Professional Documents
Culture Documents
BMSH
CLINICAL MEETING
TOPIC:
PRESENTER:
SURGICAL SAFETY
DR BATUBO ( TEAM E)
OUTLINE
INTRODUCTION
SAVE SURGERY SAVES LIVE OBJECTIVES
CASE SCENERIO
THE CHECKLIST
ADVANTAGES
HOW TO RUN THE CHECKLIST: In detail
Sign in
Time out
Sign out
MODIFICATION
IMPLEMENTATION
THE WAY FORWARD IN BMSH
CONCLUSION
INTRODUCTION
Surgery is regarded as a high risk and complex
industry
Complications of surgical care have become a major
cause of death and disability worldwide.
Death rate
Rate of major
complication
Developed
0.4- 08%
3- 22
Developing 5- 10%
(Time Out)
after induction and before surgical incision
(Sign Out)
Immediately after wound closure but before removing the patient
12 months ( 2007-2008)
Canada, India, Jordan, New Zealand, Philippines,
Tanzania, England, USA
16yr and older
Non- cardiac Presurgery checklist Pchecklist
value
FINDINGS3733
# of patients
3955
Mortality
0.8%
1/2
1.5%
0.003
Improve
1. Appropriate antibiotic administration
2. Prevention of hypothermia
REDOSING
Reduce
1. Specimen problems - - - loss, wrong test
2. Inaccuracies in documentation
3. Surgical related complications
4. Mortality and mobidity
death &
Time out
Before skin incision
Safe to start operation or
procedure
Sign out
Before patient leave operating
room
Safe to end operation and safe to
send patient to next point of care
Operating Room
Expectec duration
Antibiotic redosing plan
Active warming
DVT prophylaxis
Modification
The Checklist can be modified to account for
differences among
facilities with respect to their processes,
the culture of their operating rooms and
the degree of familiarity each team member has with each
other.
Implementation
Requires adapting the Checklist to local routines
and expectations
With sincere commitment by hospital leaders
The heads of surgery, anaesthesia and nursing
departments must publicly embrace the belief that
safety is a priority and that use of the WHO
Surgical Safety Checklist can help make it a reality.
They should use the Checklist in their own cases
and regularly ask others how implementation is
proceeding
CONCLUSION
Checklists have been useful in many different
environments, including patient care settings.
This WHO Surgical Safety Checklist has been used
successfully in a diverse range of healthcare
facilities with a range of resource constraints.
Studies shows that with education, practice and
leadership, barriers to implementation can be
overcome.
With proper planning and commitment the
Checklist steps are easily accomplished and can
make a profound difference in the safety of surgical
care and reducing mortality and morbidity.
THANK YOU