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The audio content is commercially licensed by Naturalsoft Ltd. JCI QA 11-International Patient Safety Goals (IPSG) 00:00 Tell me what do you do to ensure safe surgery or procedure provided to your patient? Ensuring the safety of surgeries and procedures involves implementing a range of protocols and best practices designed to minimize risks and enhance patient outcomes. Here are key measures taken to ensure safe surgery or procedure: Preoperative Measures. 00:38 1. Patient Verification: Confirm the patient’s identity using at least two identifiers (e.g., name, date of birth). Verify the surgical site and procedure with the patient and the surgical team. 00:53 2. Informed Consent: Ensure the patient or their legal representative provides informed consent after understanding the procedure, risks, benefits, and alternatives. 01:05 3. Preoperative Assessment: Conduct a thorough preoperative assessment, including medical history, physical examination, and necessary diagnostic tests. Assess and address any comorbid conditions that might impact the surgery. 01:22 4. Surgical Site Marking: Clearly mark the surgical site with the patient's involvement, using a standardized protocol to prevent wrong-site surgery. Intraoperative Measures. 01:34 5. Surgical Safety Checklist: Utilize the WHO Surgical Safety Checklist to guide the surgical team through key safety steps before, during, and after surgery. Conduct a “time-out” before the procedure to confirm patient identity, surgical site, procedure, and any critical concerns. 01:54 6. Sterile Environment: Maintain strict aseptic techniques and sterile fields to prevent infections. Ensure all surgical instruments and equipment are properly sterilized. 02:08 7. Team Communication: Foster open and clear communication among the surgical team. Encourage team members to speak up if they notice any concerns or potential safety issues. 02:22 8. Anesthesia Safety: Monitor the patient’s vital signs and anesthesia levels continuously. Have emergency equipment and medications readily available to manage any anesthesia-related complications. Postoperative Measures. 02:40 9. Immediate Postoperative Care: Monitor the patient closely in the recovery room for any immediate complications. Use standardized protocols for pain management, wound care, and monitoring vital signs. 02:55 10. Handoffs and Transitions: • Ensure smooth handoffs between surgical, anesthesia, and recovery teams using standardized communication tools. • Provide detailed postoperative instructions to the patient and their family. Continuous Improvement 03:13 11. Adverse Event Reporting: • Encourage reporting of any adverse events or near-misses to improve practices and prevent future incidents. • Conduct root cause analyses to identify underlying issues and implement corrective actions. 03:30 12. Regular Training and Simulation: • Provide ongoing education and training for surgical teams, including simulation exercises to practice emergency scenarios. 03:42 13. Quality Improvement Programs: • Participate in continuous quality improvement programs to review and enhance surgical safety protocols. • Monitor surgical outcomes and implement evidence-based practices to improve patient safety. 03:58 By systematically implementing these measures, healthcare providers can ensure that surgeries and procedures are conducted safely and effectively, minimizing risks and improving patient outcomes. Joint Commission International (JCI)