Surgical safety according to JCI International standards at Phuong Chau Hospital

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WHO has estimated that every year millions of people are treated with surgery.

Incidents related to surgery can have a huge impact on both the physical and mental health of the patient. Sometimes it also causes a care and financial burden for both patients and hospitals.

The operating room system at Phuong Chau International Hospital can meet specialized surgeries in the Departments of Obstetrics, Gynecology, Pediatrics and General Medicine according to the classification level of the Ministry of Health, including open surgery and laparoscopy.

With JCI (Joint Commission International) quality standards, safety issues are strictly controlled at all stages before, during and after surgery.

1. One Minute Time-out – Preparation for safe surgery

Photo: Time-out procedure in the operating room at Phuong Chau

The time-out procedure is one of a series of core procedures to ensure safety in surgery. This procedure is regularly performed seriously before starting any surgery at Phuong Chau.

Following this procedure ensures patients:

+ Operate on the right patient, in the right location (the location must be marked before making the skin incision).

+ Get surgery using the right method (skin incision or endoscopy).

+ Make sure instruments are fully checked during surgery.

+ Ensure correct anesthesia and resuscitation methods.

+ Assessed and monitored expected blood loss.

The time-out process along with the Surgical/Procedural Safety Checklist are procedures to ensure the highest safety during surgery. Phuong Chau International Hospital commits that all surgeries at the hospital are performed in time-out according to regulations. Not only compliance with the strict regulations of JCI standards but also a commitment to patient safety is considered the focus at Phuong Chau.

2. Ensure safety for patients under anesthesia or anesthesia during surgery

Photo: Anesthesiologist checks and pre-anaesthetizes before performing surgery

Depending on the type of surgery, surgical location or patient's condition, the doctor will prescribe an appropriate anesthetic method such as anesthesia or anesthesia.

Anesthesia may leave you with few complications, but it also has certain risks.

As for anesthesia, patients can face many different risks. These include cardiovascular and respiratory risks and post-anesthesia reactions.

At Phuong Chau, patients are fully evaluated and examined by a team of anesthesiologists before anesthesia or anesthesia.

There will be at least one anesthesiologist who will monitor the patient throughout the surgery and be present promptly in emergency situations.

Patients will be continuously monitored for respiratory indicators, circulation, oxygen levels and general condition throughout the surgery.

3. Control surgical wound infections according to international standards

Healthcare-associated infections are known to increase length of stay, healthcare costs, and mortality. Each year, healthcare-associated infections result in costs of approximately $9.8 billion, with surgical site infections being the most common infection.

To limit surgical wound infections, antibiotics are given appropriately depending on the assessment of the possibility of infection and the type of bacteria.

Periodically at certain intervals, operating room bacteria will be cultured to ensure control of the level of sterility.

In particular, the positive pressure clean air system is always maintained to ensure infection control in the entire operating room system.

Other activities to promote infection control in Phuong Chau:

- Training sessions and discussions on infection control with infection control experts.

- Promulgate and disseminate hand hygiene instruction procedures, instructions on 5 times when hand hygiene is needed, and activities to encourage hand hygiene movements among all medical staff

- Ensure hygiene and cleaning

The above activities have helped to limit infections related to medical care at Phuong Chau, creating safety and peace of mind for patients when treated at the hospital.

4. Good pain management during surgery and postoperatively helps patients recover better

Pain is something that patients often worry about when having surgery.

Depending on each patient's condition, the level of pain may be different, but one thing in common is that pain during surgery is often very uncomfortable and can directly affect the recovery process of the patient or the pregnant woman. surgery.

As a hospital meeting JCI standards, patient pain feedback is always respected through a pain management policy.

This policy, along with pain assessment tools, is individualized for each patient. This helps doctors and medical staff receive the patient's prevention, treatment, rehabilitation and pain relief needs in order of priority.

Photo: Patient's pain assessment scale

A pain management policy is developed and followed with key objectives in mind:

- Ensure patients receive accurate and timely pain recognition during and after surgery.

- Be informed about the potential for pain before performing treatments, procedures/surgeries or examinations/tests.
- Receive appropriate monitoring, care and pain management.

5. Some procedures, regulations, and policies to ensure surgical safety according to JCI standards at Phuong Chau

- Procedures for implementing surgical and procedural safety checklists

- Endotracheal anesthesia procedure

- Intravenous anesthesia procedure

- Patient care process after anesthesia

- Instructions for preventing surgical-related infections

- Human resource management policy to implement sedation and insensitivity

- Patient monitoring policy during anesthesia and surgery

- Regulations for marking the location of surgery/invasive procedures