PROBLEM STATEMENT

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Wrong Site Surgery

An in-service update for the revised Universal Protocol policy

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REVISED UNIVERSAL PROTOCOL POLICY

The problem statement for this teaching plan is: How to best implement the Universal Protocol. Three studies and three administrative policies from established hospital systems were reviewed to revise the Universal Protocol policy of an eighty bed hospital in order to achieve the best evidence-based practice. The studies investigated causes and contributing factors for 6,687 WSS and 253 near misses (which means an error was caught that would have lead to WSS).