Back to Basics: The Universal Protocol. | AHRQ Patient Safety Network

Back to Basics: The Universal Protocol. | AHRQ Patient Safety Network

• Commentary
 
• Published January 2018

Back to Basics: The Universal Protocol.

Spruce L. AORN J. 2018;107:116-125.

Wrong-site, wrong-procedure, and wrong-patient errors are surgical never events. This commentary describes a structured communication practice requirement designed to address the problem. The author outlines elements of the protocol and reviews implementationstrategies.

PubMed citationAvailable atFree full text (PDF)

Related Resources

JOURNAL ARTICLE › STUDY

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.

Phipps E, Turkel M, Mackenzie ER, Urrea C. Jt Comm J Qual Patient Saf. 2012;38:127-134.

JOURNAL ARTICLE › STUDY

Quantifying distraction and interruption in urological surgery.

Healey AN, Primus CP, Koutantji M. Qual Saf Health Care. 2007;16:135-139.

MEETING/CONFERENCE › MARYLAND MEETING/CONFERENCE

TeamSTEPPS Master Training Course.

Johns Hopkins Armstrong Institute for Patient Safety and Quality. March 6–7, 2018; Constellation Energy Building, Baltimore, MD.

BOOK/REPORT

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.

Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017.

JOURNAL ARTICLE › STUDY

The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.

Schwartz ME, Welsh DE, Paull DE, et al. J Healthc Risk Manag. 2017 Nov 9; [Epub ahead of print].

View More