Postoperative Complications Clinical Trial
Official title:
Patient Safety: Introduction of the Surgical Safety Checklist and Patient Outcome Assessment in an Academic Ambulatory Hospital
In January of 2007, the World Health Organization's (WHO) World Alliance for Patient Safety
initiated a project called "Safe Surgery Saves Lives" to identify minimum standards of
surgical care that can be universally applied across countries and settings. Through a two
year process involving international input from surgeons, anesthesiologists, nurses,
infectious disease specialists, epidemiologists and others, the WHO created a surgical safety
checklist that encompasses a simple set of surgical safety standards that can be used in any
surgical setting. Each safety step on the checklist is simple, widely applicable, and
measurable. The Surgical Safety Checklist was piloted in 8 hospitals around the world and
results demonstrated a significant decrease in death rate and postoperative complications.
This study proposes to introduce an adaptation of the Surgical Safety Checklist for an
ambulatory care surgical program and to assess the efficacy of its adaptation and
implementation on staff safety attitudes and patient outcomes. Specific ambulatory-based
items will be included in the checklist and patient outcomes will be assessed using the
Institute for Health Improvement's Perioperative Surgical Outcomes Tool which will also be
adapted for use for the ambulatory setting as well as routine follow up phone calls with
patients on the 1st postoperative day.
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