  An
Investigation Into The Measures Taken To Reduce
The Risk Of Wrong Site Surgery (2008) Ref: nursing0002 The overall aim of
the
study is to assess the measures
which should be taken by the nursing team in order to minimise the risk
of
wrong site surgery occurring in patients. In order to do this, the
study will
first identify the various factors which may contribute to wrong site
surgery
events. This will be achieved through reviewing the current literature
from
both the UK and other countries such as the US and Australia. There are
a
number of published studies which have investigated the various causes
of wrong
site, wrong procedure and wrong patient surgery and this study will
combine the
information from these studies to create a comprehensive list of the
contributing factors. The study will also assess the levels at which
wrong site
surgery occurs in the UK. The information will be taken from UK studies
and
government published data. The study will also assess whether the
numbers of
cases which are reported are an accurate representation of the number
of events
which actually occur in the UK each year. From the information which is
gathered, a set of recommendations will be constructed which relate to
the role
of the nursing team in ensuring that wrong site surgery does not occur.
11,000 words – 24 pages in length Excellent use of literature Excellent analysis Excellent piece of work Chapter 1 - Introduction Study Aims Background Definition Importance of the Issue Consequences for the Patient Consequences for the Surgeon Current UK Regulations Relevance of the Study Chapter 2 – Factors Leading to Wrong Site Surgery Patient Factors Human Factors Overworked surgeons Clerical errors Distractions Organisational culture Time Pressures Poor Training Increasing complexity of the systems Poor Pre-surgery Planning Lack of marking of the site Lack of verification Poor Communication Involvement of Multiple Surgeons and Multiple Procedures Chapter 3 – Wrong Site Surgery in the UK Rates of Wrong Site Surgery in the UK The National Reporting and Learning System (NRLS) Chapter 4 – Prevention of Wrong Site Surgery Necessary Factors for Safe Practice Current Guidelines NPSA Guidelines for marking the site and verification Further recommendations from individual study US recommendations Patient labelling Procedures for discrepancies Promoting Effective Communication Handover ‘Time Out’ Addressing Problems in Organisational Culture Staffing Problems Quality Control Future Directions Addressing Problems with Reporting of Incidents Nursing Responsibility Chapter 5 – Recommendations Admission Arriving at the Surgery Suite In the Operating Theatre At All Stages of the Process Chapter 6 – Summary and Conclusions References 
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