The Role Of Medical Team Members During Surgery

In accordance with the World Health Organisation (WHO 2008) checklist and Local trust policies, a team briefing was held before the day’s list started. The checklist is part of a second Global Patient Safety Challenge initiative entitled ‘Safe Surgery Saves Lives’, aimed at reducing the number of surgical deaths worldwide and was launched in June 2008. This not

Has anyone ever considered how medical devices are prepared before a surgical procedure? Central Sterile Processing Department (CSPD) consists of services within the Hospital, in which reusable medical devices will be cleaned, prepared, and processed. The role for CSPD is to prevent infection transmitted by usage of medical devices. The procedure for hospital medical devices before surgery has a four part workflow process in: Decontamination, to Instrumentation, to Sterilization and Sterile Storage (Case Carts). An example is given for reprocessing an Intestinal Set and the supplies needed for the preparation of this medical device set.

“In 2008, in an attempt to reduce the risk and occurrence of wrong-site surgery, the Centers for Medicare & Medicaid Services6 announced that it would no longer reimburse institutions for surgical errors related to wrong-site surgery or retained surgical objects” (Collins, S. J., et al, 2014). Institution have no option but to improve on patient safety to avoid the cost they have to absorb related to errors such as performing surgery on the wrong patient. These patient safety interventions have led to improvement on patient safety and care

In 2003, as an outcome of all the sentinel events reported to the Joint commission lead to the creation of the “The Universal protocol for preventing wrong site, wrong procedures, and wrong person surgery” (Mulloy & Hughes 2008). So, one of the ways that could have potentially prevented the situation from happening at the first place was implementing the universal protocol procedure. According to the protocol the conduction of proper pre as well as post-operating procedures are extremely mandatory. Therefore, by enforcing a standardized routine pre-operating procedure such as verifying the patient as well as the correct site for the procedure, by having the medical staff or preferably the physician marking the operating site with his or her initials before the surgery will be an effective preventive measure (Mulloy & Hughes 2008).

The IOM’s report “To Err is Human: Building a Safer Health System” shocked the health care world and made change necessary. “To Err is Human: Building a Safer Health System” released information that reported that tens of thousands of Americans were dying each year from errors (IOM, 1999). Patient safety moved to the forefront in healthcare like never before and directives were discussed to put quality as a

At least half a million deaths per year could be prevented with effective implementation of systemic improvements in operating rooms. Specifically, multiple studies have found implementing the use of the WHO Surgical Safety Checklist would significantly reduce surgical morbidity and mortality due to surgical errors.

All the pre-operative checks I did are important for patient safety and are derived from the World Health Organisation (WHO) surgical safety checklist (2008).The WHO Surgical Safety Checklist was developed after extensive consultation aiming to decrease errors and adverse events, and increase teamwork and communication in surgery (WHO, 2014). The ward staff had already put on the anti –embolism stockings on the patient.

Your health care providers, including your surgical team, take many precautions to keep you safe during surgery. This sheet explains the steps that your health care providers take to prevent surgical error. It also lists some things you, your friends, and your family members can do to help reduce the risk of a surgical error.

Nightingale Community Hospital has been increasing their safety standards in all three general categories, Conduct a pre-procedure verification process, mark the procedure site and a time-out is performed before the procedure over the past year. Nightingale Community Hospital’s value for safety states: “We believe that excellence begins with providing safe environment. We put our patients first as we seek to exceed the expectations of our customers with superior service, outstanding clinical care and unsurpassed responsiveness.” To reach this goal there is always more that can be done. Based on the safety reports several areas need to be looked at:

There are a variety of surgical items that can get left inside of patients. Generally, it seems that sponges, towels and gauze are the most common types of objects left inside of patients;

During a handover count in my theatre, we noticed an amount of 5 raytec is missing against the count sheet documentation. If there is a discrepancy in the count, inform the surgeon immediately and perform the count again (ACORN 2014-2015, p.101). We notified the surgeon and. the whole team searched for the missing raytec in the operative site, the sterile field and the floor. The scrub nurse suddenly realised that the 5 raytec that was used for the insertion of the urinary catheter which was counted and bagged off from the sterile field at the beginning of the procedure were missing. Then we searched in the rubbish bin and the bagged amounts of 5 raytec were found from the rubbish bag. Accordingly the scout nurse was confused and misplaced the bagged raytec in the rubbish bin. To protect the patient from unnecessary harm the instrument and circulatory nurses always remain attentive throughout the procedure, follow the hospital policies for count procedures, minimise distraction while performing the count and all the documents must be accurate and reflect the actual care given (AORN 2006). When effective communication is absent, patient care is compromised (Thomas & Adcock,

Wrong-site surgery has been identified as a top priority in improving quality of care and increasing patient safety. As such, The Joint Commission 2015 Hospital National Patient Safety Goal includes the prevention of mistakes in surgery. The goal is to perform the correct surgery on the correct patient at the correct site, prior marking of the surgical site, and performing a time-out just prior to commencement of the surgery. The purpose of this paper is to create a root-cause analysis, present recommendations for improvement, present recommendations to prevent wrong-site surgery, identify the stakeholders and role players, present root-cause analysis charts, and provide an overall of lessons learned throughout the course.

The researchers distributed 200 questionnaires, and 164 surgeons responded (82%). 120 respondents (73.2%) had experienced a sharps injury in the previous year. Only 31 of 120 (25.8%) had reported all of their injuries, 27 (22.5%) had reported some of their injuries, and 62 (51.7%) had reported none. When the 89 were asked why they had not reported all of their injuries, 35 (39.3%) stated that they considered the patient to present a low risk for disease transmission, 20 (22.5%) stated that they were not concerned about disease transmission, 24 (26.9%) stated that they did not have time

You've heard those hospital horror stories where the surgeon removes the wrong body part oroperates on the wrong patient or accidentally leaves medical equipment in the person they were operating on.

The importance of a team working together is a key ingredient to any leadership style to be successful. If a leader can motivate a group of people to cooperate and work together cohesively on a project, the chances of success increase. The concept of a disparate group of people working together under one leader successfully is a surgical team either completing a routine surgery or performing a groundbreaking new surgical procedure. Although the surgeon is nominally in charge of the entire procedure, this focus “risks missing the dynamic and adaptive aspects of work” each professional in the surgical team must exhibit when executing their part (Rydenfält, Johansson, Odenrick, Ackerman, Larsson, 2014). Each member of the surgical team is a professional who contributes their knowledge and experience to the team.