Does the safe surgery check list delay the start of the theatres?

Vats, Atul; Marbaniang, Monalisa J.; Gupta, Pawan Kumar

doi:10.1097/00003643-201106001-00035

Cited by 6 publications

(5 citation statements)

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“…Arguments commonly used by surgeons are disruption of workflow, leading to OR time waste 44 . However, several studies have shown that there is no loss of time associated with SSC use 45,46 . Moreover, Anderson et al showed that intraoperative delay occurred in 19% of surgical cases, mostly due to missing or malfunctioning equipment.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2023

Acta Anaest Belg

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Background: Implementing a Surgical Safety Checklist (SSC) poses several challenges. Operating room (OR) professionals' opinions on SSC determine whether it is used. Additionally, OR professionals often complain of pressure for execution and presence of inappropriate components in the SSC. Objectives: This study aimed to investigate whether the use of and opinions on SSC improved, and whether feelings of pressure and opinions on the appropriateness of the items changed. Design: Repeated cross-sectional study. Setting: An online survey was sent to all Belgian OR professionals (nurses, surgeons, and anesthesiologists) in 2016 and 2021. Methods: Respondent characteristics were summarized using the proportions of discrete variables. Other data were analyzed using Pearson's chi-squared test or Fisher's exact test. A p-value (0.01) was considered statistically significant. Results: In 2021, participation increased from 1419 to 2166 OR professionals. More participants stated that they used SSC, and that its use was more systematic. Opinions about SSC revealed a significant change in patients' appreciation of SSC use (more positive) and signs of a lack of knowledge of the patient file (less negative). More negative feelings were observed when the SSC was not used. The OR staff experienced less time pressure to complete the SSC. Surgeons, anesthesiologists, and colleagues exerted more pressure on SSC use. The pressure for not using the SSC was low. Seven of the 22 SSC components were judged more appropriate by 2021. 'Time Out' improved more than 'Sign In' or 'Sign Out'. Team member introduction remained the least-supported component. Conclusion: SSC was used more often in 2021. Most of the opinions were positive. There was more pressure to use SSC. Most components were considered appropriate, except for team introduction. Local adjustments can align needs with the staff's opinions. However, crucial components must be maintained.

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Section: Discussionmentioning

confidence: 99%

Untitled

2023

Acta Anaest Belg

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“…But this practice causes a lot of problems and doesn't have any advantages. For example, in a study conducted in UK clearly showed that Safe Surgical Checklists do not have any significant impact on theater start time [13].…”

Section: Responsesmentioning

confidence: 99%

Safety of Regional Anesthesia in Ukraine Survey: Are Hospitals Ready for the Local Anesthetic Systemic Toxicity (Last)?

Semenko,

Frank,

Kuchyn

et al. 2023

Med. Sci. of Ukr.

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Background. A survey was conducted among anesthesiologists in 38 Ukrainian hospitals to evaluate the current incidence and treatment quality of the local anesthetic systemic toxicity (LAST). With the growing preference for regional anesthetic techniques, implementation of measures for timely detection and treatment of LAST is becoming a priority for many surgical hospitals. This study aims to provide primary country-wide epidemiological data to guide further safety improvement in Ukraine. It should be noted, that the survey was performed before the beginning of the full-scale Russian invasion of Ukraine. The resulting surge in the incidence of limb injury has resulted in an unprecedented scale of application of regional anesthesia, including out-of-hospital cases with very limited monitoring, which will no doubt generate great amount of new data on the subject. We hope that our current analysis may be used as a reference point for the future research on this subject. Material and methods. A link to the survey was distributed via e-mail to the members of the Association of Anesthesiologists of Ukraine. Data submission was anonymous. Statistical analysis was performed using Microsoft Excel. Descriptive statistics are provided. Results. Responses were submitted by 186 anesthesiologists from 38 Ukrainian cities. Among them, 65.9% practice in public hospitals, 25.4% - in private hospitals, 8.7% - in university hospitals. Majority of respondents (60.3%) reported performing over 100 regional anesthetic procedures per year. Peripheral nerve blocks were routinely performed in the hospitals of 76.9% of respondents. 42.4% are using peripheral nerve blocks or more times per week, 24.4% perform this amount monthly, 21.7% - yearly, with 11.5% not utilizing peripheral nerve blocks at all. Ultrasound guidance was commonly used by 64.1% of anesthesiologists, 60.3% reported relying on landmark techniques often and 38.5% are routinely using a neuromuscular electrical stimulator. LAST cases were previously encountered by 37.2% of respondents. However, only 37% have reported having a LAST protocol in their hospital and 42.3% did not have a lipid emulsion available. Regarding patient education, in 62.8% of cases the patients were specifically warned about the possible complications of regional anesthesia prior to procedures, where it was performed. When the local anesthetic related adverse events did occur, they were recorded in the patient’s card in 27.2% of cases; the chief of anesthesiology department was informed in 36.9%, while in 35.9% the event was not reported in any way. Conclusions. The practice of regional anesthesia is becoming more widespread in Ukraine, but the minimal measures required to provide patient safety during such procedures are still not being employed in many hospitals.

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“…In a study conducted in UK clearly showed that Safe Surgical Checklists do not have any significant impact on theater start time. [ 24 ]…”

Section: Who Checklist: Why We Do Not Follow?mentioning

confidence: 99%