Implementation of the Surgical Safety Plan

Update Item Information
Identifier 2020_Schelin
Title Implementation of the Surgical Safety Plan
Creator Schelin, Jamee
Subject Advanced Practice Nursing; Education, Nursing, Graduate; General Surgery; Ambulatory Surgical Procedures; Medical Errors; Communication; Surgical Procedures, Operative; Checklist; Patient Care Team; Patient Safety; Process Assessment, Health Care; Surveys and Questionnaires; Quality Control; Implementation Science; Quality Improvement
Description Background: The surgical setting is a high stressed environment where poor communication can lead to fatal errors. Medical errors cause between 44,000 and 98,000 deaths in the USA a year. The single biggest factor underlying these errors is poor communication between health professionals. A large health care system developed the Surgical Safety Plan based on a modified checklist from the World Health Organization Surgical Safety Checklist with the aim to increase communication and decrease medical errors. The purpose of this project was to assess the usability, feasibility, and attitudes regarding the new Surgical Safety Plan. Methods: This quality improvement project used a pre-survey to assess staff attitudes regarding the process and culture prior to the implementation of the checklist. Educational sessions about the Surgical Safety Plan were provided to staff prior to implementation. Post-implementation chart audits were conducted to ensure compliance. Additionally, a feasibility, usability, and attitudes survey were performed one month after implementation. Results: Pre-implementation, 68.4% of the 19 respondents agreed the current time-out process was sufficient. Post-implementation, 95.2% of the 21 respondents either strongly agreed (38.1%) or agreed (57.1%) that the new Surgical Safety Plan helps prevent adverse events. Nearly 86% of the respondents reported that the Surgical Safety Plan was considered easy to follow. Overall, most thought the Surgical Safety plan is still a work in progress and needs improvement.Conclusion: The use of the Surgical Safety Plan appears to be feasible, and staff satisfaction following implementation was high. Further study is needed over a longer period to determine the true effectiveness and durability of the intervention.
Relation is Part of Graduate Nursing Project, Doctor of Nursing Practice, DNP, Acute Care
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2020
Type Text
Rights
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Language eng
ARK ark:/87278/s62z6q8b
Setname ehsl_gradnu
ID 1575250
Reference URL https://collections.lib.utah.edu/ark:/87278/s62z6q8b
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