StayCurrentMD · 200% Accountability
Video4 min·Published Aug 2020Older

200% Accountability

Chapter 1 of 1 · Fundamentals

Safety commitment

Perioperative Safety Commitment and 200% Accountability Framework

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What the experts said0 expert statements · 19 host summaries
Cincinnati Children's perioperative team must put safety of patients, families, and each other as top priority for every patient, every day, every time.
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Responsible providers will be present for all key portions of the procedure and at any time requested by team members.
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The surgeon will announce the placement of all unmarked or uncounted foreign body into a patient's cavity.
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All team members will actively participate and communicate during the announce and count process.
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The perioperative vision is to provide the safest, most compassionate, and highest value perioperative care for all patients, their families, and staff.
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All team members will ensure clear and accurate communication at all transfers of care.
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Team members will communicate in a manner that maximizes team situation awareness, including pre-procedure huddles, intraoperative huddles, and team huddles anytime patient condition or situation changes.
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The safety culture empowers every member to speak up and stop for safety, identify and solve system problems, and work as one team.
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All team members will be encouraged and empowered to utilize appropriate escalation pathways and closed loop communication to ensure safety.
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Patient and employee safety is held higher than any other priority, central to the mission to improve child health.
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200% accountability for safety means accountability for the safety of patients, ourselves, and our team.
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Every patient must have a clearly identifiable provider and care team responsible for directing their care throughout perioperative areas.
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Team members commit to speaking up and listening up for safety, embracing collective responsibility and responding with grace and gratitude for all concerns.
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Listening, educating, and engaging patients, families, and caregivers as safety partners empowers them to improve safety outcomes.
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All consents will be completed in a clear and accurate manner understandable to patients, family, and staff.
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The perioperative team will ensure the scheduled procedure is accurately scheduled and all special equipment needs and safety concerns are communicated.
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Every patient will have appropriate surgical site marking when indicated, clear to patients, families, and all perioperative team members.
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The perioperative team will confirm the plan with patient and family members present prior to surgery and encourage families to speak up.
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All team members, including patients and families, will stop, engage, and participate in the timeout.
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