![]() ![]() Safety checklists prevent and eliminate serious safety events and adhering to them keeps patients and employees safe. When employees are engaged in their facility’s UP Safety Checklist, harm is preventable. The Joint Commission offers a standardized universal protocol that provides guidance for health care professionals and can be adapted for organizations. ![]() Prevent harm with zero-tolerance protocols Moment to Care has been formally incorporated into our Universal Protocol Safety Checklist to guide teams in these interactions. We did this so the patient could be more actively involved in the initial surgical care discussion. Recently, we changed our approach to the way patients are introduced to the surgical team during the first phase of the UP. Leaders should closely monitor safety performance and talk about it with intention with their teams - openly discussing missteps, failed processes and lessons learned.Ĭleveland Clinic’s Moment to Care is a good example of something we implemented because of a lesson learned. It is unacceptable for them to suffer harm.Īccording to The Joint Commission, the most common safety issues in the OR involve: Caregivers should always be intentional when providing care. The second principle is listening when someone else speaks up. Doing so is the responsibility of every team member. The first principle of safety is speaking up when something isn’t right. And in the surgical setting, patient safety depends on it. Transparency among caregiver teams promotes consistency of care and better quality. Surgical teams who recommit to safety in these ways can ensure the best patient safety experience in the OR. Since then, OR teams have recommitted to speaking up about potential safety events, listening to each other and using Cleveland Clinic’s Universal Protocol (UP) Safety Checklist. Surgical services were paused that morning so every caregiver from surgical teams could participate. More than 800 people stood up for safety on Cleveland Clinic’s main campus while others attended virtually or at local events hosted on other Cleveland Clinic campuses. One year ago, Cleveland Clinic OR and surgical services caregivers in Ohio and Florida recommitted and reaffirmed their pledge to patient safety. And it’s on surgical teams to ensure they don’t by creating the safest environments possible and sharing the responsibility of protecting patients. ![]() Serious safety events in an operating room (OR), including retained foreign bodies and wrong site procedures, should never happen. We do not endorse non-Cleveland Clinic products or services Policy Advertising on our site helps support our mission. If everyone agrees, the procedure may begin.Cleveland Clinic is a non-profit academic medical center. Lastly, everyone goes around the room and introduces themselves and their job to the people who are new or just joining the operating room. The surgeon then follows with his plan for the procedure, how long it will be, and how much blood loss may occur. They also verify that the prophylactic antibiotic has been given before the procedure if necessary. From there, we will take note of where the fire extinguisher is located.Īny necessary imaging is already on the screen to be reviewed by the surgeon before the procedure.Įxtra supplies and equipment issues are also noted.įrom here, the anesthesiologist will confirm the American Society of Anesthesiologists ( ASA ) Physical Status Clarification System, which uses numbers one through six to determine the patient’s pre-anesthesia medical comorbidities.įor example, one can be a healthy patient and a six typically means that a patient is brain-dead. Following, the team will validate that the site is marked correctly, any patient allergies are noted as well as a record of last meds given and lab values, again.Īdditionally, the team assesses and determines if the procedure will cause a fire risk. Verification of the patient’s name and birthday is repeated once more. ![]() After the patient is prepped for the procedure, the circulator calls another timeout before the scalpel is handed to the surgeon. ![]()
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