National Surgical Patient Safety Summit (NSPSS) program
I am honored to represent the Association of VA Surgeons and the Southeastern Surgical Congress at the National Surgical Patient Safety Summit (NSPSS) event August 4-5 2016. In spite of advances in technology, as well as numerous protocols and regulations, surgical adverse events and patient harm plague all healthcare organizations. Representatives from 80 medical and surgical organizations will attend the National Surgical Patient Safety Summit (NSPSS) program sponsored by the American College of Surgeons (ACS) and the American Academy of Orthopedic Surgeons (AAOS).
The mission of the program is to "propose solutions that effectively combine elements of safety science, principles of high reliability and best safety practices across all phases of surgical care." The ACS and AAOS initially met a year ago to establish the framework for proceeding with a safety summit. The preliminary workgroup identified key surgical safety content (knowledge), current knowledge gaps, and key evidence / consensus-based surgical safety practices and behaviors. This initial group expanded to include the ASA and AORN to draft initial safety standards, propose content for safety education programs, and identify surgical safety data needed to improve safety for surgical patients.
This effort culminates with the August Summit which has the following goals:
• Define essential surgical safety knowledge, behaviors and systems
• Identify required safety data collection and performance measurement
• Propose surgical resident/fellow and surgeon safety education and skills curricula/programs
• Identify surgical safety knowledge gaps and research priorities
• Propose surgical safety standards for surgical education programs and practices.
The Summit is divided into four key workgroup (WG) sessions, each with its own unique goal.
- WG1, key safety definitions / elements / processes/phases of care, identify and define essential surgical safety elements and processes, as well as the multiple teams involved responsible for all phases of the surgical care continuum.
- WG2, human factors / behaviors / culture / high reliability, identify principles, behaviors, and systems needed to improve surgical communication and leadership supporting a highly reliable and sustainable culture of safety.
- WG3, Technology/Data/Performance Measurements, identify principles, measures, and programs needed for collection and analysis of surgical safety data to drive performance measurement.
- WG4, Education/Training Programs, identify and strategies for education programs needed to advance surgeon recommended implementation, surgical team, and surgical facility safety knowledge and practices. Each workgroup which led by a team of well-known surgical safety advocates (list found below).
As the Summit progresses I will attempt to forward updates.
My personal goal is to assure that the consensus information and message is succinct enough to allow busy practicing surgeons to absorb the mission, goals and recommendations without undue labor.
Kenneth A. Lipshy, MD FACS