RT Journal
A1 Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV
T1 PRocess changes to increase compliance with the universal protocol for bedside procedures
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2011
FD May 23
VO 171
IS 10
SP 941
OP 954
DO 10.1001/archinternmed.2011.202
UL http://dx.doi.org/10.1001/archinternmed.2011.202
AB 
Wrong site, wrong procedure, and wrong patient events can be devastating to patients. Between 1300 and 2700 such events are estimated to occur annually in the United States.1 These are also called “never events” because processes can be implemented to prevent them.2 In 2004, The Joint Commission (TJC) created the Universal Protocol (UP) as a mandatory safety standard in an attempt to eliminate wrong procedures through a preprocedure verification process, procedure site marking, and a “time-out” (correct site, procedure, and patient).3 Up to 70% of wrong site procedures may be prevented if the time-out process is used.4- 5