Safe Surgery Saves Lives Checklist (SSSL) - Public Reporting Calendar:
What is a surgical safety checklist?
Patient safety remains the most important priority for Lake of the Woods District Hospital, and this involves ensuring a safe experience for patients who undergo surgery here. Our patients can expect safe, high quality care, and one tool we use to help ensure a positive patient care experience is a surgical safety checklist.
A surgical safety checklist is a patient safety communication tool that is used by our team of operating room professionals (nurses, surgeons, anesthesiologists, and others) to discuss important details about each surgical case. In many ways, the surgical checklist is similar to an airline pilot’s checklist used just before take-off. It is a final check prior to surgery used to make sure everyone knows the important medical information they need to know about the patient, all equipment is available and in working order, and everyone is ready to proceed.
Essentially, the checklist is about improving overall teamwork – a critical factor in producing positive clinical outcomes. There is a lot of work being done in Ontario right now to improve patient safety, and the surgical safety checklist is one component.
Lake of the Woods Reporting Data on use of the Surgical Safety Checklist
2010 Checklist Use Reporting Period |
Jan | Feb | Mar | Apr | May | June | July | Aug | Sept | Oct | Nov | Dec |
# of Surgical Cases Reported | N/A | N/A | N/A | 175 | 225 | 199 | 630 | 170 | 212 | 160 | ||
# of Cases SSSL Checklist Used | 175 | 225 | 199 | 630 | 170 | 212 | 160 | |||||
% Compliance | 100% | 100% | 100% | 100% | 100% | 100% | 100% | |||||
Next | Reporting | Period | July | To | Dec |
2011 Checklist Use Reporting Period |
Jan | Feb | Mar | Apr | May | June | July | Aug | Sept | Oct | Nov | Dec |
# of Surgical Cases Reported | 222 | 165 | 199 | 250 | 225 | 188 | 226 | 163 | 225 | 177 | 255 | 178 |
# of Cases SSSL Checklist Used | 222 | 165 | 199 | 250 | 225 | 188 | 226 | 163 | 225 | 177 | 255 | 178 |
% Compliance | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
2012 Checklist Use Reporting Period |
Jan | Feb | Mar | Apr | May | June | July | Aug | Sept | Oct | Nov | Dec |
# of Surgical Cases Reported | 215 | 204 | 216 | 193 | 230 | 202 | 232 | 145 | 205 | 217 | 210 | 132 |
# of Cases SSSL Checklist Used | 215 | 204 | 216 | 194 | 231 | 203 | 232 | 145 | 205 | 217 | 210 | 131 |
% Compliance | 100% | 100% | 100% | 99% | 99% | 99% | 100% | 100% | 100% | 100% | 100% | 99% |
2013 Checklist Use Reporting Period |
Jan | Feb | Mar | Apr | May | June | July | Aug | Sept | Oct | Nov | Dec |
# of Surgical Cases Reported | 241 | 187 | 213 | 218 | 204 | 160 | 257 | 222 | 189 | 213 | 180 | 171 |
# of Cases SSSL Checklist Used | 240 | 187 | 213 | 217 | 204 | 160 | 257 | 222 | 189 | 213 | 180 | 171 |
% Compliance | 99.5% | 100% | 100% | 99.5% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
Explanation of content of Safe Surgery Saves Lives Checklist and method of calculations
DESCRIPTION OF REPORT
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“The percentage of surgeries in which a Surgical Safety Checklist was performed” Public Hospitals Act Section 22.2 Regulation 965
“Patient safety indicators disclosure”
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METHOD OF CALCULATION:
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(Number of Times ALL 3 PHASES of the SSCL was performed X 100)
Total number of surgeries per month
= % COMPLIANCE
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DEFINITION OF A COMPLETED SURGICAL SAFETY CHECKLIST
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“The SSCL is considered performed when the checklist coordinator confirms that surgical team members have implemented and /or addressed all the necessary tasks and items of the checklist IN EACH OF THE THREE PHASES “Briefing / Time Out / Debriefing”
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DEFINITION OF EACH PHASE
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Briefing: Before anesthesia is administered
Time out: Before commencing surgery
Debriefing: Before leaving the operating room
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WHAT INFORMATION IS INCLUDED IN EACH PHASE:
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Some examples of items contained in the checklist:
The Briefing Phase:
• Verify with patient name and procedure to be done
• Allergy Check
• Medications Check
• Operation site, side and procedure
• Lab tests, xrays
* Blood type and availability
* Confirmation of special equipment required for the surgery
The “Time Out” Phase:
Last “double check” to ensure correct site of surgery
• Patient position
• Operation site and side and procedure
• Antibiotics check
The Debriefing Phase:
• Surgeon reviews important items
• Anesthesiologist reviews important items
• Nurse reviews correct counts
* Patient’s recovery plan evident to all involved.
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WHERE CAN THE PUBLIC ACCESS THIS INFORMATION FOR THE PROVINCE:
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Each Ontario hospital will have this information available on their hospital website
In addition, the MOHLTC will also report the same information on its website www.ontario.ca/patientsafety
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