Implementation of Safe Surgery Saves Lives initiative in Ahmed ...

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Figure 1: Map of Piloted CitiesDerived by this international safety issue, Ahmed-Gasim‟s Cardiac Center (AGCC) was selectedfor implementing the “Safe Surgery Saves Lives” initiative. AGCC provides specialized, highrisk and complicated surgical procedures and interventions, where more 400 cardiac operationsdone annually with 5% mortality rate, and not well documented or analyzed morbidity rate.AGCC managers and staff are looking for excellence and safety of services. They arechallenging to be the pioneers in implementing this initiative as a pilot for Khartoum Statehospitals. They feel the need to ensure the safety of surgical and invasive procedures. There ismore the 35 major cardiac operations performed in AGCC monthly, with 5 % mortality rate andunmeasured poor documented morbidity rate (AGCC , 2011).1.3 SummarySafe Surgery Saves live initiative is a part of global patient safety program developed, pilotedand evaluated by the WHO 2007 – 2008. The main tool used was the “WHO Surgical Safety10
Checklist”. The aim of this program is to ensure surgical safety, and prevent wrong patient,wrong site and wrong procedure. Safe Surgery Saves live initiative as a change project wasimplemented in Ahmed-Gasim‟s Cardiac Center in 2011. I was assigned by health authorities inthe Ministry of Health (MOH) as change leader. The quality team was selected to assist thechange leader and form the “change project team” responsible for the implementation of “SafeSurgery Saves Lives” project. Project team followed the „Users‟ Guide to Managing Change inHealth Service Executive‟ (HSE) change model (HSE, 2008) in the change process. The changeproject team secured the commitment and participation of the policy makers in the Ministry ofHealth together with managers of AGCC in the initiation stage, the managers and staff of theAGCC were involved by the change project team and comprehensively participated in planning,implementing and mainstreaming stages. The use of checklist is aiming to improve the teamwork, safety culture, documentation, recall, and safeguard systematic approach in processes andsurgical procedures. The direct and immediate goal of this change project is to improvecompliance with minimal set of evidence based standards and decrease medical errors related tohuman factors.This paper is composed of five chapters; introduction, literature review, methods, evaluation, andlast chapter about discussion and conclusion of this project.11
Page 1 and 2: Royal College of Surgeons in Irelan
Page 3 and 4: Implementation of Safe Surgery Save
Page 6 and 7: 3.3.4 Mainstreaming ...............
Page 8 and 9: AbstractAim: This paper reports on
Page 10 and 11: Chapter 1Introduction1.1 Introducti
Page 14 and 15: Chapter 2Literature Review2.1 Intro
Page 16 and 17: The framework aims to represent a c
Page 18: 2.3 The checklistHealthcare relies
Page 21 and 22: healthcare staff by producing the S
Page 23 and 24: nature of many of these work system
Page 25 and 26: piloting, framing to promote Checkl
Page 27 and 28: Chapter 3Methods3.1 IntroductionThe
Page 29 and 30: Time out phase:Before skin incision
Page 31 and 32: 3.3.1 InitiationThe purpose of this
Page 33 and 34: meeting, where a surprising event h
Page 35 and 36: The change project team designed in
Page 37 and 38: performing the surgery will continu
Page 39 and 40: consent ,as the one previously used
Page 41 and 42: area was yet to encouraged as the c
Page 43 and 44: of the project. These incentives do
Page 45 and 46: medical and nursing staff before an
Page 47 and 48: Staff Opinion about Checklist87%98%
Page 49 and 50: Chapter 5Discussion and Conclusion5
Page 51 and 52: y improving the reporting system de
Page 53 and 54: 5.6 ConclusionThe implementation of
Page 55 and 56: HSE. (2008, July). Improving ourser

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