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Surgical safety checklist

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https://www.readbyqxmd.com/read/27879522/a-systematic-review-of-completeness-of-reporting-in-randomized-controlled-trials-in-dermatologic-surgery-adherence-to-consort-2010-recommendations
#1
Murad Alam, Mutahir Rauf, Sana Ali, Parth Patel, Daniel I Schlessinger, Matthew R Schaeffer, Simon S Yoo, Kira Minkis, Shang I Brian Jiang, Ian A Maher, Joseph F Sobanko, Todd V Cartee, Emily Poon
BACKGROUND: Randomized controlled trials are the gold standard for comparing safety and effectiveness of surgical interventions. Reporting guidelines are available for conveying the results of such trials. OBJECTIVE: To assess adherence to standard reporting guidelines among randomized controlled trials in dermatologic surgery. MATERIALS AND METHODS: Systematic review. Data source was randomized controlled trials in the journal Dermatologic Surgery, per PubMed search, 1995 to 2014...
December 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/27829730/are-we-all-guilty-of-under-estimating-intra-operative-blood-loss-during-hip-fracture-surgery
#2
Basil Budair, Usman Ahmed, James Hodson, Michael David, Mujeeb Ashraf, Tim McBride
AIM: To assess how accurately orthopaedic surgeons and anaesthesiologists estimate intraoperative blood loss during hip fracture surgery as part of the Surgical Safety Checklist (SCC). METHODS: A prospective study of 55 operations over 9 months. Pre- and post-operative estimations of blood loss were documented. Actual blood loss was determined by subtracting total amount of lavage fluid used from overall volumes in the suction bag and by weighing used swabs. RESULTS: Both, surgeons and anaesthesiologists, significantly underestimated intraoperative blood loss (p < 0...
March 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27811595/objective-assessment-of-checklist-fidelity-using-digital-audio-recording-and-a-standardized-scoring-system-audit
#3
Douglas Salgado, Kimberly R Barber, Michael Danic
OBJECTIVES: The use of the World Health Organization Surgical Safety Checklist (SSC) has been reported to significantly reduce operative morbidity and mortality rates. Recent findings have cast doubt on the efficacy of such checklists in improving patient safety. The effectiveness of surgical safety checklists cannot be fully measured or understood without an accurate assessment of implementation fidelity, most effectively through direct observations of the checklist process. Here, we describe the use of a secure audio recording protocol in conjunction with a novel standardized scoring system to assess checklist compliance rates...
November 2, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27800588/identification-of-risk-factors-in-minimally-invasive-surgery-a-prospective-multicenter-study
#4
Sara R C Driessen, Evelien M Sandberg, Sharon P Rodrigues, Erik W van Zwet, Frank Willem Jansen
BACKGROUND: Since the introduction of minimally invasive surgery (MIS), concerns for patient safety are more often brought to the attention. Knowledge about and awareness of patient safety risk factors are crucial in order to improve and enhance the surgical team, the environment, and finally surgical performance. The aim of this study was to identify and quantify patient safety risk factors in laparoscopic hysterectomy and to determine their influence on surgical outcomes. METHODS: A prospective multicenter study was conducted from April 2014 to January 2016, participating gynecologists registered their performed laparoscopic hysterectomies (LHs)...
October 31, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27783604/-implementation-of-an-operating-room-safety-chart-in-turin-italy
#5
Federica Cadoni, Maria Martorana, Lara Pezzano, Anna Laurenti, Maria Rita Cavallo, Maria Michela Gianino
To ensure the safety of surgical procedures, a local health authority in Turin (Piedmont Region, Italy) adopted an operating room chart as a standard procedure that contextualizes the Ministerial surgical checklist and fills the surgical safety requirements of the regional health authority. Three characteristics make the adopted operating room chart especially useful and innovative: (i) it is completed by surgical nurses; (ii) it is completed during the surgical procedure itself; (iii) the greater number and type of checks required in addition to those specified in the ministerial checklist...
July 2016: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/27753243/efficacy-of-knowledge-and-competence-based-training-of-non-physicians-in-the-provision-of-early-infant-male-circumcision-using-the-mogen-clamp-in-rakai-uganda
#6
Edward Nelson Kankaka, Godfrey Kigozi, Daniel Kayiwa, Nehemiah Kighoma, Frederick Makumbi, Teddy Murungi, Dorean Nabukalu, Resty Nampijja, Stephen Watya, Daniel Namuguzi, Fred Nalugoda, Gertrude Nakigozi, David Serwadda, Maria Wawer, Ronald H Gray
OBJECTIVE: To assess acquisition of knowledge and competence in performing Early Infant Male Circumcision (EIMC) by non-physicians trained using a structured curriculum. SUBJECTS AND METHODS: Training in provision of EIMC using the Mogen clamp was conducted for 10 Clinical Officers (COs) and 10 Registered Nurse Midwives (RNMWs), in Rakai, Uganda. Healthy infants whose mothers consented to study participation were assigned to the trainees, each of whom performed at least 10 EIMCs...
October 18, 2016: BJU International
https://www.readbyqxmd.com/read/27753177/exploring-nurses-use-of-the-who-safety-checklist-in-the-perioperative-setting
#7
Brid O' Brien, Margaret M Graham, Sile Mary Kelly
AIM: To explore nurses' use of the World Health Organization safety checklist in the perioperative setting. BACKGROUND: Promoting quality and safety in health care has received worldwide attention. The World Health Organization surgical safety checklist (2009) is promoted for reducing postoperative morbidity and mortality. The checklist has been introduced in Irish perioperative settings. METHOD(S): A descriptive, qualitative approach was utilised...
October 18, 2016: Journal of Nursing Management
https://www.readbyqxmd.com/read/27735828/implementation-science-a-neglected-opportunity-to-accelerate-improvements-in-the-safety-and-quality-of-surgical-care
#8
Louise Hull, Thanos Athanasiou, Stephanie Russ
OBJECTIVE: The aim of this review was to emphasize the importance of implementation science in understanding why efforts to integrate evidence-based interventions into surgical practice frequently fail to replicate the improvements reported in early research studies. SUMMARY OF BACKGROUND DATA: Over the past 2 decades, numerous patient safety initiatives have been developed to improve the quality and safety of surgical care. The surgical community is now faced with translating "promising" initiatives from the research environment into clinical practice-the World Health Organization (WHO) has described this task as one of the greatest challenges facing the global health community and has identified the importance of implementation science in scaling up evidence-based interventions...
October 4, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27717565/patient-safety-improvement-interventions-in-children-s-surgery-a-systematic-review
#9
Alexander L Macdonald, Nick Sevdalis
BACKGROUND: Adult surgical patient safety literature is plentiful; however, there is a disproportionate paucity of published safety work in the children's surgical literature. We sought to systematically evaluate the nature and quality of patient safety evidence pertaining to pediatric surgical practice. METHODS: Systematic search of MEDLINE and EMBASE databases and gray literature identified 1399 articles. Data pertaining to demographics, methodology, interventions, and outcomes were extracted...
September 24, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27692671/increasing-compliance-with-the-world-health-organization-surgical-safety-checklist-a-regional-health-system-s-experience
#10
Matthew E Gitelis, Adelaide Kaczynski, Torin Shear, Mark Deshur, Mohammad Beig, Meredith Sefa, Jonathan Silverstein, Michael Ujiki
BACKGROUND: In 2009, NorthShore University HealthSystem adapted the World Health Organization Surgical Safety Checklist (SSC) at each of its 4 hospitals. Despite evidence that SSC reduces intraoperative mistakes and increase patient safety, compliance was found to be low with the paper form. In November 2013, NorthShore integrated the SSC into the electronic health record (EHR). The aim was to increase communication between operating room (OR) personnel and to encourage best practices during the natural workflow of surgeons, anesthesiologists, and nurses...
August 16, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27669138/time-out-the-professional-and-organizational-ethics-of-speaking-up-in-the-or
#11
Nancy Berlinger, Elizabeth Dietz
Participation in patient safety is one concrete expression of a foundational principle of medical ethics: do no harm. Being an ethical professional requires taking action to prevent harm to patients in health care environments. Checklists and time-outs have become common patient safety tools in the US and other nations. While their use can support ethical practice, recent research has revealed their limitations and has underscored the importance of interpersonal collaboration in developing and using these patient safety tools...
2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27648023/compliance-and-effectiveness-of-who-surgical-safety-check-list-a-jpmc-audit
#12
Mariyah Anwer, Shahneela Manzoor, Nadeem Muneer, Shamim Qureshi
OBJECTIVE: To assess World Health Organization (WHO) Surgical Safety Checklist (SSC), compliance and its effectiveness in reducing complications and final outcome of patients. METHODS: This was a prospective study done in Department of General Surgery (Ward 02), Jinnah Postgraduate Medical Centre (JPMC), Karachi. The study included Total 3638 patients who underwent surgical procedure in elective theatre in four years from November 2011 to October 2015 since the SSC was included as part of history sheets in ward...
July 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27642053/cluster-randomized-trial-to-evaluate-the-impact-of-team-training-on-surgical-outcomes
#13
A Duclos, J L Peix, V Piriou, P Occelli, A Denis, S Bourdy, M J Carty, A A Gawande, F Debouck, C Vacca, J C Lifante, C Colin
BACKGROUND: The application of safety principles from the aviation industry to the operating room has offered hope in reducing surgical complications. This study aimed to assess the impact on major surgical complications of adding an aviation-based team training programme after checklist implementation. METHODS: A prospective parallel-group cluster trial was undertaken between September 2011 and March 2013. Operating room teams from 31 hospitals were assigned randomly to participate in a team training programme focused on major concepts of crew resource management and checklist utilization...
December 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27626013/a-study-on-hospital-admissions-for-eye-trauma-in-kashan-iran
#14
Tayebeh Movahedinejad, Mohsen Adib-Hajbaghery, Mohammad Reza Zahedi
BACKGROUND: Eye trauma is among the most common reasons for referral to hospital emergency departments and ophthalmologists' offices. It also is a common cause of vision loss worldwide. However, few studies are available on the changes in the epidemiology of eye trauma in Iran in recent years. OBJECTIVES: This study aimed to investigate the characteristics of hospital admissions for eye trauma in Kashan from August 2011 to February 2014. PATIENTS AND METHODS: A cross-sectional study was carried out on the hospital records of all patients with eye trauma who were admitted to Kashan's Matini hospital between August 2011 and February 2014...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27607086/improved-compliance-with-the-world-health-organization-surgical-safety-checklist-is-associated-with-reduced-surgical-specimen-labelling-errors
#15
Walston R Martis, Jacqueline A Hannam, Tracey Lee, Alan F Merry, Simon J Mitchell
AIMS: A new approach to administering the surgical safety checklist (SSC) at our institution using wall-mounted charts for each SSC domain coupled with migrated leadership among operating room (OR) sub-teams, led to improved compliance with the Sign Out domain. Since surgical specimens are reviewed at Sign Out, we aimed to quantify any related change in surgical specimen labelling errors. METHODS: Prospectively maintained error logs for surgical specimens sent to pathology were examined for the six months before and after introduction of the new SSC administration paradigm...
2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27604364/what-is-the-value-of-the-sages-aorn-mis-checklist-a-multi-institutional-practical-assessment
#16
Emily Benham, William Richardson, Jonathan Dort, Henry Lin, A Michael Tummers, Travelyan M Walker, Dimitrios Stefanidis
BACKGROUND: Surgical safety checklists reduce perioperative complications and mortality. Given that minimally invasive surgery (MIS) is dependent on technology and vulnerable to equipment failure, SAGES and AORN partnered to create a MIS checklist to optimize case flow and minimize errors. The aim of this project was to evaluate the effectiveness of the SAGES/AORN checklist in preventing disruptions and determine its ease of use. METHODS: The checklist was implemented across four institutions and completed by the operating team...
September 7, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27579844/cultural-analysis-of-surgical-safety-checklist-items-in-spain-and-argentina
#17
Blanca Torres-Manrique, Andreu Nolasco-Bonmati, Loreto Maciá-Soler, Matías Milberg, Alba Noemi Vilca, María José López-Montesinos, Víctor Manuel González-Chordá
OBJECTIVE: To compare the agreement between two surgical checklists implanted in two hospitals in Spain and Argentina, using the international classification for patient safety as a framework. METHOD: This was an expert opinion study carried out using an ad hoc questionnaire in electronic format, which included 7 of the 13 categories of the international classification for patient safety. Fifteen surgical security experts from each country participated in this study by classifying the items on the checklists into the selected ICPS categories...
September 2016: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/27568533/use-of-a-surgical-safety-checklist-to-improve-team-communication
#18
Richard A Cabral, Terry Eggenberger, Kathryn Keller, Barry S Gallison, David Newman
To improve surgical team communication, a team at Broward Health Imperial Point Hospital, Ft Lauderdale, Florida, implemented a program for process improvement using a locally adapted World Health Organization Surgical Safety Checklist. This program included a standardized, comprehensive time out and a briefing/debriefing process. Postimplementation responses to the Safety Attitudes Questionnaire revealed a significant increase in the surgical team's perception of communication compared with that reported on the pretest (6% improvement resulting in t79 = -1...
September 2016: AORN Journal
https://www.readbyqxmd.com/read/27566268/effect-of-a-two-year-national-quality-improvement-program-on-surgical-checklist-implementation
#19
Anna C Mascherek, Paula Bezzola, Katrin Gehring, David L B Schwappach
Use of the surgical checklist in Switzerland is still incomplete and unsatisfactory. A national improvement program was developed and conducted in Switzerland to implement and improve the use of the surgical safety checklists. The aims of the implementation program were to implement comprehensive and correct checklist use in participating hospitals in every patient and in every surgical procedure; and to improve safety climate and teamwork as important cultural context variables. 10 hospitals were selected for participation in the implementation program...
2016: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/27516608/team-training-in-the-perioperative-arena-a-methodology-for-implementation-and-auditing-behavior
#20
Amanda J Rhee, Yessenia Valentin-Salgado, David Eshak, David Feldman, Pat Kischak, David L Reich, Vicki LoPachin, Michael Brodman
Preventable medical errors in the operating room are most often caused by ineffective communication and suboptimal team dynamics. TeamSTEPPS is a government-funded, evidence-based program that provides tools and education to improve teamwork in medicine. The study hospital implemented TeamSTEPPS in the operating room and merged the program with a surgical safety checklist. Audits were performed to collect both quantitative and qualitative information on time out (brief) and debrief conversations, using a standardized audit tool...
August 10, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
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