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Introduction of the Surgical Safety Checklist

This study has been completed.
Sponsor:
Collaborators:
Women's College Hospital
Ontario Ministry of Health and Long Term Care
Information provided by (Responsible Party):
Pamela J. Morgan, Women's College Hospital
ClinicalTrials.gov Identifier:
NCT00934310
First received: July 6, 2009
Last updated: January 5, 2015
Last verified: January 2015

July 6, 2009
January 5, 2015
May 2009
January 2010   (final data collection date for primary outcome measure)
  • 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 ]
Same as current
Complete list of historical versions of study NCT00934310 on ClinicalTrials.gov Archive Site
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Introduction of the Surgical Safety Checklist
Patient Safety: Introduction of the Surgical Safety Checklist and Patient Outcome Assessment in an Academic Ambulatory Hospital

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.

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Observational
Observational Model: Case Control
Time Perspective: Prospective
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Non-Probability Sample

Ambulatory surgical patients

  • Surgical "Time Out"
  • Postoperative Complications
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  • 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
Morgan PJ, Cunningham L, Mitra S, Wong N, Wu W, Noguera V, Li M, Semple J. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013 Jun;60(6):528-38. doi: 10.1007/s12630-013-9916-8. Epub 2013 Mar 16.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
1000
April 2012
January 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • ambulatory surgical patient

Exclusion Criteria:

  • in-patient or any patient who is planning to be admitted to hospital postoperatively
Both
16 Years to 90 Years
No
Contact information is only displayed when the study is recruiting subjects
Canada
 
NCT00934310
2009-0017-E
No
Pamela J. Morgan, Women's College Hospital
Sunnybrook Health Sciences Centre
  • Women's College Hospital
  • Ontario Ministry of Health and Long Term Care
Principal Investigator: Pamela J Morgan, MD Women's College Hospital
Sunnybrook Health Sciences Centre
January 2015

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP