Responsibility for Implementation:
1. The patient must be seen by the surgical and anesthetic practitioners. This can range from days or weeks In advance.
2. Complete as much investigation and treatment as possible on an outpatient basis.
3. Before the operation, correct gross malnutrition, treat serious bacterial infection and control diabetes.
4. It is surgical practitioner’s responsibility to ensure that the side to be operated on is clearly marked just before the operation and recheck this immediately before the patient anaesthetized.
5. Reducing the risk of patient by provision of quality of care.
6. Maintain a consistent, calm environment to orient the patient.
7. As the disease progresses, the patient becomes more dependent on others for care. Sharing care responsibilities helps prevent burnout, provide variety in care routines, and allow for mutual understanding under responsibility handled by surgical practitioners and nursing staff.
Parameters for quality assurance:
1. Surgical care reviewed on a monthly basis to assure that defined quality care is being given to hospitalized surgical patients
2. Developing new hospital orders sets that include appropriate care measures and establishing electronic systems to remind care providers of crucial documentation for these care measures.
3. Measurements are focused on reducing the incidence of four broad sets of complications that can occur following surgery: surgical site infection, adverse cardiac events, has reduced the infection rate and other complications related to surgery.
4. Patient satisfaction surveys output. This is conducted as ongoing activity and reported on monthly base. The General patient satisfaction survey is carried out by the NABH documents committee, Hospital, under it chairperson.
Basic Standards for Surgical care
1. Give preventive antibiotic to surgical patient within one hour before the surgical incision.