PATIENT SAFETY CHECKLIST IN NEUROANAESTHESIA: AN IMPACT ON PROTOCOL AND OUTCOME.

Abstract

BACKGROUND: Surgical safety checklists is a common tool to prevent human fallacies and may help in avoiding complications .Major surgeries like neurosurgery need a thorough preparation and a specic checklist tailored to neurosurgery which may serve the purpose .So we intend to follow the neurosurgical safety checklist to elude anticipated complications. Objectives 1. To identify the adherence to various elements of the Modied WHO SSC for neurosurgery. 2. To analyse how a mandatory speciality-specic checklist practice can help in early identication of those interventions that are specic to neurosurgery, which can otherwise be overlooked. METHODOLOGY: Ÿ Study Design: Observational study Ÿ Duration of study: From May 2021 to August 2021. Ÿ Sampling Method: Convenience sampling Ÿ Sampling Procedure: Systematic Random Sampling. RESULT: This study was carried out in 77 patients undergoing various neurosurgery procedures and was found that none of the patients had diagnosis, procedure written on the name tag in pre-op period and ICP monitoring tools were not available. It was found that the anaesthesiologist as a safety list coordinator can implement the checklist ensuring minimal complications related to the surgery and also active involvement of all the members. CONCLUSION: The implementation of surgical safety checklist for Neurosurgery, by a designated checklist co-ordinator, can rectify anaesthetic and surgical facets promptly, without increasing the time required for the operation and also reduces the risk for post-op recovery.