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Copy of Copy of A Surgical Safety Checklist to Reduce Adverse Events in a Minor Surgery Setting: A Pilot Study
Transcript of Copy of Copy of A Surgical Safety Checklist to Reduce Adverse Events in a Minor Surgery Setting: A Pilot Study
Karen Cross, Adeel Khan, Duaa Sarhan
St. Michael's Hospital, Division of Plastic Surgery A Surgical Safety Checklist to Reduce Adverse Events in a Minor Surgery Setting: A Pilot Study By standardizing performance, checklists reduce reliance on memory and thus reduce errors of omission.
Communication breakdown has been implicated as a major factor contributing to medical error
Surgical Safety Checklist improves communication amongst the health care team with the aim of improving patient safety. Background To implement a Surgical Safety Checklist, and evaluate its potential impact on adverse events in a Minor Operating Room setting. Purpose 1. Briefing
4. Debriefing 4 Components of the Checklist Patient demographics
Surgical pause Step 1: BRIEFING Improved communication, teamwork, and the culture of safety in the hospital.
Improved compliance with standard safety measures in a timely manner
Improved surgical team efficiency - it has been known to save time
Improved patient outcomes Improvement Aims Step 2: PROCEDURE Step 3: SPECIMEN Step 4: DEBRIEFING Local utilized
Hand hygiene! Location of specimen
Pathology/Microbiology form Sharp count
Patient instructions Implementation of the checklist started July 12, 2012
Compliance with the checklist will be observed over the next 8 weeks
Not a quick fix, requires significant commitment at the grassroot level if a sustained change in the safety climate is to be achieved
Regular audits at 3, 6 and 9 months to see if checklist is being followed
Feedback to evaluate the checklist Next Steps