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JCI Anesthesia and Surgical Care Audit Checklist

A comprehensive checklist designed to assess compliance with JCI Anesthesia and Surgical Care standards, enhance patient safety in surgical settings, and improve overall surgical outcomes.

JCI Anesthesia and Surgical Care Audit Checklist

by: audit-now
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About This Checklist

The JCI Anesthesia and Surgical Care Audit Checklist is a critical tool for healthcare organizations striving to meet Joint Commission International (JCI) standards and optimize patient safety in surgical settings. This comprehensive checklist addresses key aspects of anesthesia administration, surgical procedures, and perioperative care. By systematically evaluating anesthesia and surgical practices, this checklist empowers healthcare providers to enhance patient safety, reduce surgical complications, and improve overall surgical outcomes. It promotes a culture of safety, teamwork, and continuous improvement in the operating room and associated care areas.

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Industry

Healthcare

Standard

JCI Healthcare Accreditation Standards

Workspaces

Operating Rooms and Surgical Facilities

Occupations

Anesthesiologists
Surgeons
Operating Room Nurses
Perioperative Staff
Quality Improvement Specialists
Patient Safety Officers
1
Is the surgical site clearly marked before the procedure?

Select compliance status.

To ensure patient safety and prevent wrong-site surgeries.
2
Was a time-out procedure conducted before the surgery?

Indicate whether the time-out was conducted.

To verify that all surgical team members confirm the correct patient and procedure.
3
Is the anesthesia care documented appropriately in the patient's records?

Provide details regarding documentation.

Proper documentation is essential for patient safety and legal compliance.
4
What is the number of infection control measures implemented during the surgical procedure?

Enter the number of measures implemented.

To evaluate adherence to infection control protocols.
Min: 0
Target: 5
Max: 20
5
Were post-operative complications monitored and documented?

Select monitoring compliance status.

To ensure timely identification and management of complications after surgery.
6
What is the date of the first post-operative follow-up?

Enter the follow-up date.

To ensure timely follow-up care is provided to the patient.
7
What feedback did the patient provide regarding their surgical experience?

Provide detailed feedback from the patient.

To assess patient satisfaction and identify areas for improvement.
8
What was the patient’s pain level on a scale of 1 to 10 post-surgery?

Enter the pain level.

To monitor pain management effectiveness post-operatively.
Min: 0
Target: 4
Max: 10
9
Was the count of surgical instruments accurate before and after the procedure?

Select instrument count accuracy status.

To prevent retained surgical items and ensure patient safety.
10
What was the total time taken for the surgical procedure?

Provide the total procedure time.

To evaluate efficiency and identify any delays in the surgical process.
11
What was the estimated blood loss during the surgery (in mL)?

Enter estimated blood loss.

To monitor surgical outcomes and assess patient risk.
Min: 0
Target: 50
Max: 1000
12
Was antibiotic prophylaxis administered before the surgical procedure?

Indicate whether antibiotic prophylaxis was given.

To reduce the risk of post-operative infections.
13
Was the patient identification verified before the surgical procedure?

Select verification compliance status.

To ensure the right patient is undergoing the right procedure, enhancing patient safety.
14
Was the anesthesia consent confirmed prior to the procedure?

Provide details regarding anesthesia consent confirmation.

To ensure that patients are informed and consent to anesthesia.
15
How many surgical team members were present during the procedure?

Enter the number of surgical team members present.

To assess whether adequate staffing was maintained for safe surgical practice.
Min: 1
Target: 5
Max: 20
16
Was the emergency protocol reviewed before the procedure?

Indicate whether the emergency protocol was reviewed.

To ensure readiness in case of any surgical emergencies.
17
Was the operating room clean and properly prepared before the surgery?

Select the cleanliness status of the operating room.

To minimize the risk of surgical site infections and ensure a safe environment.
18
Was proper surgical attire worn by all personnel in the operating room?

Indicate whether proper surgical attire was worn.

To ensure adherence to infection control standards.
19
How many pieces of surgical equipment were checked for functionality?

Enter the number of equipment checked.

To ensure that all necessary equipment is in proper working order before surgery.
Min: 1
Target: 10
Max: 50
20
What were the findings from the anesthesia machine inspection?

Provide details of the anesthesia machine inspection.

To ensure the anesthesia machine is functioning correctly and safely.

FAQs

The checklist covers key areas such as pre-anesthesia assessment, surgical site marking, time-out procedures, anesthesia monitoring, infection control practices, post-operative care, and pain management protocols.

It is recommended to conduct the audit quarterly, with ongoing monitoring of surgical quality indicators and more frequent reviews of high-risk procedures or areas identified for improvement.

The audit should involve anesthesiologists, surgeons, operating room nurses, perioperative staff, quality improvement specialists, and representatives from infection control and patient safety departments.

Results can be used to identify areas for improvement in surgical and anesthesia processes, enhance staff training, optimize equipment and resource allocation, refine surgical safety protocols, and demonstrate commitment to high-quality surgical care.

Yes, the checklist can be adapted for use in various surgical settings, including hospital operating rooms, ambulatory surgery centers, and specialized surgical clinics, with adjustments made based on the specific scope of services and complexity of procedures performed.

Benefits of JCI Anesthesia and Surgical Care Audit Checklist

Ensures compliance with JCI anesthesia and surgical care standards

Reduces the risk of surgical and anesthesia-related complications

Enhances communication and teamwork among surgical team members

Improves the efficiency and effectiveness of perioperative processes

Promotes standardization of best practices in surgical and anesthesia care