Surgical Safety Checklist

On April 1, 2010 the Ontario Hospitals Association made the use of a Surgical Safety Checklist mandatory for all hospitals.
The use of a checklist was not new to our hospitals. For years, the operating room staff have used perioperative checklists, anaesthesia checklists, and surgical equipment checklists and counts. So the use of a checklist is not new, but the public reporting of the use of the tool was new.
The tool calls for team discussions and checks at three critical points during surgery:
  1. Briefing: Preoperative evaluation of the conscious patient prior to induction of anesthesia.
  2. Time Out: Immediately prior to incision
  3. Debriefing: Postoperatively prior to the patient leaving the operating room.
The three checks are to be performed on every case, including cases that only require a local anaesthetic or light sedation. In reporting our compliance, we only counted cases where all three checks were documented.It is important to note that the three checks were completed and documented on all cases requiring a general anaesthetic. Since the majority of our O.R. cases require some light sedation or freezing only, and the actual O.R time is short, it has been a period of adjustment for staff to ensure the three checks are completed on the lighter cases. We have assessed what worked well, and where we need to improve as far as ensuring the three checks are documented. We have put some changes in place at the start of the second quarter, July 1st which will assist staff in ensuring that the documentation is completed on every case.

Our goal is 100% compliance.

Period
Listowel Compliance Rate
Wingham Compliance Rate
Apr to Jun 2010
27.8%
86.4%
Jul to Sept 2010
73.2%
97.3%
Oct to Dec 2010
90.9%
99.7%
Jan to Mar 2011
99.7%
97.3%
Apr to Jun 2011
100%
97.2%
Jul to Sep 2011
100%
97.8%
Oct to Dec 2011
97.4%
99.7%
Jan to Mar 2012
98.2%
99.7%
Apr to June 2012
100%
100%
July to Sept 2012
100%
100%
Oct to Dec 2012 100% 100%
Jan to Mar 2013 100% 100%
Apr  to Jun 2013 100% 100%
July to Sept 2013 100% 100%
Oct to Dec 2013 100% 100%
Jan to Mar 2014 100% 100%
Apr to Jun 2014 100% 100%

August 2014
SMTWTFS
12
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