Surgical safety checklist
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The document outlines a surgical safety checklist that is intended to be completed at various stages of a surgical procedure. It includes verifying the patient's identity and consent for the procedure, checking for allergies or other risks, confirming equipment is functioning properly, reviewing key details of the procedure with the surgical team, and having team members introduce themselves.
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Surgical safety checklist
WHO Surgical Safety Checklist is very important aspect of safety in the operating rooms of all hospitals.
Who Surgical Checklist: Principles and Procedures
The World Health Organisation is a global tool to ensure safety in surgery. The principles and procedures are described for how to implement it in your organisation.
OT Check List
The document provides an operating theatre (OT) checklist to help ensure patient safety during surgical procedures. It lists several checks that the operating team should complete in the ward and theatre before surgery, including correctly identifying the patient, marking the intended surgical site, checking for allergies and previous medical history, and confirming critical patient information has been exchanged. The goal is for the team to operate on the right patient and site, take appropriate precautions, and communicate effectively to safely conduct the surgery and prevent errors.
Surgical Safety & Safer surgery
1. Safety is everybody’s business. According the Hippocratic oath from 5th century : “ Never do harm to anyone” Safer Surgery can be defined as a reduction in avoidable harm to a surgical patient
2. It is a part of medical specialty that uses operative manual and instrumental technique on a patient to investigate or treat a pathological condition. Surgical team: 1. Surgeon 2. Surgeon’s assistance 3. Anesthetist 4. Scrub nurse 5. Scouting nurse 6. Surgical technologist
3. Time or duration when patient admitted and discharge after completion of surgery. So, surgical safety has broadly included in different phases: 1. Preoperative(Diagnosis, investigation) 2. Per operative 3. Postoperative(Up to discharge)
4. 1. Adverse events: An incident which result in harm to the patient. 2. Near Miss: An incident which could resulted in unwanted harm but did not. 3. No-harm events: An incident that occur and reach to the patient but result in no injury.
5. An article in the Gurdian newspaper UK in March 2013 claimed that “five worst medical” nightmares a Pt faces, three related to surgery: 1. Wrong site surgery 2. Wrong patient surgery 3. Retained instruments and swabs The rate of harm in surgical patient is unknown but probably occur in about 10% surgical patient, though much of this harm will be minor.
6. 1. Patients themselves. 2. Healthcare professional 3. System failure. 4. Medical complexity
7. Patients Themselves 1. A variety of presentation. 2. Differing co-morbidities 3. Differing response to treatment 4. Patients are reluctant to speak up. 5. Refuse to co-operate 6. Hide and seek
8. Healthcare professional 1. Inadequate Pt assessment(delay or error in Diagnosis) 2. Failure to use or interpret appropriate test 3. Error in performance of an operation and test. 4. Inadequate monitoring or follow-up. 5. Deficient training or experience 6. Fatigue, overwork or time pressure. 7. Personal or psychological factor i.e. drug abuse or depression. 8. Lack of recognition of the danger of medical errors.
9. System failure 1. Poor communication between healthcare provider. 2. Inadequate staffing level 3. Overreliance on investigation 4. Lack of coordination at handover 5. Drug similarities. 6. Equipment failure due to lack of skilled operators. 7. Inadequate system to report and review patient safety incident.
10. Medical complexity 1. Advance and new technologies(laparoscopic, robotic surgery) 2. Potent drug and their side effects and interaction. 3. Working environment- Surgical ICU, HDU and Operation theatre
11. Surgery is one of the most complex health intervention to deliver. More than 100 million people worldwide require surgical treatment every year for different reason. Great Professor of Surgery Sir Alfred Cuschieri and other describes surgical errors in different categories that committed by the surgeons during care of the Patients.
12. 1. Diagnosis and management erro
Surgical safety checklist
This presentation was prepared by RUTAYISIRE François Xavier and ISHIMWE Diane, Medical students in Year 4(Doctorate 2) at University of RWANDA school of medicine and Pharmacy, Department of Medicine and Surgery. we did the work under supervision of Dr Ntakiyiruta Georges,Mmed,FCSECSA
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Surgical safety checklist
WHO Surgical Safety Checklist is very important aspect of safety in the operating rooms of all hospitals.
Who Surgical Checklist: Principles and Procedures
The World Health Organisation is a global tool to ensure safety in surgery. The principles and procedures are described for how to implement it in your organisation.
OT Check List
The document provides an operating theatre (OT) checklist to help ensure patient safety during surgical procedures. It lists several checks that the operating team should complete in the ward and theatre before surgery, including correctly identifying the patient, marking the intended surgical site, checking for allergies and previous medical history, and confirming critical patient information has been exchanged. The goal is for the team to operate on the right patient and site, take appropriate precautions, and communicate effectively to safely conduct the surgery and prevent errors.
Surgical Safety & Safer surgery
1. Safety is everybody’s business. According the Hippocratic oath from 5th century : “ Never do harm to anyone” Safer Surgery can be defined as a reduction in avoidable harm to a surgical patient
2. It is a part of medical specialty that uses operative manual and instrumental technique on a patient to investigate or treat a pathological condition. Surgical team: 1. Surgeon 2. Surgeon’s assistance 3. Anesthetist 4. Scrub nurse 5. Scouting nurse 6. Surgical technologist
3. Time or duration when patient admitted and discharge after completion of surgery. So, surgical safety has broadly included in different phases: 1. Preoperative(Diagnosis, investigation) 2. Per operative 3. Postoperative(Up to discharge)
4. 1. Adverse events: An incident which result in harm to the patient. 2. Near Miss: An incident which could resulted in unwanted harm but did not. 3. No-harm events: An incident that occur and reach to the patient but result in no injury.
5. An article in the Gurdian newspaper UK in March 2013 claimed that “five worst medical” nightmares a Pt faces, three related to surgery: 1. Wrong site surgery 2. Wrong patient surgery 3. Retained instruments and swabs The rate of harm in surgical patient is unknown but probably occur in about 10% surgical patient, though much of this harm will be minor.
6. 1. Patients themselves. 2. Healthcare professional 3. System failure. 4. Medical complexity
7. Patients Themselves 1. A variety of presentation. 2. Differing co-morbidities 3. Differing response to treatment 4. Patients are reluctant to speak up. 5. Refuse to co-operate 6. Hide and seek
8. Healthcare professional 1. Inadequate Pt assessment(delay or error in Diagnosis) 2. Failure to use or interpret appropriate test 3. Error in performance of an operation and test. 4. Inadequate monitoring or follow-up. 5. Deficient training or experience 6. Fatigue, overwork or time pressure. 7. Personal or psychological factor i.e. drug abuse or depression. 8. Lack of recognition of the danger of medical errors.
9. System failure 1. Poor communication between healthcare provider. 2. Inadequate staffing level 3. Overreliance on investigation 4. Lack of coordination at handover 5. Drug similarities. 6. Equipment failure due to lack of skilled operators. 7. Inadequate system to report and review patient safety incident.
10. Medical complexity 1. Advance and new technologies(laparoscopic, robotic surgery) 2. Potent drug and their side effects and interaction. 3. Working environment- Surgical ICU, HDU and Operation theatre
11. Surgery is one of the most complex health intervention to deliver. More than 100 million people worldwide require surgical treatment every year for different reason. Great Professor of Surgery Sir Alfred Cuschieri and other describes surgical errors in different categories that committed by the surgeons during care of the Patients.
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Surgical safety checklist
This presentation was prepared by RUTAYISIRE François Xavier and ISHIMWE Diane, Medical students in Year 4(Doctorate 2) at University of RWANDA school of medicine and Pharmacy, Department of Medicine and Surgery. we did the work under supervision of Dr Ntakiyiruta Georges,Mmed,FCSECSA
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The document discusses the surgical safety checklist recommended by the World Health Organization (WHO). It was created to improve communication among surgical teams and reduce avoidable complications and deaths associated with surgery. The checklist is intended to be used at three critical times: before anesthesia, before incision, and before the patient leaves the operating room. It contains steps to confirm the correct patient, prevent errors, and ensure key safety practices are followed. Studies have found the checklist significantly improves surgical outcomes when properly implemented.
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The document discusses surgical counting procedures and retained surgical items (RSIs). It provides guidelines for counting accountable items at different stages of a surgical procedure, including an initial count before the procedure, additional counts before closing cavities, and a final count at the end. It emphasizes the importance of counting to ensure all items are removed and reduce risks of injury. For laparoscopic surgeries specifically, it recommends partial counts where only used instruments are counted rather than all instruments. A study found the partial count method increased counting efficiency by 44-70% compared to full counts. Stakeholder feedback found the partial count method was effective, efficient and improved communication between surgeons and nurses.
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The document discusses guidelines for proper patient identification and verification of surgical procedures. It recommends that patients undergoing surgery should have at least two identifiers, wear an identifying marker, and be properly identified by the surgical team before transport to the operating room. It also stresses the importance of verifying the correct surgical procedure and site, and conducting a "time out" before any procedure to confirm patient, procedure, and site details. Potential barriers to proper identification like staffing issues, multiple procedures or surgeons are also outlined.
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This document outlines various hazards faced by those working in operating theatres. It discusses pollution from anaesthetic agents which can cause health issues with chronic exposure. Biological hazards like infections from needlesticks or airborne pathogens are also a risk. Physical hazards include injuries from sharp objects, falls, fires or radiation. Electrical accidents are another danger, as are personal hazards such as stress, fatigue, or drug and alcohol abuse. A variety of precautions are recommended to minimize risks from these various hazards of working in operating rooms.
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This document discusses the management and organization of operating theatres. It begins by defining an operating theatre and describing its purpose. It then outlines the types of surgeries performed in operating theatres including emergency, elective, major and minor surgeries. The document also discusses advances in surgery like microsurgery, cryosurgery and laparoscopic surgery. It provides objectives for operating theatres and describes the operating theatre complex. Key considerations for operating theatre planning, construction, lighting, power outlets, air conditioning and ventilation are also summarized.
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by - dr. sheetal kapse, 2nd year p.g. student, dept. of oral & maxillofacial surgery, RCDSR, Bhilai, C.G. please contact for any question...email id - sheetal.kpse@yahoo.com
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The correct application of the safety check steps in our routine theatre operations and procedures will greatly reduce surgically related mortality and morbidity.
Identification of patient and part that has to be operated
The document discusses guidelines for proper patient identification and verification of surgical procedures. It recommends that patients undergoing surgery should have at least two identifiers, wear an identifying marker, and be properly identified by the surgical team before transport to the operating room. It also stresses the importance of verifying the correct surgical procedure and site, and conducting a "time out" before any procedure to confirm patient, procedure, and site details. Potential barriers to proper identification like staffing issues, multiple procedures or surgeons are also outlined.
4.hazards of working in the operation room
This document outlines various hazards faced by those working in operating theatres. It discusses pollution from anaesthetic agents which can cause health issues with chronic exposure. Biological hazards like infections from needlesticks or airborne pathogens are also a risk. Physical hazards include injuries from sharp objects, falls, fires or radiation. Electrical accidents are another danger, as are personal hazards such as stress, fatigue, or drug and alcohol abuse. A variety of precautions are recommended to minimize risks from these various hazards of working in operating rooms.
Legal and ethical issues in surgery
The document defines key concepts in surgical ethics such as autonomy, informed consent, confidentiality and good surgical practices. It explains that ethics establishes obligations between individuals and society and is essential for surgery. Surgical ethics represents moral responsibility, evolves with experience, and investigates how surgeons should act. Autonomy means respecting patient choice in treatment, while informed consent requires fully informing patients and addressing any questions. Confidentiality makes patient information private, with limits if a patient threatens harm or a court orders disclosure. Good standards mean offering specialized treatment using proper training to protect life.
Surgical safety checklist
This presentation was done by RUTAYISIRE François Xavier and ISHIMWE Diane, medical students at University of RWANDA School of Medicine and pharmacy, department of medicine and surgery. They did it while they were in Year 4 (Doctorate2), under supervision of Dr Ntakiyiruta Georges,Mmed,FCSECSA. It tell us about what a surgical safety checklist is, and why is it important in surgical field.
Day case surgery
Principles of surgery. Day case surgery is a rapidly evolving surgical sub speciality that seeks to eliminate the need for prolonged admission in surgical patients and the attendant complications of prolonged immobilization. It is based on the documented evidence that most post op patients does not require specialised post op care and hence can be allowed to recover at home. This form of surgery appeals to patients and their families due to the fact that it allows only minimal interruption of patient's social life
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Surgical site infections are infections that occur after surgery in the part of the body where surgery took place. They can range from minor superficial infections to more serious deep tissue infections. Surgical site infections account for around 20% of all healthcare-associated infections and at least 5% of patients who undergo surgery will develop a surgical site infection. The risk factors include patient characteristics like age, diabetes, and obesity as well as surgical factors like long duration of surgery, improper skin preparation, and poor aseptic technique. Preventing surgical site infections requires strategies like proper patient skin preparation before surgery, appropriate use of antimicrobial prophylaxis during surgery, and careful wound care after surgery.
Infection control in operation room
The document outlines recommendations for infection prevention and control in the operating room, including maintaining sterile zones, following standard precautions like proper hand hygiene and use of personal protective equipment, and CDC guidelines for preventing surgical site infections such as administering antimicrobial prophylaxis within 1 hour before incision. Risk factors for infection are classified and procedures for cleaning spills of blood and body fluids are described. Evaluation of infection control practices involves using checklists to monitor compliance and surveillance to identify infections and associated risk factors.
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This document provides an overview of day care or ambulatory surgery. It discusses the history and development of day care surgery. Key points include that day care surgery aims to have patients discharged on the same day of surgery. Patient selection involves assessing medical, social and surgical factors to identify appropriate candidates. The document also outlines common procedures performed in day care settings and considerations for anesthesia, analgesia, and post-operative recovery and discharge criteria. The overall goal of day care surgery is to provide surgical care without an overnight hospital stay when possible.
Ot mang
The document discusses the management and design considerations for an operation theatre (OT) suite in a hospital. It covers key aspects like location, number of operating rooms, zoning, equipment, lighting, ventilation, safety hazards, emergency equipment and patient protection protocols. The OT suite needs to be carefully planned and designed to minimize infection risks through segregated traffic flow and maintaining different cleanliness zones, from protective to sterile areas.
Cancellation of surgical case
The document discusses surgical case cancellations and ways to improve. It defines case cancellation as when a patient is scheduled for surgery but it is not performed on the scheduled date. The study found that 27.2% of scheduled elective cases were cancelled, with general surgery having the most at 54.8%. The most common reasons for cancellation were the operating list running over (73%) and patient fitness issues (14%). The document recommends adopting interventions like a bed utilization manager, clearer guidelines on patient fitness, earlier patient evaluation, and improved communication to reduce cancellation rates.
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All medical personnel share same thing in common, they all serve the patients. no one of them is entirely independent of others. the patient is a reason for existence in whole organisation. hence, the duty of RADIOGRAPHER must be seen in relation to the patient in particular and hospital as a whole.
Patient safety
Patient safety is an important part of healthcare. It aims to prevent harm caused by accidents, errors, and complications during treatment. Some key aspects of ensuring patient safety include accurate patient identification, effective communication of medical information, safe medication practices, reducing risks of infections, conducting risk assessments, following safety protocols for radiation and surgery, and maintaining a safe clinic environment. Organizations are working to promote a culture of safety and establish systems to safeguard patients.
patient safety.ppt
This document discusses various ways to promote patient safety during invasive procedures and surgery. It emphasizes the importance of:
1) Using checklists and protocols to verify the correct patient, site of operation, and procedure are identified.
2) Effective communication and teamwork among operating room staff to update each other on the patient's condition, announce critical events, and confirm tasks are complete before ending the procedure.
3) Conducting pre-operative, intra-operative, and post-operative checks by multiple staff to catch any errors and ensure safe transfer of the patient between stages of care.
Triage_START_Tag.pptx
The document describes the Maryland Triage System for sorting and prioritizing patients during mass casualty incidents. It defines triage and explains the START and JumpSTART triage methods. Patients are categorized into Immediate, Delayed, Minor, or Expectant/Deceased groups based on their respiration, pulse, and mental status. Paper triage tags are used to identify and track patients, with sections for patient information, triage category, vital signs, treatment, and transport details. The system aims to provide the most effective treatment and transport for those in need of urgent care while efficiently utilizing emergency response resources.
Intl Field Spay & Neuter Guidelines
1. The document provides guidelines for international spay/neuter field clinics, covering topics such as pre-operative planning, supplies, surgical protocols, anesthesia, post-operative care, and recovery monitoring.
2. Proper sterilization of instruments and maintaining aseptic technique during surgery are emphasized as critical for reducing post-operative complications.
3. Thermoregulation of patients is identified as a major concern, as hypothermia is a common post-operative complication; keeping patients warm and dry during and after surgery is advised.
Scene size up and initial assessment
The document provides guidance on performing an initial patient assessment for EMTs. It describes evaluating the scene for safety, determining the mechanism of injury or nature of illness, and performing an initial assessment of the patient's airway, breathing, circulation, mental status and skin signs. The assessment may be followed by a more focused physical exam and history gathering for medical versus trauma patients. Key steps include maintaining spinal immobilization if needed, assessing vital signs, and identifying any life-threatening conditions requiring immediate treatment.
Sridhar presentation
The document discusses the pre-anesthesia consultation (PAC) process. It defines PAC as the clinical assessment of patients before anesthesia for surgery or non-surgical cases. The goals of PAC are to identify the patient, take their history, conduct a physical exam, identify medical conditions, order tests, manage medications, and provide pre-operative instructions. Benefits include reducing patient anxiety, optimizing health before surgery, and decreasing costs. The document outlines the components of a thorough PAC including airway assessment, cardiac and other system evaluations, recommended tests, medication management, and pre-operative guidelines.
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Surgical safety checklist
- 1. PATIENT HAS CONFIRMED • IDENTITY • SITE • PROCEDURE • CONSENT SITE MARKED/NOT APPLICABLE ANAESTHESIA SAFETY CHECK COMPLETED PULSE OXIMETER ON PATIENT AND FUNCTIONING DOES PATIENT HAVE A: KNOWN ALLERGY? NO YES DIFFICULT AIRWAY/ASPIRATION RISK? NO YES, AND EQUIPMENT/ASSISTANCE AVAILABLE RISK OF >500ML BLOOD LOSS (7ML/KG IN CHILDREN)? NO YES, AND ADEQUATE INTRAVENOUS ACCESS AND FLUIDS PLANNED NURSE VERBALLY CONFIRMS WITH THE TEAM: THE NAME OF THE PROCEDURE RECORDED THAT INSTRUMENT, SPONGE AND NEEDLE COUNTS ARE CORRECT (OR NOT APPLICABLE) HOW THE SPECIMEN IS LABELLED (INCLUDING PATIENT NAME) WHETHER THERE ARE ANY EQUIPMENT PROBLEMS TO BE ADDRESSED SURGEON, ANAESTHESIA PROFESSIONAL AND NURSE REVIEW THE KEY CONCERNS FOR RECOVERY AND MANAGEMENT OF THIS PATIENT SIGN IN CONFIRM ALL TEAM MEMBERS HAVE INTRODUCED THEMSELVES BY NAME AND ROLE SURGEON, ANAESTHESIA PROFESSIONAL AND NURSE VERBALLY CONFIRM • PATIENT • SITE • PROCEDURE ANTICIPATED CRITICAL EVENTS SURGEON REVIEWS: WHAT ARE THE CRITICAL OR UNEXPECTED STEPS, OPERATIVE DURATION, ANTICIPATED BLOOD LOSS? ANAESTHESIA TEAM REVIEWS: ARE THERE ANY PATIENT-SPECIFIC CONCERNS? NURSING TEAM REVIEWS: HAS STERILITY (INCLUDING INDICATOR RESULTS) BEEN CONFIRMED? ARE THERE EQUIPMENT ISSUES OR ANY CONCERNS? HAS ANTIBIOTIC PROPHYLAXIS BEEN GIVEN WITHIN THE LAST 60 MINUTES? YES NOT APPLICABLE IS ESSENTIAL IMAGING DISPLAYED? YES NOT APPLICABLE TIME OUT SIGN OUT Before induction of anaesthesia Before skin incision Before patient leaves operating room SURGICAL SAFETY CHECKLIST (FIRST EDITION) THIS CHECKLIST IS NOT INTENDED TO BE COMPREHENSIVE. ADDITIONS AND MODIFICATIONS TO FIT LOCAL PRACTICE ARE ENCOURAGED.