Surgical-Safety-Checklist-Compliance - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Surgical Safety Checklist Compliance

Alternate Name

Percentage of surgeries in which a surgical safety checklist was performed

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of surgeries in which a surgical safety checklist was used. The surgical safety checklist is considered to be completed when the designated checklist coordinator confirms that surgical team members have implemented and or addressed all of the necessary tasks and items in each of the three phrases, ‘briefing’, ‘time out’ and ‘debriefing’, of the checklist.

HQO Reporting tool/product

Public reporting

Dimension

Safe

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

Numerator divided by the denominator times 100

Numerator (short description i.e. not inclusions/exclusions)

Number of eligible surgeries in which all three phases of the surgical safety checklist was performed in the reporting time period

Denominator (short description i.e. not inclusions/exclusions)

Total number of eligible surgeries performed in the reporting time period

Adjustment (risk, age/sex standardization)- generalized

None

Data Source

Self-Reporting Initiative (SRI)

Data provided to HQO by

Ministry of Health and Long-Term Care (MOHLTC)

Reported Levels of comparability /stratifications (defined)

Institution, Province, Time

OTHER RELEVANT INFORMATION

Caveats and Limitations

Data are self-reported by hospitals.

Comments Summary

Surgeries included major surgery, day surgery, inpatient surgery, cataract surgery, dental procedures, Cesarean-sections, and emergency surgeries. Self-Reporting Initiative (SRI) (July 2012 to present) and Web Enabled Reporting System (WERS) (April 2010-June 2011), Ministry of Health and Long-Term Care; Cancer Care Ontario