Pre-surgery site check ® is a computer software that provides independent (blinded) verification by various members of the surgical team, with regards to the side and site of surgery. It is designed to be easy, straight -forward, non-time consuming and very effective.
It will identify discrepancies in the side and site of surgery between the different verification tools such as x-rays, the patient and the members of the surgery team. The large in-room dashboard makes it very evident when there is any likelihood of a WSS occurring.
Each facility determines how many independent verifications are necessary for the actual verification process to be deemed satisfactory and for surgery to proceed.
Each team member takes full responsibility for their role in the prevention of WSS. The lead role in the proper implementation of the presurgery site check is taken by the Operating room nurse, who coordinates all the players and is the only one who can authorize the start of surgery. It also keeps track of near-misses and of any team members whose wrong verification could have led to WSS.
The large in-room dashboard also provides a very easy and quick verification of pertinent information regarding the on-going surgery , as well as necessary pre-set reminders such as redosing of antibiotics and rechecking of blood sugars.
As a CRNA with over ten years experience, I have not seen such a verification system that integrates all disciplines who will come in contact with the patient to verify the correct site for surgical procedures. Taking in all discipline's input pre-surgery check then concludes if surgery should proceed or if surgery should be halted because the correct site was not confirmed or collectively agreed upon. Pre-surgery check is an amazing tool that should be integrated into all operating rooms to eliminate the risk of wrong site surgeries.
As an Anesthesiologist, I am delighted to know that wrong side surgeries will be something we will not have to worry about ever again!
The software is extremely easy to use with almost no learning curve and very little additional time added to what we are already doing.
The in-room dashboard provides continuity of care when I provide relief for a colleague, helps me prevent anesthesia errors but also makes information readily available in case of emergencies. This is how the entire surgical team should be communicating in 2020!!