An investigation into a wrong-site knee surgery at 221-bed Miriam Hospital, Providence, R.I., has resulted in a state health department reprimand and a signed consent agreement by the hospital to correct the procedural problems that led to the wrong-site surgery, according to a Rhode Island Health Department news release.
The agreement calls for Miriam to fix problems related to its pre-procedure review of patients surgery details; change the pens used to mark surgical sites to ensure the markings cannot be washed off prior to surgery; hire a consultant to evaluate the hospitals policies and protocols for compliance with patient-safety and clinical-outcomes best practices; and design and implement a near-miss reporting program among other requirements.
The wrong-site surgery incident occurred and was reported by the hospital on Sept. 19. In addition to the state health department investigation, a CMS review of the incident also found that hospital staff failed to follow required pre-surgical checks implemented to prevent such mistakes, according to the news release.
Wrong-site surgery is among 28 so-called never events, according to the National Quality Forum. -- by Shawn Rhea