Article Text
Abstract
Objective To correct patient identification for surgery nd reduce risk of wrong site surgery.
Surgical care is high risk and complex and errors are associated with huge negative implications. The need to identify patients correctly before surgeries is important to reduce risk of wrong-site surgeries. Operating theatres (OT) are a highly stressful work environment where time and resources are precious and errors are more likely to occur. Having a clear display of the two patients’ identifiers improves ease and safety during time out and noting critical results in the OT.
Methodology Deming's Plan-Do-Study-act cycle where the work group meet regularly to review results of various strategies put up and implement further changes.
Results Both the surgeons and nurses found it safer to have patients' two identifiers and nature of operation on display while noting critical results and confirming patients' details during time out.
- wrong site surgery
- two patient identifiers
- electronic display board
- operating theatres
- critical results notification
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Footnotes
Contributors The paper submitted is an original QI project and has not been published elsewhere. It was exhibited at the last BMJ Healthcare Safety and Quality Conference in Singapore in September 2016.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.