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Preoperative Checklist Failures Analysis

The document outlines multiple issues that contributed to problems during a patient's pre-operative process. Specifically, it notes a lack of standardized protocols for patient preparation, incomplete checklists, poor communication between departments, insufficient patient education, and staffing issues that led to delays in care. Overall, the document highlights how breakdowns in processes and coordination across a healthcare team can negatively impact patient safety.

Uploaded by

Christian Rey Abuan
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7 views1 page

Preoperative Checklist Failures Analysis

The document outlines multiple issues that contributed to problems during a patient's pre-operative process. Specifically, it notes a lack of standardized protocols for patient preparation, incomplete checklists, poor communication between departments, insufficient patient education, and staffing issues that led to delays in care. Overall, the document highlights how breakdowns in processes and coordination across a healthcare team can negatively impact patient safety.

Uploaded by

Christian Rey Abuan
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

NO

STANDARDIZED
SHAVING
PROTOCOL

Case of the
patient

Lack of
orientation
Wrong
preparation

LACK OF
REORIENTATION

Inappropriate
shaving

Delayed
charging of
X-ray by
staf

Incomplete
preoperative
checklist

Insufficient
knowledge on
checklist

Poor compliance
of nurses
in completing
pre-operative
checklist

New
staf

Poor history
taking

ALLERGY NOT
DOCUMENTED
Allergy not
identified

LACK OF
COORDINATION
WITH RADIOLOGY
department

no
plates

Late charging
of antibiotics

Attending
to many
patients

Lack of health
teaching by staf

Poor time
management

Unavailability
of antibiotic
PREOP
INSTRUCTION

NPO status
not
reiterated
by staf

Patient
uncompliant
to NPO status

DELAYED
ANTIBIOTICS

Increased
workload

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