Safe Surgery Outcome Measures
To be tracked at regular time intervals throughout project irrespective of project phase
(a) Surgical Outcome Measures:
Total # emergency surgeries
Categories:
Obstetric
Gynecologic
General
Orthopedic
Other
Total # elective surgeries
Intra-operative Case Fatality rate
(elective and non-elective surgery)
Post-surgery mortality rate (prior to
discharge)
# of surgeries with complications
intra-operative
# surgeries with post-operative
complications (before discharge)
Specify cause:
 Bleeding
 Cardiac arrest
 Cardiac arrhythmia
 Anesthesia complication
 Other (please specify)
.
Specify cause:
 Infection
 Bleeding
 Cardiac complication
 Pulmonary complication
 Other (please specify)
Specify:
Specify cause:
 Retained Foreign Body
 Bleeding
 Sepsis/Infection
 Cardiac complication
 Pulmonary complication
 Other (please specify)
Average # of post-operative days in
hospital
Post-operative re-admission rate
within 30 days
Other......
1
(b) Safe Surgery Quality Process Measures: Routine Intra-operative
Best Practices1
Could be constructed as Quality Checklist for calculation composite score to deflate or inflate
payment (see below)
Category
QOC performance measure
COMPOSITE:
% surgical charts meeting Safe Surgery Checklist
minimum standards
Prior to anesthesia induction (“Sign In”) % surgical charts with signed patient consent (including
procedure), allergies, pulsoximetry measure, and airway /
bleeding risk assessment recorded
Before Skin Incision (“Time out”)
% surgical charts with Anesthesia professional, surgeon and
nurse names recorded ; site confirmed ; antibiotic
prophylaxis recorded as given within past 60 minutes ;
results/availability essential imagin
Before patient leaves operating room
% charts with procedure name recorded ; post-operative
(“Sign out”)
concerns (yes/no) and management plan if applicable
1
Based on WHO Surgical Safety Checklist.
2
(c) Chart Review Table for calculating Safe Surgery QoC performance
measures (see Indicators table) **
**Based on WHO Safe Childbirth Checklist Standards
Note 1 if all items recorded ; 0 if any not recorded ;
NA if not applicable
Before Induction of anesthesia (« Sign In »)
Charts/ Partographs
1
2
3
4
%
Charts
w/best
practice
5
Signed consent in chart (that includes procedure name, site and
risks)
Anesthesia checklist completed and in chart
Pulsoximetry value recorded
Allergy (or absence of allergy) recorded
Airway risk (yes/no) recorded with written plan if « yes »
Bleeding risk (yes/no) recorded with written plan if « yes »
Sub-total composite
Before Skin Incision (« Time Out »)
Anesthesia professional, surgeon and nurse names recorded
Site confirmed
Antibiotic prophylaxis recorded as given within past 60 minutes
Essential imaging results recorded as available
Sub-total composite
Before Patient Leaves Operating Room (Sign Out)
Procedure name recorded in chart
Post-operative concerns recorded with management and
monitoring plan (or « no concerns » noted)
Sub-total composite
Total Composite Score
3