Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population

Weiser, Thomas; Haynes, Alex B.; Dziekan, Gerald; Berry, William R.; Lipsitz, Stuart R.; Gawande, Atul A.

doi:10.1097/sla.0b013e3181d970e3

Cited by 406 publications

(323 citation statements)

References 7 publications

Supporting

Mentioning

299

Contrasting

Unclassified

Order By: Relevance

“…For example, although pay-for-performance can improve quality, the type, amount, and timeliness of the incentives all affected the magnitude of the behavioral change and the potential benefit of the strategy. Second, most studies have selectively focused on only certain aspects of quality such as safety [22,31,75,76] and timeliness [12,52]. A complete evaluation of quality would require examination of all the elements.…”

Section: Discussionmentioning

confidence: 99%

“…Checklists also enhanced processes of care such as appropriate use of prophylactic antibiotics to reduce surgical site infection [22]. Two studies showed substantial reduction in adverse events and mortality after introduction of surgical checklists for elective and urgent operations [31,76]. Until recently, the primary application of checklists was in the operative period.…”

Section: Do Safety Checklists Improve Quality Of Surgical Care?mentioning

confidence: 99%

See 1 more Smart Citation

The Use of Three Strategies to Improve Quality of Care at a National Level

Wright

2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Improving the quality of care is essential and a priority for patients, surgeons, and healthcare providers. Strategies to improve quality have been proposed at the national level either through accreditation standards or through national payment schemes; however, their effectiveness in improving quality is controversial. Questions/purposes The purpose of this review was to address three questions: (1) does pay-for-performance improve the quality of care; (2) do surgical safety checklists improve the quality of surgical care; and (3) do practice guidelines improve the quality of care? These three strategies were chosen because there has been some research assessing their effectiveness in improving quality, and implementation had been attempted on a large scale such as entire countries.Methods We performed a literature review from 1950 forward using Medline to identify Level I and II studies. We evaluated the three strategies and their effects on processes and outcomes of care. When possible, we examined strategy implementation, patients, and systems, including provider characteristics, which may affect the relationship between intervention and outcomes with a focus on factors that may have influenced effect size. Results Pay-for-performance improved the process and to a lesser extent the outcome of care. Surgical checklists reduced morbidity and mortality. Explicit practice guidelines influenced the process and to a lesser extent the outcome of care. Although not definitively showed, clinician involvement during development of intervention and outcomes, with explicit strategies for communication and implementation, appears to increase the likelihood of positive results. Conclusion Although the cost-effectiveness of these three strategies is unknown, quality of care could be enhanced by implementing pay-for-performance, surgical safety checklists, and explicit practice guidelines. However, this review identified that the effectiveness of these strategies is highly context-specific.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Do Safety Checklists Improve Quality Of Surgical Care?mentioning

confidence: 99%

The Use of Three Strategies to Improve Quality of Care at a National Level

Wright

2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…These insights shall be utilized to further improve MEDo. Finally, the usage of best practice checklists represents an emerging and important aspect of everyday life in hospitals [38,39]. Following this, we plan to integrate corresponding results of dealing with paper-based checklists into MEDo.…”

Section: Discussionmentioning

confidence: 99%

Supporting medical ward rounds through mobile task and process management

Pryss

Mundbrod

Langer

et al. 2014

Inf Syst E-Bus Manage

View full text Add to dashboard Cite

Abstract. In a hospital, ward rounds are crucial for task coordination and decision-making. In the course of knowledge-intensive patient treatment processes, it should be possible to quickly de ne tasks and to assign them to clinicians in a exible manner. In current practice, however, task management is not properly supported. During a ward round, emerging tasks are jotted down using pen and paper and their processing is prone to errors. In particular, sta members must manually keep track of the status of their tasks. To relieve them from such a manual task management, we introduce the MEDo approach. It transforms the pen and paper worksheet to a digital user interface on a mobile device. Thereby, MEDo integrates process support, task management, and access to the patient record. Interviews of medical sta members have revealed that they crave for a mobile process and task support. This has been further con rmed in a case study we conducted in four di erent wards. Finally, in user experiments, we have demonstrated that MEDo puts task acquisition on a level comparable to that of pen and paper. Overall, MEDo enables users to create, monitor and share medical tasks based on a mobile and user-friendly platform.

show abstract

“…This effect was maintained even in urgent and emergency cases. 15 Over the last several years, further compelling evidence has shown the power of using perioperative checklists. In a large well-designed study of 7,580 patients in the Netherlands, a perioperative checklist was implemented throughout six Dutch hospitals with five other hospitals used as controls.…”

Section: What Is the Evidence?mentioning

confidence: 99%

Review article: Perioperative checklist methodologies

Weiser

Berry

2012

Can J Anesth/J Can Anesth

Self Cite

View full text Add to dashboard Cite

Purpose Checklists are increasingly being used by surgical teams in the perioperative period to improve clinical care and increase patient safety. In this article, we review some of the mechanisms by which checklists work and evaluate evidence supporting their use. Principal findings There is a growing body of evidence showing the importance of team-based checklists in clinical care. In multiple complex clinical environments, from the operating room to the intensive care unit, checklists can help ensure adherence to known standards of care and improve communication amongst team members. In addition, the efficacy of checklists is being shown in both developed and developing settings. Conclusion Checklists can aid clinicians involved in complex processes and multidisciplinary team interactions to improve the quality and safety of care by prompting dialogue and exchange of information.

show abstract

Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population

Cited by 406 publications

References 7 publications

The Use of Three Strategies to Improve Quality of Care at a National Level

The Use of Three Strategies to Improve Quality of Care at a National Level

Supporting medical ward rounds through mobile task and process management

Review article: Perioperative checklist methodologies

Contact Info

Product

Resources

About