Assurance of Correct-site and side, Correct-patient,JCI 2024

What is the purpose of the Assurance of Correct Patient, Correct Site & Side, Correct Procedure Surgery and Time Out policy?

• To improve patient recovery times

• To ensure guidelines for correct patient, site, side, and procedure are followed

• To enhance communication among medical staff

• To reduce hospital stay durations

What is included in the definition of surgery and invasive procedures?

• Only procedures involving cutting

• Only minimally invasive procedures

• Procedures investigating and treating diseases through cutting, removal, or insertion

• Procedures performed only in the operating room

What are the three main components of the Universal Protocol mentioned in the policy?

• Surgical site marking, patient education, surgical safety checklist

• Surgical site marking, pre-procedure verification, surgical safety checklist

• Pre-procedure verification, patient consent, surgical site marking

• Patient consent, surgical safety checklist, post-procedure follow-up

At what point should the surgical site be marked?

• During the procedure

• After the patient is sedated

• In the ward before shifting the patient to the OR

• Just before the incision

What should the mark for the surgical site look like?

• A circle

• An "X" sign

• An arrow that extends to or near the incision site

• A check mark

When is the Time-Out verification conducted?

• At the beginning of the day

• Immediately before the start of the procedure

• After the procedure is completed

• During patient discharge

Who participates in the Time-Out procedure?

• Only the surgeon

• The entire surgical team including surgeons, nurses, and anesthesiologists

• Only the circulating nurse

• Only the patient

What should happen if there is any discrepancy or difference in understanding during the verification process?

• Continue with the procedure

• Halt all activities until the discrepancy is resolved

• Report the issue after the procedure

• Ignore the discrepancy

What should be used to mark the surgical site?

• A permanent marker pen

• A pencil

• A pen

• A highlighter

What should be done if the patient is under 18 years or unable to answer for themselves?

• Proceed without confirmation

• Confirm the patient’s identification with the designated guardians

• Use a different identification method

• Skip the verification process