Date of Graduation
Master of Science in Nursing (MSN)
School of Nursing and Health Professions
Lack of standardization in the perioperative area leads to variations in practice that can cause preventable errors. In a 200-bed hospital in Northern California with eleven operating rooms preforming approximately 11,000 procedures a year, there was an increase incidence in sentinel events such as wrong site surgery (n=1), wrong patient surgery (n=1), and retained foreign body (n=5). Safety checks observed in the operating room (OR) were preformed differently among each surgical team and sometimes did not occur at all. Through the use of a Surgical Safety Checklist (SSC), efforts were aimed to standardize safety practices in the OR. The goal was to ensure 90% adherence to the requirements on the SSC based on observational assessment of the process within four months of implementation. Weekly observational audits were conducted over a four-month period to examine the adherence to each checklist component. The mean overall compliance increased in all three phases: Sign In (63% to 70%), Time Out (60% to 73%,) and Sign Out (85% to 100%). Seventeen good catches were identified in Patient Safety Reports that were identified in the following phases: Sign In (n=2), Time Out (n=9), and Sign Out (n=6) phase. The use of the Surgical Safety Checklist encouraged a standardized approach to enhance multidisciplinary teamwork and communication by ensuring the completion of critical tasks which lead to early recognition of “near misses”.
Stathatos, Nicole, "Implementation of a Surgical Safety Checklist" (2018). Master's Projects and Capstones. 729.