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Safe Surgery Practice  
   
  We hereby like to thank the World Health Organization, specially, Dr. Doris S. Mugrditchian, Regional Adviser for Quality & Safety in Healthcare, for granting us the permission to access and disseminate the information cited below.
   
 

The A.S.I. identifies with and endorses the guidelines laid down by the WHO for the “greatest possible emphasis on making health care safer”.

   
  The association is keen to promote and propagate the concept of “WHO-World Alliance for Patient Safety” and is committed to fulfil its global challenges- “Clean Care is Safer Care”, “Safe Surgery Saves Lives” and “Tackling Anti microbial Resistance”.
   
   
 
Clean Care is Safer Care
 
The First Global Patient Safety Challenge, to reduce health care associated infections worldwide
   
 

To fight the spread of health care-associated infections which take a high toll in human lives and affect hundreds of millions of patients worldwide each year, WHO launched the Global Patient Safety Challenge with the theme "Clean Care is Safer Care" on Thursday, 13 October 2005. “Clean Care is Safer Care” ensures that sustained hand hygiene improvement remains on the national and international health agenda. It aims to ensure that infection control is acknowledged universally as a solid and essential basis for the attainment of patient safety, contributing to a significant, measurable reduction in the burden of disease attributable to health care-associated infections.

   
 

This new initiative- “Save Lives, Clean Your Hands”, launched on 5 May 2009, takes the work of Clean Care is Safer Care to the patient's bedside by further translating hand hygiene theory into practice. Over five thousand hospitals across 118 countries are already a part of this initiative.

   
 
Save Lives: Clean Your Hands banner
   
   
 
Hand Hygiene- When & How
   
  MY 5 MOMENTS FOR HAND HYGIENE
   
  The “My 5 Moments for Hand Hygiene” approach defines the key moments when health-care workers should perform hand hygiene.
   
 
   
  This approach recommends health-care workers to clean their hands
   
 
  • Before touching a patient,
  • Before clean/aseptic procedures,
  • After body fluid exposure/risk,
  • After touching a patient, and
  • After touching patient surroundings.
   
  How?
   
 
 
Click to enlarge the picture
Click to enlarge the picture
   
   
  The World Health Organization (WHO) Patient Safety team has provided a number of tools to support health-care facilities to understand and prepare effective Action Plans to improve hand hygiene. The tools are categorized according to the 5 critical components of the WHO Multimodal Hand Hygiene Improvement Strategy that all health-care facilities should address in order to improve hand hygiene.
   
 
 
   
  As part of the SAVE LIVES: Clean Your Hands initiative, the readers are urged to refer to the WHO Guidelines on Hand Hygiene in Health Care, a comprehensive manual, to improve hand hygiene and thus reduce health care-associated infection .
   
 
 
   
   
 
Safe Surgery Saved Lives
 
The Second Global Patient Safety Challenge
   
  Surgical Safety is a serious public health issue. The goal of the “Safe Surgery Saves Lives”. Challenge is to improve the safety of surgical care around the world by ensuring adherence to proven standards of care. The A.S.I. endorses the objectives for safe surgery laid down by WHO which are:
   
 
1.
The team will operate on the correct patient at the correct site.
2.
 The team will use methods known to prevent harm from administration of anaesthetic administration, while protecting the patient from pain.
3.
 The team will recognize and effectively prepare for life-threatening loss of airway or respiratory function.
4.
 The team will recognize and effectively prepare for risk of high blood loss.
5.
 The team will avoid inducing any allergic or adverse drug reaction known to be a significant risk for the patient.
6.
 The team will consistently use methods known to minimize the risk for surgical site infection.
7.
 The team will prevent inadvertent retention of instruments or sponges in surgical wounds.
8.
 The team will secure and accurately identify all surgical specimens.
9.
 The team will effectively communicate and exchange critical information for the safe conduct of the operation.
10.
 Hospitals and public health systems will establish routine surveillance of surgical capacity, volume, and results.
   
 
 
 
  WHO Surgical Safety Checklist
   
 

A.S.I. promotes the use of the surgical checklist model devised by WHO. It requires only a few minutes to complete at three critical points during operative care – Sign in, Time out and Sign out. It is intended to ensure the safe delivery of anaesthesia, appropriate prophylaxis against infection, effective teamwork by the operating room staff and other essential practices in perioperative care.

   
 

A range of over 300 professional societies and organizations from countries worldwide have already expressed their support for the creation of a WHO Surgical Safety Checklist and the Safe Surgery initiative.

   
 
 
Click to enlarge the picture
   
  WHO has made a comprehensive manual for implementation of the surgical checklist.
   
 
 
   
   
 
Tackling Antimicrobial Resistance
 
The Third Global Patient Safety Challenge
   
 

This is the third challenge which is yet to be launched. It addresses the problem of the resistance posing a growing threat to the treatment and control of infectious diseases.

   
 
 
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