Process reengineering of preoperative verification, site marking and time-out for patient safety.
In this article, we describe our hospital's journey in implementing the WHO High 5s Project Correct Site Surgery Standard (CSS) protocol. We discuss how we incorporated the protocol into our system by revising the pre-existing checklist, reengineering the existing processes on preoperative verification, site marking and time-out at the Major Operating Theatre (MOT), and performing audit and feedback to ensure effective compliance. We also reflect on the importance of leadership and ministry support, benchmarking and tailoring the practice for each discipline in the pursuit of improving patient safety within the hospital.
Risk Management Office-Medical Affairs, KK Women's and Children's Hospital, Singapore.
Jacqueline Cristy Diaz
JC
Dayuta
Lay Teng
LT
Ong
Nguk Lan
NL
Pang
Soon Noi
SN
Chia
Henry Kun Kiaang
HK
Tan
Joseph Manuel
JM
Gomez
Kok Hian
KH
Tan
D057189:Checklist; D006779:Hospitals, Public; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D019982:Organizational Case Studies; D057234:Preoperative Period; D017751:Safety Management / Q000458:organization & administration*; D012846:Singapore; D014944:World Health Organization