Introduction of the Surgical Safety Checklist
In January of 2007, the World Health Organization's (WHO) World Alliance for Patient Safety initiated a project called "Safe Surgery Saves Lives" to identify minimum standards of surgical care that can be universally applied across countries and settings. Through a two year process involving international input from surgeons, anesthesiologists, nurses, infectious disease specialists, epidemiologists and others, the WHO created a surgical safety checklist that encompasses a simple set of surgical safety standards that can be used in any surgical setting. Each safety step on the checklist is simple, widely applicable, and measurable. The Surgical Safety Checklist was piloted in 8 hospitals around the world and results demonstrated a significant decrease in death rate and postoperative complications.
This study proposes to introduce an adaptation of the Surgical Safety Checklist for an ambulatory care surgical program and to assess the efficacy of its adaptation and implementation on staff safety attitudes and patient outcomes. Specific ambulatory-based items will be included in the checklist and patient outcomes will be assessed using the Institute for Health Improvement's Perioperative Surgical Outcomes Tool which will also be adapted for use for the ambulatory setting as well as routine follow up phone calls with patients on the 1st postoperative day.
Surgical "Time Out"
|Study Design:||Observational Model: Case Control
Time Perspective: Prospective
|Official Title:||Patient Safety: Introduction of the Surgical Safety Checklist and Patient Outcome Assessment in an Academic Ambulatory Hospital|
- The primary outcomes of this study are to determine if there are significant differences in (a) staff safety attitudes and (b) incidence of postoperative complications before and after implementation of the Surgical Safety Checklist [ Time Frame: Before and after implementation of checklist ] [ Designated as safety issue: Yes ]
- The primary outcomes of this study are to determine if there are significant differences in (a) staff safety attitudes and (b) incidence of postoperative complications before and after implementation of the Surgical Safety Checklist [ Time Frame: Before and after implementation of the safety checklist ] [ Designated as safety issue: Yes ]
|Study Start Date:||May 2009|
|Estimated Study Completion Date:||October 2011|
|Primary Completion Date:||January 2010 (Final data collection date for primary outcome measure)|
Ambulatory Surgical Patients 1
The nature of the operating room "time out" for ambulatory surgical patients will be examined before implementation of the World Health Organization's Surgical Safety Checklist.
Ambulatory Surgical Patients 2
The nature of the operating room "time out" for ambulatory surgical patients will be examined after implementation of the World Health Organization's Surgical Safety Checklist.Ambulatory surgical patients
|Contact: Pamela j Morgan, MD||416.323.6400 ext firstname.lastname@example.org|
|Contact: Michele F Haley, BA||416.323.6400 ext email@example.com|
|Women's College Hospital||Recruiting|
|Toronto, Ontario, Canada, M5G 1B2|
|Contact: Pamela J Morgan, MD 416.323.6400 ext 4087 firstname.lastname@example.org|
|Contact: Michele F Haley, BA 416.323.6400 ext 4087 email@example.com|
|Principal Investigator: Pamela J Morgan, MD|
|Sub-Investigator: Jean Kronberg, MD|
|Sub-Investigator: John Semple, MD|
|Principal Investigator:||Pamela J Morgan, MD||Women's College Hospital|