Lifespan's Perioperative Services
Keeping Patients Safe Before, During and After Surgery
of Lifespan's affiliated hospitals embrace a patient safety approach to
perioperative surgery. Lifespan is committed to bringing
multi-disciplinary teams of surgeons, anesthesia care providers, nurses
and surgical technicians together to adhere to strict procedures that
help to ensure that a patient's surgical experience is safe before,
during and after surgery.
A number of patient safety initiatives have been adopted. These include:
A universal protocol process, developed initially at Rhode
Island Hospital and The Miriam Hospital, is mandated for use in
all operating rooms and in all surgical areas: cardiac, general,
genitourinary, plastic, neuro, pediatric and vascular. This
process helps to safeguard patients against wrong-site and
wrong-side surgeries. Surgeons, anesthesia care providers,
nurses and surgical technicians must adhere to a strict use of
checklists based on a model developed by the World Health
Organization (WHO). Lifespan's hospitals pioneered the adoption
of the universal protocol process now mandated for use in all
hospitals in Rhode Island, the first state in the nation to
adopt it. All Lifespan's medical and support staff have
undergone rigorous training which further strengthens team
communication by ensuring each member has an equal voice.
A quality assurance monitoring system has been adopted to
measure the effectiveness of the universal protocol process and
to serve as an auditing tool.
At Rhode Island Hospital, new staff members have been hired to
better meet the needs of our patients. These newly hired
personnel include an operating room medical director (who is a
surgeon), a director of quality and patient safety and managers
of quality and patient safety within the nursing staff.
A Perioperative Patient Quality and Safety Strategic Plan, a
component of Lifespan's Continuous Quality Improvement Plan, has
been developed to advance safe patient care and to reach optimal
Further goals of the Quality Improvement Plan include working in
partnership with the clinical management teams to develop and
implement additional safe patient care practices; to provide
clinical and non-clinical staff education and training; to
monitor and audit practices; to research activities related to
patient satisfaction and quality improvement; to prioritize
safety risks; to design safe systems; and to work to reduce the
number of steps in workflow processes.
Data collected during audits in 2009 revealed that Lifespan's patient
safety record for perioperative services is exemplary:
100% of all patients were reported to have appropriate hair
removal before surgery.
98% of all patients were reported to have controlled serum
glucose before surgery.
100% of all patients experienced a prophylactic antibiotic
selection consistent with current guidelines.
97% of all patients received prophylactic antibiotic within one
hour prior to surgical incisions.
To learn more about this data or our other initiatives we invite
you to turn to this website for frequent updates, or to submit
questions to us directly via email.