Implementation of Safe Surgery Saves Lives initiative in Ahmed ...
Implementation of Safe Surgery Saves Lives initiative in Ahmed ...
Implementation of Safe Surgery Saves Lives initiative in Ahmed ...
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AbstractAim: This paper reports on the implementation <strong>of</strong> a <strong>Safe</strong> <strong>Surgery</strong> <strong>Saves</strong> <strong>Lives</strong>, <strong>in</strong> <strong>Ahmed</strong>-Gasim‟s Cardiac Center <strong>in</strong> 2011 us<strong>in</strong>g a change management framework.Background: Medical errors and <strong>in</strong>cidence <strong>of</strong> traumatic <strong>in</strong>juries <strong>in</strong> surgical care services wererecognized as a proportion <strong>of</strong> the total global burden <strong>of</strong> disease. Surgical care and procedures canpotentially affect the lives <strong>of</strong> millions <strong>of</strong> people worldwide. Studies done by WHO found thatwrong person, wrong procedure, and wrong site surgery is a preventable adverse event, anddef<strong>in</strong>ed a core set <strong>of</strong> m<strong>in</strong>imum standards that can be applied universally across borders andsett<strong>in</strong>gs, and developed a Surgical <strong>Safe</strong>ty Checklist as a tool to ensure safety culture, teamwork,communications, <strong>in</strong>formation hand<strong>of</strong>f, patient <strong>in</strong>volvement, and systematic check <strong>of</strong> processes.Methods: A Users‟ Guide to Manag<strong>in</strong>g Change <strong>in</strong> the Health Service Executive, HSE changemodel with major four phases; <strong>in</strong>itiation, plann<strong>in</strong>g, implementation, and ma<strong>in</strong>stream<strong>in</strong>g, wasused to guide the implementation <strong>of</strong> the <strong>Safe</strong> <strong>Surgery</strong> <strong>Saves</strong> Live Initiative through us<strong>in</strong>g theWHO Surgical <strong>Safe</strong>ty Checklist <strong>in</strong> <strong>Ahmed</strong>-Gasim‟ Cardiac Center (AGCC).Results:<strong>Implementation</strong> <strong>of</strong> a surgery checklist improved safety culture, memory recall,communication, team work, systematic check process, and decrease medical errors, such aswrong patient, wrong site, and wrong procedure. <strong>Implementation</strong> <strong>of</strong> a surgery checklist did notdelay cases or <strong>in</strong>crease load <strong>of</strong> work.6