Dr Samir Shureih, MD says that patient safety is the mission of the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) and the priority of your center. AAAASF has compiled a list of tips that can help ensure the highest level of patient safety within your facility.

1. Utilize a written screening protocol for venous thromboembolism risk for each surgical patient. The completed assessment should be placed in the medical record for each patient. A copy of the protocol and assessment tool should also be placed in the facility manual for reference.

2. Ensure each operating surgeon or dentist reviews the anesthesia plan and acknowledges the agreement in the medical record of any patient scheduled for a procedure.

3. Confirm medical records contain patient acknowledgment that the patient Bill of Rights was reviewed and understood by the patient or legal representative.

4. Ensure sequential compressive devices are used for surgeries of 1 hour or longer, except for procedures under local anesthesia.

5. Verify that a standard defibrillator or an automated external defibrillator unit is present and checked at least weekly as well as every surgical day for operability, with test results kept for a minimum of 3 years.

6. Be sure the instrument preparation and assembly area (clean utility area) is separated by walls or an adequate amount space from the instrument cleaning area (dirty utility area), or make sure there is a policy to clean and disinfect the dirty utility area before preparing and assembling packs for sterilization.

7. Check that there is always a minimum of twelve vials of Dantrolene stored in the facility if triggering agents are present.

8. Review your anesthetic care plan process to ensure it is based on the patient’s medical examination and assessment of any physical conditions that might affect decisions about preoperative risk management.

9. If you use a gas sterilizer, confirm that your personnel are badge tested for ethylene oxide exposure.

10. Verify the Informed Consent Form, which provides consent for administration of anesthesia or sedatives under the direction of the surgeon, dentist, or anesthesia provider, is completed for each patient scheduled for a procedure.


Dr. Shureih, MD Plastic Surgeon