procedures. For example, as new risks
associated with computed tomography
(CT) scans are revealed, procedure risks
are updated to reflect current opinion.
In addition, the application is regularly
updated to reflect new regulatory language
so that surgeons are always in compliance
with federal and state statutes and
guidelines. This capability is significant in
an environment that is changing rapidly.
In January 2009, for instance, the updated
Joint Commission Universal Protocol for
Preventing Wrong Site, Wrong Procedure,
and Wrong Person Surgery took effect.
As part of The Joint Commission’s overall
2009 National Patient Safety Goals, the
protocol states that accredited institutions
have “an accurately completed and signed
procedure consent form…available and
accurately matched to the patients,” both in
the preoperative area for verification and
again in the operating room for the time-out.
8 Procedure-specific informed consents
were a critical component identified
in preventing wrong site surgery.
The updated ACS template available
within the iMedConsent application
automatically populates the time-out guidelines and includes pre- and
postoperative instruction, which is
particularly helpful when more than 65
percent of all procedures in community
hospitals are now done on an outpatient
10 This system supports efficiency, not
only for patients and their families but also
the medical team, as it ensures all forms
are available as needed. An automated
approach can simplify and streamline the
informed process and provides the added
value of bolstering the role of patient as
partner and enhancing patient safety. ♦
1. Walter KR. Surgeons voice legislative priorities at 2016 Advocacy
Summit. Bull Am Coll Surg. 2016;101( 7): 67-69.
2. Hoyt DB. Looking for ward. Bull Am Coll Surg. 2016;101( 6): 8-11.
Available at: bulletin.facs.org/2016/06/looking-forward-june-2016/.
Accessed July 19, 2016.
3. Fowler FJ, Barry M. Through the eyes of the patient: The quality
and safety imperative for informed medical decision making. 2008
National Patient Safety Foundation (NPSF) Annual Patient Safety
Congress. May 14–16, 2008. Nashville, TN.
4. U.S. Department of Health and Human Services. Agency for
Healthcare Research and Quality. Guide to patient and family
engagement in hosptial quality and safety. June 2013. Available at:
guide.html. Accessed June 23, 2016.
5. Heneghan K, Sachdeva AK, McAninch J W. Surgical patient
education: Transformation to a system that supports full patient
participation. Bull Am Coll Surg.2006; 91( 6): 11-19.
6. American College of Surgeons. Education. Ten questions you
should ask before an operation. Available at: facs.org/education/
Accessed June 2016.
7. Brenner DJ, Hall EJ. Computed tomography: An increasing source
of radiation exposure. N Engl J Med. 2007;357:2277-2284.
8. The Joint Commission. The Joint Commission 2009 requirements
related to the provision of culturally competent patient-centered
care hospital accreditation program (HAP). Available at: www.
pdf. Accessed July 5, 2016.
9. O’Leary CE, McGraw RS. Informed consent requires active
communication. Anesthesia Patient Safety Foundation Newsletter.
Spring 2008. Available at: www.apsf.org/newsletters/pdf/
spring2008.pdf. Accessed July 5, 2016.
10. Wier LM, Steiner CA, Owens PL. Agency for Healthcare Research
and Quality. Surgeries in hospital owned outpatient facilities, 2012.
Statistical brief 188. February 2015. Available at: www.hcup-us.
Facilities-2012.pdf. Accessed July 5, 2016.