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

ecords, instability of staff and managers, due to lack of financial motivation and attractionmigration, specially nurses and junior doctors.Also being carried in developing country the resources is to extent represent one of the basiclimitation specially in mainstreaming phase, because the trained staff is not motivated andretained used to migrate, on other hand the quality and safety systems need to be improvedspecially the reporting system of incidence and near misses which need more resources.5.3 Implications of the Change for ManagementThis change project with this great contribution of leaders, managers, and senior staff represent adifferent experience and create new spirit toward safety and quality applications. Extensive useof quality tool, capacity buildings, communication and teamwork establish new culture to theprofessionals such as cardiac surgeons. The finding of the evaluation confirms the internationalexperiences in the impact of the checklist implementation in creating teamwork, communication,and recall, through systematic check and orally team confirmation.On the side of service delivery implications, it improved the patient involvement, to ensure thecorrect person, correct site, and correct procedure. All cardiac surgical units applied the” SafeSurgery Saves Lives” initiative in all heart operations. This resulted in new safety culture,unifying the practice; to best practice, documentation systems strengthening, and reportingsystem for surgical errors established as a part of patient safety, enforce systemic check for riskarea and orally confirmation of main procedures.5.5 Recommendations for Future ImprovementsThis project data “the checklist data” should be computerized and connected with the patientmedical records and statistical departments. Quality management systems should be strengthened48