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Wednesday 10:55 CST, August 16, 2017

Targeted Solutions Tool for Safe Surgery

About the Safe Surgery Targeted Solutions Tool®

The Safe Surgery Targeted Solutions Tool® (TST®) is an online application that’s designed to monitor surgical cases for weaknesses that could result in wrong site surgery, thus speeding up the ability to correct issues with the surgical process without the need to wait for a wrong site surgery to actually occur.

Many hospitals and ambulatory surgery centers across the country collaborated with the Joint Commission Center for Transforming Healthcare (the Center) to test the work of the original organizations that participated in the project and provide guidance on the development of the Safe Surgery TST. These organizations experienced gains similar to the original participating organizations.

The Targeted Solutions Tool (TST) for Safe Surgery:

  • Allows an organization to take a critical look at its entire surgical care system, from the time a procedure is scheduled through the completion of the operation
  • Identifies specific risk points in surgical booking, pre-op or pre-op holding, and the operating room that could potentially lead to a wrong site surgery event
  • Standardizes practices and promotes consistency in perioperative processes across multiple providers within the same organization
  • Promotes safe surgery practices that are critical to patient safety

Click here to Login to the Safe Surgery TST or Request Access.

Questions? Contact us at 630.792.5800 or e-mail tst_support@cth.org


Why Use the Safe Surgery TST?

To reduce the risk of wrong site, wrong procedure and wrong patient surgery, all potential errors must be identified starting from scheduling all the way to the operating room. The TST is an online application that allows health care organizations to keep patients safe from preventable harm across the whole continuum of surgical care.

The participating organizations that worked on the Safe Surgery project with the Center were able to reduce the number of cases with risks by 46 percent in the scheduling area, by 63 percent in pre-op, and by 51 percent in the operating room.

 


Video: "Safe Surgery Targeted Solutions Tool”

 

Development Background at a Glance

According to the best available estimate, there are approximately 40-60 wrong site surgeries per week in the United States.* Research has shown that, often, there is usually no one root cause of failure. Rather, such events are frequently the result of a cascade of small errors that are able to penetrate organizational defenses. As a result, the Center joined forces with the Lifespan system in Rhode Island to initiate the Safe Surgery project in July 2009. The goal was to improve the safeguards to prevent wrong site, wrong side and wrong patient surgical procedures by helping organizations identify, measure, and reduce risks across their surgical process areas, including scheduling, pre-operative, and operating room areas.

Because the occurrence of wrong site surgery is rare, with most organizations going years without an occurrence, the TST was designed to monitor surgical cases for weaknesses that could result in wrong site surgery, thus speeding up the ability to correct issues with the surgical process without the need to wait for a wrong site surgery to actually occur. In 2010, four additional hospitals and three ambulatory surgical centers joined the project. The original participating organizations were able to reduce the number of cases with risks by 46 percent in the scheduling area, 63 percent in the pre-op area, and 51 percent in the operating room area.

The organizations that participated in the Center’s project identified 29 main causes of wrong site surgeries that occurred during scheduling, in pre-op or pre-op holding, in the operating room, or which stemmed from the organizational culture.

*Chassin MR, Loeb JM: High-reliability health care: Getting there from here. The Milbank Quarterly, September 2013;91(3):459-490, (accessed November 10, 2013)

Participating Institutions

AnMed Health Medical Center
Center for  Health Ambulatory Surgery Center
Holy Spirit Hospital
La Veta Surgical Center
 

Lifespan
Seven Hills Surgery Center
The Mount Sinai Medical Center
Thomas Jefferson University Hospital
 

Pilot Institutions

Algonquin Road Surgery Center LLC
Holy Spirit Hospital

 

Lafayette Surgical Hospital
The Urology Group

 


In Their Words...Participating Hospitals Tell Their Stories

 

Visit Our Websites:

 

The Joint Commission       Joint Commission Resources       Joint Commission International

Log in to Falls TST
Req Access Falls TST

Safe Surgery TST Resource Center


Download these Safe Surgery TST® promotional materials and help spread the word about the Safe Surgery TST®!

Questions? E-mail tst_support@cth.org

In Your Own Words…


If you’ve utilized the Joint Commission Center for Transforming Healthcare Targeted Solutions Tools® or Oro™ 2.0, or have participated in any of our training programs, we invite you to share your experience. Simply Click Here to provide a few highlights about lessons learned, insights gained, results achieved--In Your Own Words…
 

ABIM TST SS