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HSE National Policy

HSE National Policy and Procedure for Safe Surgery


Topic: Safe surgery
Document Owner: Adon lead national clinical programme for anaesthesia
National Group: National clinical programme for anaesthesia
Effective From: 21 March 2024
The Policy includes five stages for Safe Surgery, including Team Briefing and Debriefing, to accompany Sign In, Time Out and Sign Out. The Audit Tool simplifies the process for busy staff as it is designed to automatically carry out the analysis and generate results graphically.

The National Policy and Procedure for Safe Surgery endorses the principles of the World Health Organisation (WHO) Surgical Safety Checklist and the HSE’s Patient Safety Strategy to ensure that every patient undergoing a surgical procedure has the safest possible care.

The policy and procedure, based on best practice and evidence, introduces key safety steps that should be incorporated into each the operating theatre department to support the development of a safety culture and to improve communication among operating department teams. It applies to every patient undergoing surgery in the Irish hospital setting and to all healthcare staff involved in the surgical patient pathway.

The Policy includes five stages for Safe Surgery, including Team Briefing and Debriefing, to accompany Sign In, Time Out and Sign Out.