Staff and patient safety
This issue is addressed in two of our standards, namely Fatigue Management in the Perioperative Environment and Infection Prevention.
ACORN standards stipulate that there is to be a minimum of two (2) surgical/procedural counts for any procedure where accountable items are used. Is the Initial Count 'counted' within these two counts?
ACORN standard Management of Accountable Items Used During Surgery/Procedures in the Perioperative Environment, standard statement 4, recommends a minimum of two (2) counts. The initial count is count one; the closing count is count two. Additional counts are to be conducted when a body cavity is entered, with “an additional count of accountable items …performed on closure of each cavity”.
In the current ACORN Standard Management of accountable items it states that a “paper based APD is used”; however under Position statement – documentation is does say that “documentation may be either paper-based and/or the EHR”. Can you clarify if we can move our count sheet and surgical safety checklist onto the EHR/EMR as long as all the standards are met for accountable items?
ACORN recommends a risk management approach when making decisions about perioperative care. While the use of paper-based health records is traditional and still commonplace, electronic health records (EHR) are replacing paper-based medical records within and across many health services at a rapid pace. However, health service organisations need to ensure their policies and procedures remain consistent with ACORN standards, when deciding to move toward a paperless system.