메뉴 건너뛰기




Volumn 92, Issue 2, 2010, Pages 194-207

Determining the state of knowledge for implementing the universal protocol recommendations: An integrative review of the literature

Author keywords

Patient safety; Time out; Universal Protocol; Universal Protocol implementation; Wrong site surgery

Indexed keywords


EID: 77955232880     PISSN: 00012092     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.aorn.2009.12.031     Document Type: Article
Times cited : (8)

References (47)
  • 2
    • 84855626422 scopus 로고    scopus 로고
    • USA Today, Accessed April 1, 2010
    • Davis R. "Wrong site" surgeries on the rise April 17, 2006, USA Today, Accessed April 1, 2010. http://www.usatoday.com/news/health/2006-04-17-wrong-surgery_x.htm.
    • (2006) "Wrong site" surgeries on the rise
    • Davis, R.1
  • 3
    • 36348937339 scopus 로고    scopus 로고
    • Wrong-site surgeries are preventable
    • Croteau R.J. Wrong-site surgeries are preventable. Arch Surg 2007, 142(11):1111-1112.
    • (2007) Arch Surg , vol.142 , Issue.11 , pp. 1111-1112
    • Croteau, R.J.1
  • 4
    • 84855629931 scopus 로고    scopus 로고
    • Wrong-site surgery: the evidence base
    • Accessed April 1, 2010
    • Croteau R.J. Wrong-site surgery: the evidence base. Paper presented at: New York State Patient Safety Conference 2007, Accessed April 1, 2010. http://www.health.state.ny.us/professionals/patients/patient_safety/conference/2007/docs/wrong_site_surgery-the_evidence_base.pdf.
    • (2007) Paper presented at: New York State Patient Safety Conference
    • Croteau, R.J.1
  • 6
    • 33747197784 scopus 로고    scopus 로고
    • Evolution of wrong site surgery prevention strategies
    • Carney B.L. Evolution of wrong site surgery prevention strategies. AORN J 2006, 83(5):1115-1122.
    • (2006) AORN J , vol.83 , Issue.5 , pp. 1115-1122
    • Carney, B.L.1
  • 8
    • 77951767423 scopus 로고    scopus 로고
    • The Joint Commission, Sentinel Event Alert, 6, Accessed May 4, 2010
    • Lessons learned: wrong site surgery August 28, 1998, The Joint Commission, Sentinel Event Alert, 6, Accessed May 4, 2010. http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_6.htm.
    • (1998) Lessons learned: wrong site surgery
  • 10
    • 0036830959 scopus 로고    scopus 로고
    • Ensuring correct site surgery
    • Scheidt R.C. Ensuring correct site surgery. AORN J 2002, 76(5):769-777.
    • (2002) AORN J , vol.76 , Issue.5 , pp. 769-777
    • Scheidt, R.C.1
  • 11
    • 0041411326 scopus 로고    scopus 로고
    • Wrong Site Surgery Summit addresses current problems, future solutions
    • Wrong Site Surgery Summit addresses current problems, future solutions. Jt Comm Perspect 2003, 23(8):8-9.
    • (2003) Jt Comm Perspect , vol.23 , Issue.8 , pp. 8-9
  • 13
    • 34147141336 scopus 로고    scopus 로고
    • Achieving the National Quality Forum's "never events": prevention of wrong site, wrong procedure, and wrong patient operations
    • Michaels R.K., Makary M.A., Dahab Y., et al. Achieving the National Quality Forum's "never events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann Surg 2007, 254(4):526-532.
    • (2007) Ann Surg , vol.254 , Issue.4 , pp. 526-532
    • Michaels, R.K.1    Makary, M.A.2    Dahab, Y.3
  • 14
    • 0035671731 scopus 로고    scopus 로고
    • Diagnosing "vulnerable system syndrome": an essential prerequisite to effective risk management
    • Reason J., Carthey J., De Leval M. Diagnosing "vulnerable system syndrome": an essential prerequisite to effective risk management. Qual Health Care 2001, 10(Suppl 2):ii21-ii25.
    • (2001) Qual Health Care , vol.10 , Issue.SUPPL 2
    • Reason, J.1    Carthey, J.2    De Leval, M.3
  • 15
    • 47049127444 scopus 로고    scopus 로고
    • Determining the evidence in the perioperative environment: standardizing research process tools for conducting the integrative literature review
    • Bibb S., Wanzer L. Determining the evidence in the perioperative environment: standardizing research process tools for conducting the integrative literature review. Perioperative Nurs Clin 2008, 3(1):1-17.
    • (2008) Perioperative Nurs Clin , vol.3 , Issue.1 , pp. 1-17
    • Bibb, S.1    Wanzer, L.2
  • 16
    • 16444381475 scopus 로고    scopus 로고
    • Safety in the operating theatre - part 2: human error and organisational failure
    • Reason J. Safety in the operating theatre - part 2: human error and organisational failure. Qual Safe Health Care 2005, 14(1):56-60.
    • (2005) Qual Safe Health Care , vol.14 , Issue.1 , pp. 56-60
    • Reason, J.1
  • 17
    • 77955236258 scopus 로고    scopus 로고
    • Creating a patient safety culture
    • AORN, Inc, Denver, CO
    • Creating a patient safety culture. Perioperative Standards and Recommended Practices 2010, 526. AORN, Inc, Denver, CO.
    • (2010) Perioperative Standards and Recommended Practices , pp. 526
  • 20
    • 33748763555 scopus 로고    scopus 로고
    • Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
    • Seiden S.C., Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?. Arch Surg 2006, 141(9):931-939.
    • (2006) Arch Surg , vol.141 , Issue.9 , pp. 931-939
    • Seiden, S.C.1    Barach, P.2
  • 21
    • 47249103472 scopus 로고    scopus 로고
    • Wrong site surgery and the Universal Protocol
    • 63
    • Wrong site surgery and the Universal Protocol. Bull Am Coll Surg 2006, 91(11). 63.
    • (2006) Bull Am Coll Surg , vol.91 , Issue.11
  • 22
    • 41149123960 scopus 로고    scopus 로고
    • Have you heard?. The saga of wrong site surgery continues
    • Catalano K. Have you heard?. The saga of wrong site surgery continues. Plast Surg Nurs 2008, 28(1):41-44.
    • (2008) Plast Surg Nurs , vol.28 , Issue.1 , pp. 41-44
    • Catalano, K.1
  • 23
    • 33748102657 scopus 로고    scopus 로고
    • What do JCAHO surveyors look for in assessing the Universal Protocol?
    • What do JCAHO surveyors look for in assessing the Universal Protocol?. OR Manager 2006, 22(7):7-9.
    • (2006) OR Manager , vol.22 , Issue.7 , pp. 7-9
  • 25
    • 26044478518 scopus 로고    scopus 로고
    • Getting it right. Fla. board cracking down on wrong-site surgery
    • Robeznieks A. Getting it right. Fla. board cracking down on wrong-site surgery. Mod Healthc 2005, 35(34):18-20.
    • (2005) Mod Healthc , vol.35 , Issue.34 , pp. 18-20
    • Robeznieks, A.1
  • 26
    • 36048989696 scopus 로고    scopus 로고
    • Pathologist performed fine needle aspirations and implementation of JCAHO Universal Protocol and "Time-out."
    • Siddiqui M.T. Pathologist performed fine needle aspirations and implementation of JCAHO Universal Protocol and "Time-out.". Cytojournal 2007, 4:19.
    • (2007) Cytojournal , vol.4 , pp. 19
    • Siddiqui, M.T.1
  • 27
    • 0036832745 scopus 로고    scopus 로고
    • Ensuring correct site surgery
    • Beyea S.C. Ensuring correct site surgery. AORN J 2002, 76(5):880-882.
    • (2002) AORN J , vol.76 , Issue.5 , pp. 880-882
    • Beyea, S.C.1
  • 28
    • 16844380959 scopus 로고    scopus 로고
    • Wrong-site surgery: a preventable complication
    • Canale S.T. Wrong-site surgery: a preventable complication. Clin Orthop Relat Res 2005, (433):26-29.
    • (2005) Clin Orthop Relat Res , Issue.433 , pp. 26-29
    • Canale, S.T.1
  • 29
    • 33749340001 scopus 로고    scopus 로고
    • Root cause analysis and nursing management responsibilities in wrong-site surgery
    • Dattilo E., Constantino R.E. Root cause analysis and nursing management responsibilities in wrong-site surgery. Dimens Crit Care Nurs 2006, 25(5):221-225.
    • (2006) Dimens Crit Care Nurs , vol.25 , Issue.5 , pp. 221-225
    • Dattilo, E.1    Constantino, R.E.2
  • 30
    • 0037657960 scopus 로고    scopus 로고
    • Patient compliance in avoiding wrong-site surgery
    • DiGiovanni C.W., Kang L., Manuel J. Patient compliance in avoiding wrong-site surgery. J Bone Joint Surg Am 2003, 85-A(5):815-819.
    • (2003) J Bone Joint Surg Am , Issue.5 , pp. 815-819
    • DiGiovanni, C.W.1    Kang, L.2    Manuel, J.3
  • 31
    • 51249090964 scopus 로고    scopus 로고
    • Time out: an analysis
    • Dillon K.A. Time out: an analysis. AORN J 2008, 88(3):437-442.
    • (2008) AORN J , vol.88 , Issue.3 , pp. 437-442
    • Dillon, K.A.1
  • 32
    • 33749382629 scopus 로고    scopus 로고
    • Surgical site verification: A through Z
    • Dunn D. Surgical site verification: A through Z. J Perianesth Nurs 2006, 21(5):317-328.
    • (2006) J Perianesth Nurs , vol.21 , Issue.5 , pp. 317-328
    • Dunn, D.1
  • 33
    • 28544447216 scopus 로고    scopus 로고
    • Patient safety practices in the operating room: correct-site surgery and nothing left behind
    • Gibbs V.C. Patient safety practices in the operating room: correct-site surgery and nothing left behind. Surg Clin North Am 2005, 85(6):1307-1319.
    • (2005) Surg Clin North Am , vol.85 , Issue.6 , pp. 1307-1319
    • Gibbs, V.C.1
  • 35
    • 33645866776 scopus 로고    scopus 로고
    • Incidence, patterns, and prevention of wrong-site surgery
    • Kwaan M.R., Studdert D.M., Zinner M.J., Gawande A.A. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg 2006, 141(4):353-357.
    • (2006) Arch Surg , vol.141 , Issue.4 , pp. 353-357
    • Kwaan, M.R.1    Studdert, D.M.2    Zinner, M.J.3    Gawande, A.A.4
  • 36
    • 34547949378 scopus 로고    scopus 로고
    • Prevention of wrong-site tooth extraction: clinical guidelines
    • Institute of Medicine
    • Lee J.S., Curley A.W., Smith R.A. Prevention of wrong-site tooth extraction: clinical guidelines. J Oral Maxillofac Surg 2007, 65(9):1793-1799. Institute of Medicine.
    • (2007) J Oral Maxillofac Surg , vol.65 , Issue.9 , pp. 1793-1799
    • Lee, J.S.1    Curley, A.W.2    Smith, R.A.3
  • 37
    • 0036632834 scopus 로고    scopus 로고
    • First do no harm: integrating patient safety and quality improvement
    • Mawji Z., Stillman P., Laskowski R., et al. First do no harm: integrating patient safety and quality improvement. Jt Comm J Qual Improv 2002, 28(7):373-386.
    • (2002) Jt Comm J Qual Improv , vol.28 , Issue.7 , pp. 373-386
    • Mawji, Z.1    Stillman, P.2    Laskowski, R.3
  • 38
    • 34249863862 scopus 로고    scopus 로고
    • Implementing the universal protocol hospital-wide
    • Norton E. Implementing the universal protocol hospital-wide. AORN J 2007, 85(6):1187-1197.
    • (2007) AORN J , vol.85 , Issue.6 , pp. 1187-1197
    • Norton, E.1
  • 39
    • 33748757333 scopus 로고    scopus 로고
    • Best practices for preventing wrong site, wrong person, and wrong procedure errors in perioperative settings
    • Best practices for preventing wrong site, wrong person, and wrong procedure errors in perioperative settings. AORN J 2006, 84(Suppl 1):S13-S29.
    • (2006) AORN J , vol.84 , Issue.SUPPL 1
  • 40
    • 0642308610 scopus 로고    scopus 로고
    • Effective strategies to comply with Joint Commission's universal protocol
    • Effective strategies to comply with Joint Commission's universal protocol. Hosp Peer Rev 2003, 28(11):149-151.
    • (2003) Hosp Peer Rev , vol.28 , Issue.11 , pp. 149-151
  • 41
    • 84921702799 scopus 로고    scopus 로고
    • Fine-tuning surgical site verification
    • Fine-tuning surgical site verification. OR Manager 2004, 20(1):8.
    • (2004) OR Manager , vol.20 , Issue.1 , pp. 8
  • 42
    • 34248549901 scopus 로고    scopus 로고
    • Two-minute briefing may reduce wrong-site surgeries
    • Two-minute briefing may reduce wrong-site surgeries. Healthcare Benchmarks Qual Improv 2007, 14(4):41-43.
    • (2007) Healthcare Benchmarks Qual Improv , vol.14 , Issue.4 , pp. 41-43
  • 43
    • 51449092857 scopus 로고    scopus 로고
    • Wrong-site surgery: we're not doing all that we can
    • Wrong-site surgery: we're not doing all that we can. Healthcare Benchmarks Qual Improv 2008, 15(6):49-52.
    • (2008) Healthcare Benchmarks Qual Improv , vol.15 , Issue.6 , pp. 49-52
  • 44
    • 44449162219 scopus 로고    scopus 로고
    • Doing right to prevent wrong-site surgery
    • Ridge R.A. Doing right to prevent wrong-site surgery. Nursing 2008, 38(3):24-25.
    • (2008) Nursing , vol.38 , Issue.3 , pp. 24-25
    • Ridge, R.A.1
  • 45
    • 18944380407 scopus 로고    scopus 로고
    • SurgiChip-new technology for prevention of wrong site, wrong procedure, wrong person surgery
    • Sandlin D. SurgiChip-new technology for prevention of wrong site, wrong procedure, wrong person surgery. J Perianesth Nurs 2005, 20(2):144-146.
    • (2005) J Perianesth Nurs , vol.20 , Issue.2 , pp. 144-146
    • Sandlin, D.1
  • 46
    • 39749132851 scopus 로고    scopus 로고
    • Practical solutions to improve safety in the obstetrics/gynecology office setting and in the operating room
    • viii
    • Stumpf P.G. Practical solutions to improve safety in the obstetrics/gynecology office setting and in the operating room. Obstet Gynecol Clin North Am 2008, 35(1):19-35. viii.
    • (2008) Obstet Gynecol Clin North Am , vol.35 , Issue.1 , pp. 19-35
    • Stumpf, P.G.1
  • 47
    • 33746206591 scopus 로고    scopus 로고
    • Spinal surgery and patient safety: a systems approach
    • Wong D.A. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg 2006, 14(4):226-232.
    • (2006) J Am Acad Orthop Surg , vol.14 , Issue.4 , pp. 226-232
    • Wong, D.A.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.