“It's Her Eye”: Learning to Have a Patient-Centered Perspective

摘要

Over the past few months there had indeed been a proliferation of paperwork regarding which eye would have surgery. As with all paperwork and records, this was designed with good intent—to prevent wrong eye surgery. The surgical eye was recorded on 3 separate paper forms, 3 additional sites in Epic, written on the board in the OR, and 2 more places in the OR master schedule. All of these had to match up to ensure that there was no mistake. Changing them would require approval of the charge nurse, operating room coordinator, anesthesia, and the attending. Then the forms would have to be changed. And Epic. And the board. And the OR schedule. It would be my job to get the approval, and then Julie and I would each have to make some of the changes in the records. And all of this would take time .“Well, Mrs. H,” I replied, still with my forced grin, “It doesn't really matter which eye we do first, because either eye will work well for distance. I really think that we should stick with the plan you made with Dr. A and do the right eye first.”