Key Perinatal Safety Elements Standardize When Possible (CUSP Science of Safety) An example of a safe cesarean section checklist is provided in the Appendix of this tool. Consider using preprinted checklists, laminated operating room posters, customized electronic health record tools, and staff simulation training to support implementation. Consider any existing facility policies, processes, or checklists related to cesarean section. How to use this tool: Review the key perinatal safety elements with L&D leadership and unit staff to determine how elements will be implemented on your L&D unit. Who should use this tool: Nurses, physicians, midwives, and other labor and delivery (L&D) unit staff responsible for intrapartum care. The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP). Learn even more about time outs - and their importance - in the video below.Purpose of the tool: This tool describes the key perinatal safety elements related to safe cesarean section. That will save yourself from work, and in many cases, keep our patients and colleagues as safe as possible.” “So help yourself by taking a time out - pause and reflect on what you are about to do. “We’re all busy and juggling dozens of things every day,” Ponnaluri-Wears said. Many of those practices are among the HRO Universal Skills, designed to reduce medical mistakes and patient harm. If you are writing a communication, doublecheck anyone’s name and all the crucial facts that you are relaying.Īnd if you are beginning a maintenance project or cleaning a room, confirm what it is that needs to be done before you start. Whether or not you are a clinician, the idea behind time outs can be beneficial in your own line of work.įor instance, if taking down crucial information over the phone, be sure to pause and verify what the speaker on the other line is saying. Put into practice in your own line of work That’s how we move forward on our journey to zero harm.” No matter how small of a procedure, such as starting an IV, clinicians need to pause and confirm all the details before they begin. “Many people think time outs are only for events in the operating room, but that’s not the case. “As a high reliability organization, it is crucial that we carry out time outs every single time for every single patient,” Ponnaluri-Wears continued. That includes injections made in the wrong location, the wrong procedure being performed on the wrong patient or other potentially harmful mistakes. “Time outs are there to help prevent what we call ‘never events,’ or things that should never happen to a patient,” Ponnaluri-Wears said. Think of it as a pre-flight checklist for clinicians. In short, it reinforces anything that those in a room need to know before a procedure begins. “A time out is a script that you read from when everyone is in the room that confirms a patient’s name, date of birth, the site and side of the procedure, the form of any anesthesia being used, fire safety concerns and more,” Ponnaluri-Wears said. It’s a Joint Commission-mandated event - and a best practice - that takes place before every procedure or surgery. Today is National Time Out Day, a chance for health systems to refocus on time outs and re-emphasize their importance. Her group is in charge of helping faculty and staff improve care and practices before, during and after any procedure at Michigan Medicine. “Taking a pause helps you ensure you do the right thing for the right patient at the right time,” said Sreelatha Ponnaluri-Wears, project manager in the Michigan Medicine Quality Department and lead of the Periprocedural Safety and Quality Improvement Program, or PSQIP. In health care, time outs are even more important. Whether it’s confirming someone’s email address before you hit send, checking the name at the top of a text message, looking at a map before you start driving and more, you’re taking a “time out” to make sure you’re doing what you mean to be doing. Every day, there are hundreds of examples when you take a quick pause to make sure you’re doing the right thing.
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