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

Chapter 4Evaluation4.1 IntroductionThe plan will include identification of appropriate metrics for both usage and outcome, andensure reporting to quality and safety department. The usage is continuously monitored andmeasured, it also short term evaluation to measure the implementation of the safety surgicalcheck list and the degree of compliance of the surgical, anesthesia and nursing staff.The quality and completeness of checklists also evaluated to measure the knowledge and attitudeOn other hand the impact of implementation of the WHO safety surgical checklist on the safetyof surgical procedures, in team of minimizing patient harm and decreasing medical errors, needlong term evaluation through analyzing the checklist and correlate the result with morbidity andmortality in Ahmed-Gasim‟s Cardiac Center, also correlated to improvement of safety culture,team work, communication and learning process.Also the ability of AGCC implementing team assessed to carry on the responsibility for ongoingimplementation and monitoring of change is an inherent part of the role of all leaders andmanagers in the system. It is important, however, the nature of this responsibility to build it intothe performance management system within the organisation is not only the role of the leaders.4.2 Evaluation ToolsFor short term objectives evaluation of correct implementation in this change project teamapproves and used the through participation of the working staff the following for evaluatingtools; first, focus group discussion with surgeons and their medical staff, anesthesia and theirassistant, nursing staff, and AGCC managers. Second tool was the direct observations fromoperating room, wards, and outpatient clinics. Third tool was the short two questionnaires for all42