What’s New in the Patient Safety World


March 2007


ICSI Safe Site Protocol

The Institute for Clinical Systems Improvement ( ICSI ) has released its new Safe Site Protocol for All Invasive High-
Risk or Surgical Procedures (Protocol)

The New York State Department of Health (NYSDOH) released its revised New York State Surgical and Invasive
Procedure Protocol (NYSSIPP)
in late 2006.

Both emphasize the importance of repeating the timeout verification process whenever there is a change in
personnel involved or a change in location of the patient.

Both closely mirror Joint Commission’s Universal Protocol for Preventing Wrong Site, Wrong Procedure, and
Wrong Person Surgery

Some great learning tools are available through the Utah C³ (Correct Patient, Correct Procedure, Correct Site)
Correct Site Surgery Initiative
. Not only do they have a brochure for patients but they also used a tool from IHI to do a
Failure Mode and Effects Analysis for use of an OR Verification List.









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