Commentary Back to basics: the Universal Protocol. Citation Text: Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 24, 2018 Spruce L. AORN J. 2018;107(1):116-125. View more articles from the same authors. Wrong-site, wrong-procedure, and wrong-patient errors are surgical never events. This commentary describes a structured communication practice requirement designed to address the problem. The author outlines elements of the protocol and reviews implementation strategies. PubMed citation Available at Free full text (PDF) Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Back to basics: counting soft surgical goods. April 20, 2016 Back to basics: preventing surgical site infections. June 4, 2014 Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. November 9, 2022 Support strategies for health care professionals who are second victims. August 1, 2018 Transitional chaos or enduring harm? The EHR and the disruption of medicine. October 28, 2015 Scoring no goal—further adventures in transparency. September 9, 2015 Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. 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Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. November 9, 2022
Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. March 6, 2019
Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. June 22, 2011
Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. January 9, 2013
Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. June 28, 2006
Patient perceptions of misdiagnosis of endometriosis: results from an online national survey. July 29, 2020
Preventing vincristine administration errors: does evidence support minibag infusions? April 26, 2006
Integrating quality and safety content into clinical teaching in the acute care setting. June 13, 2007
We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. March 17, 2021
The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents. October 9, 2013
Recognition and prevention of nosocomial malnutrition: a review and a call to action! October 11, 2017
Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. September 20, 2023
Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. December 8, 2010
Healthcare professionals' views of smart glasses in intensive care: a qualitative study. February 7, 2018
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Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. June 24, 2020
Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. March 14, 2007
Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. April 30, 2014
Using potentially preventable severe maternal morbidity to monitor hospital performance. February 8, 2023
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Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center. September 3, 2008
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Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. December 6, 2017
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Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice January 22, 2020
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Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. June 21, 2023
Patient Safety Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023
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WebM&M Cases False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. October 27, 2022
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WebM&M Cases Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest January 26, 2022
WebM&M Cases Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021
System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. February 10, 2021
Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. August 12, 2020
Use of error management theory to quantify and characterize residents' error recovery strategies. January 15, 2020
Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. November 6, 2019
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