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RI hospital fined $150,000 in 5th wrong-site surgery since 2007



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Nov 03, 2009 09:10 AM

RI hospital fined $150,000 in 5th wrong-site surgery since 2007

by NRSKarenRN Staff

RI hospital fined $150,000 in 5th wrong-site surgery since 2007, video cameras to be installed

Rhode Island's largest hospital was fined $150,000 and ordered to take the extraordinary step of installing video cameras in all its operating rooms after it had its fifth wrong-site surgery since 2007, state health officials said Monday.


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36 Comments
No. 1
from mandykal
Old Nov 03, 2009, 09:39 AM

Default Re: RI hospital fined $150,000 in 5th wrong-site surgery since 2007
This is serious!!! That is why TIME OUTs are in place..... The doc sounds off the location and all staff are agreed upon
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No. 2
from BabyLady
Old Nov 03, 2009, 12:07 PM

Default Re: RI hospital fined $150,000 in 5th wrong-site surgery since 2007
I'm suprised that they are not taking the extrodinary measure of doing a time-out prior to the surgery.

This is also where the staff and the physicians need to exercise a little common sense....if you are operating on a site that looks like nothing is wrong with it...shouldn't that clue you in??????
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No. 3
Old Nov 03, 2009, 03:26 PM
Updated Nov 03, 2009 at 04:04 PM by SquirrelRN71

Default Re: RI hospital fined $150,000 in 5th wrong-site surgery since 2007
I am from RI..I have friends that work at this facility in the OR. It was my understanding that in least one of the cases, the time out was done properly, the ID was done properly.

I have heard that in some of these cases, the staff did do the right thing regarding time outs. Perhaps the surgeons aren't being held accountable, because it's easier to go after staff when these things happen, rather than physicians.
From what the article said, though, it seems like this hospital is finally holding surgeons more accountable.
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No. 4
from nyteshade
Old Nov 03, 2009, 03:28 PM

Default Re: RI hospital fined $150,000 in 5th wrong-site surgery since 2007
Prime example of poor work culture. Docs doing whatever they want, and nurses that aren't speaking up, and/or enabling them. It is sickening. No one can plead ignorance here. A wag of my finger to my home state hospital.
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No. 5
from lucyapple
Old Nov 03, 2009, 03:40 PM

Default Re: RI hospital fined $150,000 in 5th wrong-site surgery since 2007
What about the camera's...what about (HIPAA) patient confidentiality??
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No. 6
Old Nov 03, 2009, 03:42 PM

Default Re: RI hospital fined $150,000 in 5th wrong-site surgery since 2007
Originally Posted by BabyLady View Post
I'm suprised that they are not taking the extrodinary measure of doing a time-out prior to the surgery.

This is also where the staff and the physicians need to exercise a little common sense....if you are operating on a site that looks like nothing is wrong with it...shouldn't that clue you in??????
Not if your doing something like an arthroscopy,total joint, eyes, craniotomies etc or something internal with laterality, such as a cysto case. Or trauma where multiple extemities are injured, but the consent only addresses one. And they do time outs at this hospital-so I don't think that's where the issue lies.

You have to realize also, that OR staff are constantly being rushed because "time is money". This goes for any OR out there. People have to stop being intimidated by administration and physicians too.

My saying is "haste makes waste"
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No. 7
Old Nov 03, 2009, 03:48 PM

Default Re: RI hospital fined $150,000 in 5th wrong-site surgery since 2007
Originally Posted by nyteshade View Post
Prime example of poor work culture. Docs doing whatever they want, and nurses that aren't speaking up, and/or enabling them. It is sickening. No one can plead ignorance here. A wag of my finger to my home state hospital.
I agree. But, this hospital has a real issue with administration, management not supporting their nursing staff. RI is a tiny state so word gets around..it has only been recently that they have started going after physicians when these things happen. In some cases, nurses did speak up and were ignored/reprimanded by the PTB. Thank god I don't have to deal with that. I'm mouthy..but when you bring concerns/issues to management and they blow it off, that can become disheartening.
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No. 8
from ocankhe
Old Nov 03, 2009, 04:13 PM

Default Re: RI hospital fined $150,000 in 5th wrong-site surgery since 2007
NURSES PUTTING THE INITIALS ON THE OPERATIVE EXTREMITY!!!!! No wonder they have problems. Talk about a poor work culture. Although I was talking with an orthopod recently and he has said the incidence of wrong site surgery nation wide is going up. I wonder if the attending MD turfing off their responsibility is the cause. Of course the nurse, or whomever, talking that responsibility is really showing poor judgement.
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No. 9
Old Nov 03, 2009, 05:02 PM

Default Re: RI hospital fined $150,000 in 5th wrong-site surgery since 2007
Originally Posted by ocankhe View Post
NURSES PUTTING THE INITIALS ON THE OPERATIVE EXTREMITY!!!!! No wonder they have problems. Talk about a poor work culture. Although I was talking with an orthopod recently and he has said the incidence of wrong site surgery nation wide is going up. I wonder if the attending MD turfing off their responsibility is the cause. Of course the nurse, or whomever, talking that responsibility is really showing poor judgement.
I know, I would never do it..most facilities, including mine, in this state require the surgeon to initial the site in holding. But, maybe this is policy there? It all comes down to the facility standing behind staff and holding doctors responsible, rather than protecting them at all costs.
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