SURGICAL SAFETY CHECKLIST PRESENTER: Dr Pushpendra Singh Dr Niraj Raj Guide: Dr. John Mukhopadhaya
Introduction Definition :- Safety checklists in medicine are designed to identify a potential error before it results in harm to a patient Why is a checklist ? When ? Strategies
Why a checklist To avoid surgery of wrong patients, wrong side. To improve team communication and consistency of care. To avoid: complications and avoidable death associated with surgery. To avoid: adverse legal issues
When surgical safety checklist apply? WHO checklist be completed for every patient undergoing a surgical procedure . The WHO has defined a surgical condition as ‘any condition that requires suture, incision, excision, manipulation, or other invasive procedure that usually, but not always, requires local, regional, or general anesthesia . Invasive procedures requiring written consent, even if not involving surgeons, should be considered to be ‘surgical procedures’ for the purposes of this checklist.
Surgical safety checklist In 2008, WHO ( 2008) Intended to be globally applicable
The Role Of Surgical Safety Checklist Oral confirmation by surgical teams of the completion of the basic steps to ensure: Safe delivery of anaesthesia Prophylaxis against infection Effective team work Other essentials
How the checklist is used It is used at three critical juncture: Sign in: before anaesthesia is administered, Time out: immediately before incision and Sign out: before the patient is taken out of the operating room.
World Health Organization’s 10 aims for safe surgery. 1 The team will operate on the correct patient at the correct site. 2 The team will use methods known to prevent harm from administration of anaesthetics, while protecting the patient from pain . 3 The team will recognise and effectively prepare for life threatening loss of airway or respiratory function. 4 The team will recognise and effectively prepare for risk of high blood loss. 5 The team will avoid inducing an allergic or adverse drug reaction for which the patient is known to be at significant risk
6 The team will consistently use methods known to minimise the risk for surgical site infection . 7 The team will prevent inadvertent retention of instruments or sponges in surgical wounds. 8 The team will secure and accurately identify all surgical specimens. 9 The team will effectively communicate and exchange critical information for the safe conduct of the operation. 10 Hospitals and public health systems will establish routine surveillance of surgical capacity, volume and results.
Outcome of checklist Marked improvements in surgical outcomes
T ake Home
Take Home EVERY CHECK CAN SAVE LIFE Can help us to be safe for our work and safe for our patient.