Care website: http://www.health.wa.gov.au/safetyandquality/ for more information on the sentinel event reporting process.
A clinical incident investigation must be undertaken following a sentinel event to identify the root causes and contributing factors so that strategies can be implemented to minimise the occurrence of similar events in the future. Root Cause Analysis (RCA) is one such clinical incident investigation methodology that can be used to investigate sentinel events. The investigation findings, including recommendations, must be forwarded to the Sentinel Events Officer within 45 working days of initial notification. A template of the Sentinel Event Final Report is available from the Sentinel Events Officer (9222 4080) or can be downloaded from: http://www.health.wa.gov.au/safetyandquality/sentinel/.
The Office of Safety and Quality in Health Care and Australian Council for Safety and Quality in Health Care have developed a number of pamphlets to assist health professionals and patients/carers to follow the processes outlined in the Correct Patient, Correct Site and Correct Procedure Policy and Guidelines. Electronic copies of these resource materials are available from the Office of Safety and Quality in Health Care website at: http://www.health.wa.gov.au/safetyandquality/programs/correct.cfm.
All enquiries about the WA Correct Patient, Correct Site and Correct Procedure Policy and Guidelines should be directed to the Safety and Quality in Health Care Division on (08) 9222 4080 or e-mail: email@example.com.
Dr Brian Lloyd
This circular last updated: Thursday, 31 March 2005 at 12:00am