The productive operating the Gateshead way - Joanne Coleman, Gateshead Health NHS Foundation
Trust
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
ANZICS S&Q 2014 - RRT: Robert Herkes on why ward staff should manage their ow...ANZICS
Robert Herkes makes the argument that ward staff should manage their own deteriorating patients. Presented at the ANZICS S&Q Conference 2014 on Rapid Response Teams.
How can you extend current uses of Lean Six Sigma beyond process but to incorporate empathy building? Join Jill Secord, RN, MBA, who will explore effective integration of proven approaches to accelerate quality and efficient health care services.
7 day services practical tips for achieving consultant review of patients wit...NHS England
Sue Cottle, Programme Lead, 7 Day Services, Sustainable Improvement, NHS England South
Celia Ingham Clark, MBE, Medical Director for Clinical Effectiveness, NHS England
Claire Gorzanski, Head of Clinical Effectiveness, Salisbury NHS Foundation Trust
Sam Burrows, Director of Strategy, NHS Wokingham CCG
This webinar aims to provide you with:
An overview of the updated guidance for the priority clinical standards and timing of the forthcoming self-assessment survey
Practical examples of how commissioners and acute providers are working together to support delivery of timely Consultant assessment (clinical standard 2) – their successes, challenges and opportunities
An opportunity to ask questions of your colleagues and identify key areas of support required
ANZICS S&Q 2014 - RRT: Robert Herkes on why ward staff should manage their ow...ANZICS
Robert Herkes makes the argument that ward staff should manage their own deteriorating patients. Presented at the ANZICS S&Q Conference 2014 on Rapid Response Teams.
How can you extend current uses of Lean Six Sigma beyond process but to incorporate empathy building? Join Jill Secord, RN, MBA, who will explore effective integration of proven approaches to accelerate quality and efficient health care services.
7 day services practical tips for achieving consultant review of patients wit...NHS England
Sue Cottle, Programme Lead, 7 Day Services, Sustainable Improvement, NHS England South
Celia Ingham Clark, MBE, Medical Director for Clinical Effectiveness, NHS England
Claire Gorzanski, Head of Clinical Effectiveness, Salisbury NHS Foundation Trust
Sam Burrows, Director of Strategy, NHS Wokingham CCG
This webinar aims to provide you with:
An overview of the updated guidance for the priority clinical standards and timing of the forthcoming self-assessment survey
Practical examples of how commissioners and acute providers are working together to support delivery of timely Consultant assessment (clinical standard 2) – their successes, challenges and opportunities
An opportunity to ask questions of your colleagues and identify key areas of support required
7 Day Consultant Ward rounds for medical emergency admissions
Mark Temple
Consultant Physician & Nephrologist
Heart of England Foundation Trust
Acute care fellow, RCP
Presentation from the 'NHS services open seven days a week: every day counts' event on Saturday 16 November at The Metropole Hotel, Birmingham.
This event was hosted by NHS Improving Quality and NHS England to share the views and ideas of public, patients, carers, NHS England and health and social care staff on how to improve access to services for patients across the seven day week.
More information at http://www.nhsiq.nhs.uk/improvement-programmes/acute-care/seven-day-services.aspx or #7DayServices
Do our patients consistently receive evidence-based, effective care every time he or she needs it? This presentation discusses the concepts associated with high reliability:
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Efforts to improve perioperative care focus mostly on multidisciplinary coordination of evidence-based surgical care pathways, particularly on the day of surgery, and they have been largely successful at reducing hospital length of stay and complication rates. The next frontier involves broadening the focus to span the entire surgical care continuum from when a patient and surgeon first decide to move forward, all the way through outpatient recovery. The prevalence of same-day and short-stay surgery underscores the need to engage patients more effectively before and after admission.
Customer service dental practice presentation fileMark Stallwood
Dental practice now needs to consider customer service as an integral part of its offering. Presentation to University of Adelaide Dental School Post Graduate Continuing Education Conference
Rapid review of endoscopy services - NHS ImprovementNHS Improvement
Rapid review of endoscopy services
NHS Improvement Jan 2012 shares emerging learning from front line services and identifies areas of good practice in addition to highlighting some key challenges that endoscopy departments are encountering today
Patient-centric technology moves surgical care beyond the hospital walls. Presented by Rachel Vickery, SHI Global, at HINZ 2014, 12 November 2014, 12pm, Marlborough Room
7 Day Consultant Ward rounds for medical emergency admissions
Mark Temple
Consultant Physician & Nephrologist
Heart of England Foundation Trust
Acute care fellow, RCP
Presentation from the 'NHS services open seven days a week: every day counts' event on Saturday 16 November at The Metropole Hotel, Birmingham.
This event was hosted by NHS Improving Quality and NHS England to share the views and ideas of public, patients, carers, NHS England and health and social care staff on how to improve access to services for patients across the seven day week.
More information at http://www.nhsiq.nhs.uk/improvement-programmes/acute-care/seven-day-services.aspx or #7DayServices
Do our patients consistently receive evidence-based, effective care every time he or she needs it? This presentation discusses the concepts associated with high reliability:
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Efforts to improve perioperative care focus mostly on multidisciplinary coordination of evidence-based surgical care pathways, particularly on the day of surgery, and they have been largely successful at reducing hospital length of stay and complication rates. The next frontier involves broadening the focus to span the entire surgical care continuum from when a patient and surgeon first decide to move forward, all the way through outpatient recovery. The prevalence of same-day and short-stay surgery underscores the need to engage patients more effectively before and after admission.
Customer service dental practice presentation fileMark Stallwood
Dental practice now needs to consider customer service as an integral part of its offering. Presentation to University of Adelaide Dental School Post Graduate Continuing Education Conference
Rapid review of endoscopy services - NHS ImprovementNHS Improvement
Rapid review of endoscopy services
NHS Improvement Jan 2012 shares emerging learning from front line services and identifies areas of good practice in addition to highlighting some key challenges that endoscopy departments are encountering today
Patient-centric technology moves surgical care beyond the hospital walls. Presented by Rachel Vickery, SHI Global, at HINZ 2014, 12 November 2014, 12pm, Marlborough Room
Chief Allied Health Professions Officer’s Conference 2016
Workshop 3: Integrated Care – Chair Lindsey Hughes
iCares – population based delivery of care. Ruth Williams, Clinical Directorate Lead, Community and Therapies Clinical Group. Sandwell and West Birmingham Hospitals NHS Trust.
Referral and Test Tracking: Developing a SystemPAFP
SOUTH CENTRAL October 30, 2013
Discuss the quality improvement and medico-legal aspects of referral and test tracking. Address barriers and consider low and high tech options for referrals and test tracking.
Speaker:
Christian Hermansen, MD
Downtown Family Medicine
Lancaster, PA
How to Transform Your Orthopedic Program Into A Destination CenterWellbe
How do you excite all levels of the organization and motivate them to move towards one true north? The key is creating focus, energy and alignment.
- Learn how to listen and connect with the voice of your customers (VoC), the voice of your business (VoB) and the voice of your employees (VoE)
- Break down department silos and create a thriving team culture eager to drive innovation and improvement
- Delight your patients and watch 'word of mouth' marketing become a major driver of sales for your program
Stephanie Allison is the founder of Right Brain Left Brain. Stephanie is a Biochemical Engineer from Auburn University. She has more than 20 years of experience in scientific industries, from nuclear and chemical to medical device and healthcare. Early in her career she was exposed to Lean Six Sigma, changing and improving her engineering approach to become much more about people and process interactions. Steph has saved millions of dollars utilizing her Master Black Belt certification in Lean Six Sigma while simultaneously creating positive culture environments.
Tips, Tricks and Best Practices to Get Maximum Benefit from your EMRCientis Technologies
Implementation of electronic medical records does not necessarily mean that the systems are being used effectively. Using EMRs optimally requires extensive optimization. This presentation provides a number of useful tips trick and best practices to assist practices with the optimal use of their EMR systems.
DAY-CARE SURGERY IN CHILDREN [Autosaved].pptxgauthampatel
DAY-CARE SURGERY IN CHILDREN
Children are excellent candidates for day care management as they are usually healthy and predominantly require minor or intermediate surgery of short duration.
The community and patients tend to forget that the clinicians and other healthcare personnel are also human like them. Every human makes an error while performing his or her task, accurately reporting the performance and due to general forgetfulness. However, the consequences of errors in medical practice are potentially serious for both patients and doctors alike.
Service Innovation - UHS Pharmacy an Opportunity to Increase the Coverage of ...Health Innovation Wessex
Getting To Grips with Alcohol 2016
Presentation Slides
Service Innovation - UHS Pharmacy an opportunity to increase the coverage of identification and brief advice
Jacqueline Swabe and Lindsay Steel
Similar to The productive operating the gateshead way joanne coleman (20)
Stopping over-medication of People with Learning Disabilities
(STOMPLD) 2016.
Reducing Inappropriate Psychotropic Drugs in People with a Learning Disability in General Practice and Hospitals in 2016.
Presentation slides Frailty: building understanding, empathy and the skills t...NHS Improving Quality
Frailty: building understanding, empathy and the skills to support self-care
Guest speaker:Dr Dawn Moody, Director - Fusion48
An opportunity to learn about some innovative approaches to making the health and care workforce 'Fit for Frailty'* (*British Geriatrics Society 2015).
Learning outcomes:
To explore the Frailty Fulcrum as a tool for holistic assessment and management of frailty
To hear how Virtual Reality is being used to build empathy for older people living with frailty
To learn about the impact of a county-wide, multi-agency, multi-professional training an toolkit for care professionals working with older people
Resources:www.fusion48.net
Self-management in the community and on the Internet - Presentation 22nd Marc...NHS Improving Quality
LTC Lunch & Learn webinar:- 22nd March 2016
Presenter:- Pete Moore, Educator, Author & Pain Toolkit Trainer
As pain is the most daily health problem reported to a GP-
Developing a national pain strategy- reviews from around the world
Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient C...NHS Improving Quality
Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
Fire service as an asset: providing telecare support in the community Webinar...NHS Improving Quality
Guest speaker: Steve Vincent - West Midlands Fire Service & Simon Brake from Coventry Council
Hosted by: Bev Matthews, Long Term Conditions Programme Lead, NHS England
Learning Outcomes:-
To better understand the role that the Fire and Rescue service can provide as a community asset to support health needs Enhancing the quality of life for people by supporting them to stay in their own home, even in a crisis
An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
2. TPOT Integration within the trust
objectives
• Lean methodology: RPIW and Kaizan events
• Safecare
• Productive series
• Compact and vision work with all staff groups
4. Overview of our progress
•
•
•
•
•
•
•
Knowing how we are doing
Well organised theatre
Operational status at a glance
Team working
Scheduling
Patient turnaround
Recovery module
5. Barriers to a Perfect Day
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Capacity
•
Individual commitments
•
Job plans
•
Porters
Staff shortages
•
Attitudes
•
Skill
Training
•
Patients
No flexibility
•
Lack of productivity bonuses
•
Ineffective communication
•
Lack of kit
•
Lack of standardisation
•
Culture / custom and practice
•
Unrealistic scheduling
•
Availability of staff
No opportunity for multi-stake holder•
gathering (like today)
•
Change ( fearful of and resistance to)
•
•
Awaiting permission to change
Money
Champions to take it forward
Effective co-ordination of the whole
suite
Room for bulk IV’s not ready yet
Historically theatre cupboards not
standardized
No CD usage patterns/ no adequate
storage for CD’s
No visual controls in theatre
Pharmacy not understanding stock
control
Down time between cases
Inappropriate listing /order of lists
List not starting on time
Patient DNA
Patient not fully prepared
Behaviour of medical staff
IT systems malfunctioning
Lack of critical care beds/ward beds
Sickness
6. Oh What a Perfect Day !!!!
•
•
•
•
•
•
•
•
•
•
Sufficient equipment / all kit
available to start
Good staffing levels
Start and finish on time
Theatre fully prepared
Co-ordination of medical staff
Correct personnel present
Quick turnaround of patients/ beds.
Porters ready to bring patient to
and from theatre. Staff available to
bring patients to and from theatre.
No waiting around.
Pre-assessment pathways with
patient with up to date/ relevant
tests available.
Theatre lists are realistic in terms of
capacity
Patient consented prior to day of
surgery
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
All IV bulk on direct delivery to theatre
No cancelled operations
All drugs available
Realistic stock levels
Good channels of communication
Respect for all team members
Team brief before the start of the list
(WHO)
Minimal list alterations
No patient harm
Efficient use of storage areas
Break times respected by all team
members
Ease of recognition of MDT
Appropriate fasting times/ pre-op meds
Bar codes and auto top up
No expired drugs
No datix’s for drug errors in theatres
No manufacturer supply problems
7. Theatre Vision
• All patients and staff will be ready for the
procedure to be undertaken
• All drugs and sterile equipment to be in the
expected place in the quantity requested at the
right time with no product defects or wastage.
• All storage locations neat and tidy with visual
prompts.
• Good partnership working between provider
departments and core theatre staff to support
effective logistic supply.
• Documentation records in line with legal
requirements
17. Start times, over runs
100
50
0
RF
RE/KG
AM
SNK
NT
JH
KC
ME
PP
AH
JC
-50
-100
-150
-200
-250
-300
Series1
18. Delays leaving recovery
• Staff from ward not available
• More than 1 patient to return to the ward at
the same time
• No porter available
• Ward had received 5 medical borders
admitting them
• Tea time
• Drugs round
31. Recurrent savings
• Working closely with anaesthetists and
nursing staff to reduce usage of:
• Sevoflurane
• IV Paracetamol
• Paracetamol & Ibuprofen pre-packs for
day cases
34. Improving documentation
• A CD review from Summer 2010 highlighted :
– Some entries made in error completely crossed
out to make original record illegible
– No standard way of recording the quantity in the
register, some use dose other use ampoules/vials
– Doses recorded against wrong page
– Where vials shared between multiple patients,
amount given to each patient often not recorded
37. Comments from NPSA Report
Profile: Senior Scrub Nurse
J is a senior and well respected scrub nurse
who has significant experience at the
hospital. He thinks the team need to be
empowered to speak up this will help the
team learn quicker and help reduce
misunderstandings. Some of his team have
reported that they don’t know what is going
on and they do not feel that they can raise
this in theatre. There is the perception that
the some of the surgeons and anaesthetists
do not listen to the more junior staff
Concerns / Barriers
•I think this is likely to fail.
•What will be the impact on
the patient?
•What will be the impact on
my staff?
•A big priority for J is the
patient journey and how
often the patient is asked
questions
•He finds the
documentation is a real
chore and is worried about
the team getting bogged
down in this
38. Concerns /Barriers
Profile: Consultant Surgeon
A is a long serving consultant who is
well known respected and influential.
He feels assured that he and his
team already complete all these
checks during the pathway. He does
not feel he makes or is at risk of
making errors. He feels the checklist
is a political tool that is not really
going to have any effect on quality or
safety of surgery.
•The checklist has been
developed on the back of a
political motive that will not
have any impact on patient
safety
•It could even have a
detrimental effect if it takes
staff away from the job in hand
•Experienced theatre staff are
seasoned professionals who do
not make errors
•It is not good for the patient –
they already have to respond to
too many checks and questions
as it is
39. Concerns/Barriers
Profile: Anaesthetic Registrar
M does not know the team very well
as she is a relatively junior
anaesthetist who does not always feel
easy communicating with the team.
She feels that there are sometimes
communication issues
She feels the checklist would be a
great mechanism for improving
communications and making sure all
of the team are on the same page
•Theatre is a noisy placewill whoever is doing this be
assertive enough to speak
up and enforce it?
•Who will lead this in
theatres and how will it be4
implemented?
•I am not sure if others will
buy into this, as they might
not need it as much as me
and might think it is a waste
of time
40. WHO SURGICAL SAFETY CHECKLIST
(Adapted for England and Wales and for Gateshead Health NHS Foundation Trust
SIGN IN
TIME OUT
SIGN OUT
Before Start of Surgical Intervention
Before induction of Anaesthesia
Before any member of the team
leaves the operating room
Has the patient confirmed their
identity, site, procedure and consent?
Y
Is the anaesthetic machine check
complete?
Y
ASA grade of patient
Does the patient have a:
♦Know allergy/metal work
♦An airway management plan
♦Relevant blood sampling
♦Adequate venous access
♦Has VTE prophylaxis been
planned/undertaken?
Y/N
Y/ NA
Y/N/N
A
Y
Y/N/N
A
Has the Surgical Site Infection bundle
been planned and undertaken?
♦Antibiotic prophylaxis within the last
60mins
♦Patient warming
♦Hair removal
♦Glycaemic control
Y/NA
Y/NA
Y/NA
Y/NA
Have all team members introduced
themselves by name and role?
Y
Has the surgeon/anaesthetist and
registered practitioner confirmed :
♦The patients name
♦The planned procedure, site and
position
♦Patient allergies and metal work
Y
Y
Y
Anaesthetist
♦Any patient specific concerns
♦Level of monitoring and support
♦Confirm SSI bundle/ASA grade/VTE
prophylaxis
Surgeon
♦Anticipated blood loss
♦Any critical steps
♦Other equipment /investigations
required
Nurse/ODP
Equipment sterility confirmed, any
equipment issues/concerns
Y
Y
Y
Y
Y
Y
Y
Is essential imaging displayed?
Y
♦Has it been confirmed that the
instrument, swab and sharps
count are complete?
♦Have the specimens been
labelled, including patient ID
♦Amount of blood loss
Y
Y
Y
Has the name of the procedure
been recorded?
Anticipated critical events
Please give details of any failure to complete any part of the checklist and the reason why.
Registered practitioner verbally
confirms with the team:
Y
Have any equipment issues
been identified?
Y/
N
Surgeon/Anaesthetist and Registered
Practitioner:
What are the key concerns for the
patients recovery?
41. After comments from staff, and
surgeons
Theatre Staff,
Allows us to prompt
surgeons and ask questions, so all
possible information is available.
Complicated patients, everybody
aware of what is going to happen
Ensures that all equipment is
available should extra things be
required.
Allows lists to be discussed so that
any change in order is known by all
Surgeons
Prevents delays, as all
equipment is available.
Everybody knows
exactly what is required,
minimizing delays.
Ensures that if list is
incorrect, it can be
changed
42. WHO Safer Surgery compliance
WHO Safer Surgery compliance
120
100
Briefing
80
Sign In
60
Time out
40
Sign out
20
11
gAu
n11
Ju
1
r- 1
Ap
11
bFe
c10
De
0
ct
-1
O
Au
g-
10
0
46. Achievements
• Starting to see an improvement in theatre
utilisation from 89% to 92%
• 11% reduction in late starts
• 10% reduction in late finishes
• Cost savings in both kit and drugs spend
• 66% reduction in cancelled ops
• Reduced sickness absence levels from
6.9% to 3.9%
• Reduced bank usage from 1220 hours to
234 hours
• Improved team work and morale
47. Lessons learned
• It’s worth the hard work
• Champions will help you achieve an
end result
• Everyone is valuable
• Tangible improvements encourage
more improvements
• Stick with it and just do it