Introduction of the Surgical Safety Checklist

NCT00934310 | Completed

• 1 other identifier: 2009-0017-E
• Study Type: observational
• Target: 1,000
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Postoperative Complications

Keywords

Patient Safety; Team work; Communication; Ambulatory surgical patients

Outcome Measures

Primary Outcomes (2)

• The primary outcomes of this study are to determine if there are significant differences in (a) staff safety attitudes and (b) incidence of postoperative complications before and after implementation of the Surgical Safety Checklist

  Before and after implementation of checklist

• The primary outcomes of this study are to determine if there are significant differences in (a) staff safety attitudes and (b) incidence of postoperative complications before and after implementation of the Surgical Safety Checklist

  Before and after implementation of the safety checklist

Study Arms (2)

Ambulatory Surgical Patients 1

The nature of the operating room "time out" for ambulatory surgical patients will be examined before implementation of the World Health Organization's Surgical Safety Checklist.

Ambulatory Surgical Patients 2

The nature of the operating room "time out" for ambulatory surgical patients will be examined after implementation of the World Health Organization's Surgical Safety Checklist.Ambulatory surgical patients

Eligibility Criteria

• Age: 16 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Ambulatory surgical patients

You may qualify if:

• ambulatory surgical patient

You may not qualify if:

• in-patient or any patient who is planning to be admitted to hospital postoperatively

Sponsors & Collaborators

• Sunnybrook Health Sciences Centre: lead
• Women's College Hospital: collaborator
• Ontario Ministry of Health and Long Term Care: collaborator

Study Sites (1)

Women's College Hospital

Toronto, Ontario, M5G 1B2, Canada

Location

Related Publications (1)

• Morgan PJ, Cunningham L, Mitra S, Wong N, Wu W, Noguera V, Li M, Semple J. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013 Jun;60(6):528-38. doi: 10.1007/s12630-013-9916-8. Epub 2013 Mar 16.

  PMID: 23504355 DERIVED

MeSH Terms

Conditions

Postoperative Complications; Communication

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Pamela J Morgan, MD

  Women's College Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Pamela J Morgan

Study Record Dates

• First Submitted: July 6, 2009
• First Posted: July 8, 2009
• Study Start: May 1, 2009
• Primary Completion: January 1, 2010
• Study Completion: April 1, 2012
• Last Updated: October 5, 2017

Record last verified: 2017-10

Locations

CA (1)