Pre-operative Verification, Site Marking and Time Out - Spreading Patient Safety Culture from Major Operating Theatre to Day Surgery

摘要

In this article, we describe how we spread safety culture of correct site surgery from Major Operating Theatre to Day Surgery. We discuss how we integrated the High 5s Project Correct Site Surgery protocol into the Day Surgery Operating Theatre (DSOT) workflow and monitored compliance through audit and feedback. We also reflect on how human factors analysis (HFACS) helps in bridging the gaps by providing a tool for recognizing possible causes of non-compliance. Background: The High 5s Project, established by World Health Organization (WHO), in 2007, is an international collaboration carried out in seven countries - Australia, Germany, France, the Netherlands, Singapore, Trinidad & Tobago and the United States of America - and coordinated by the WHO Collaborating Centre on Patient Safety, The Joint Commission. Its mission is to facilitate implementation and evaluation of standardized patient safety solutions within a global learning community, to achieve measurable, significant and sustainable reductions in high-risk patient safety problems.