Safe Surgery Saves Lives: A National Journey

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Safe Surgery Saves LivesA National Journey

• Dr. Chris Hayes,
• Medical Officer
• Canadian Patient Safety Institute
• Mar 12, 2009

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The 2nd Global Patient Safety Challenge

• 234 surgeries globally
• Death 0.4-0.8
• Complications 3-16
• 1 million deaths
• 7 million disabling complications

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Ten Objectives of Safe Surgery Saves Lives

• Correct patient / correct site
• Prevent harm from anaesthetics
• Prepare for airway emergencies
• Prepare for high blood loss
• Avoid allergies
• Minimize surgical site infections
• Prevent retention of instruments/ sponges
• Accurately secure and identify specimens
• Effectively communicate critical information
• Establish surveillance of capacity/ volume/
  results

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Testing the Checklist
EURO
EMRO
PAHO I
London, UK
Amman, Jordan
Toronto, Canada
WPRO I
Manila, Philippines
PAHO II
Seattle, USA
WPRO II
Auckland, NZ
AFRO
Ifakara, Tanzania
SEARO
New Delhi, India
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The Results
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The Results
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The Results
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The Results
64,000
plt0.05
Haynes et al. A Surgical Safety Checklist to
Reduce Morbidity and Mortality in a Global
Population. New England Journal of Medicine
360491-9. (2009)
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Safe Surgery Saves Lives (SSSL) CPSI

• Development of Canadian SSSL Working
• Group and Accompanying Materials
• MANDATE
• lead further development, adaptation, and support
  for the SSSL Campaign within the Canadian context
• TIMELINE
• WHO request for endorsements coincided with
  official launch - June 2008
• CPSI began communication and solicited
  endorsements
• Canadian Working Group established August 2008 in
  person meeting Oct 2008 in Winnipeg
• National Workshop (Toronto) held Mar 3-4, 2009

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Canadian SSSL Working Group

• Membership
• Chair Dr. Chris Hayes
• Special Advisor Dr. Bryce Taylor,
• Representatives from the RCPSC, CNA, CMA, CAS,
  CAGS, ORNAC, Accreditation Canada
• Various regional representatives with a desire to
  adopt the campaign immediately
• Representatives from aviation, human factors and
  cognitive psychology
• CPSI Project Support

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Canadian Working Group

• The working groups immediate goals are as
• follows
• Phase I August 2008-March 2009
• Adapt the WHO Safe Surgery Checklist for use in
  Canada
• Adapt the WHO Safe Surgery implementation
  documents
• Develop appropriate tools for measurement
• Develop an online community of practice
• Develop a mentor list for organizations wanting
  more support
• www.safesurgerysaveslives.ca

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Canadian Version Safe Surgery Checklist
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An Initiative with Legs!

• Victoria (implementing)/ Vancouver
• Calgary
• Regina (implementing)/ Saskatoon
• UHN (implemented fully throughout 3 sites)
• St. Michaels (implementing)
• Quebec
• Atlantic Canada
• Ontario Hospital Association
• SHN SSI Sites

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An Initiative with a Voice!
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Take Homes from the Workshop

• Much and growing interest
• Concept is simple implementation more difficult
• Make careful changes to Checklist
• Not about the form about the conversation
• Start small, invoke champions, get leadership
  support
• Align other initiatives, SSI/VTE/surgical pause

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Next Steps for CPSI/ Working Group

• Complete implementation tools/ resources
• Continued support for roll-out across Canada
• Continue to stay connected internationally
• Develop a plan for sustainability
• Develop tools and central support for measurement
• Develop an evaluation plan for the Canadian
  initiative

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Contact Information

• www.safesurgerysaveslives.ca
• The Canadian Patient Safety Institute would like
  to acknowledge funding support from Health
  Canada. The views expressed here do not
  necessarily represent the views of Health Canada.