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

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AbstractAim: This paper reports on the implementation of a Safe Surgery Saves Lives, in Ahmed-Gasim‟s Cardiac Center in 2011 using a change management framework.Background: Medical errors and incidence of traumatic injuries in surgical care services wererecognized as a proportion of the total global burden of disease. Surgical care and procedures canpotentially affect the lives of millions of people worldwide. Studies done by WHO found thatwrong person, wrong procedure, and wrong site surgery is a preventable adverse event, anddefined a core set of minimum standards that can be applied universally across borders andsettings, and developed a Surgical Safety Checklist as a tool to ensure safety culture, teamwork,communications, information handoff, patient involvement, and systematic check of processes.Methods: A Users‟ Guide to Managing Change in the Health Service Executive, HSE changemodel with major four phases; initiation, planning, implementation, and mainstreaming, wasused to guide the implementation of the Safe Surgery Saves Live Initiative through using theWHO Surgical Safety Checklist in Ahmed-Gasim‟ Cardiac Center (AGCC).Results:Implementation of 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. Implementation of a surgery checklist did notdelay cases or increase load of work.6
AcknowledgementsI am heartily thankful to my supervisors, Dr. Jonathan Drennan and other supervisors,whose encouragement, guidance and support from the initial to the final level enabled meto develop an understanding of the change project.It is a pleasure to thank those who made this project possible; the leaders, manager, andstaff of Ministry of Health, Ahmed-Gasim‟s Cardiac Center, and to change project team.Lastly, I offer my regards and blessings to all of those who supported me in any respectduring the completion of the project.7
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 10 and 11: Chapter 1Introduction1.1 Introducti
Page 12 and 13: Figure 1: Map of Piloted CitiesDeri
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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