Putting Safe Surgery Checklists to Use
Hospitals
Some time ago, The New England Journal of Medicine reported that use of a simple checklist significantly reduces surgical complications and death. As of November 2010, all of Oregon’s 56 acute-care hospitals that perform surgery were using the checklist or pursing checklist implementation.
Press Release: Oregon Hospitals Make Surgery Safer
Oregon Map of Checklist Adoption
Oregon IHI Network Safe Surgical Checklist (adapted from the WHO Surgical Safety Checklist)
Ambulatory Surgery Centers
The Centers for Medicare and Medicaid Services (CMS) is calling on all ambulatory surgery centers (ASC) to use a safe surgical checklist starting January 1, 2012.
Click Here for More Information and Sample Checklists »
Root Cause Analysis Materials for Long Term Care Facilities
The Commission, in partnership with Oregon’s PISC team, developed a guide to Root Cause Analysis (RCA) specifically for the long term care setting.
Long Term Care Falls Investigation Toolkit
In response to the number of adverse event reports related to falls, the Patient Safety Commission and community partners developed a simple, easy-to-use guide to investigate and reduce recurrence of such falls. The guide is structured around Root Cause Analysis (RCA) and incorporates other evidence-based quality improvement principles.
Transitional Care and Pressure Ulcers Project Toolkit
The Oregon IHI Network, including the Patient Safety Commission, worked with Oregon leadership of Advancing Excellence in Americas Nursing Homes to develop cross-setting interventions for transitional care, with an initial focus on pressure ulcers. We support use of this toolkit to improve pressure ulcer prevention and care in Oregon.
