Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital

Cullati, Stéphane; Dû, S. Le; Raë, Anne-Claire; Micallef, Martine; Khabiri, Ebrahim; Ourahmoune, Aimad; Boireaux, Armelle; Licker, Marc; Chopard, Pierre

doi:10.1136/bmjqs-2012-001634

Cited by 65 publications

(72 citation statements)

References 38 publications

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“…Teaching inexperienced residents through procedures is a high-intensity, but low-efficiency task, and economic incentives are stacked against program directors [1,14]. Additionally, reforms focused on fighting resident fatigue-duty-hour restrictions and increased requirements for faculty supervision in the operating room-remains controversial [2,15]. Have these changes improved safety, or have they simply imposed limits on the surgical education of our residents?…”

Section: Introductionmentioning

confidence: 99%

CORR ® Curriculum — Orthopaedic Education: Developing Safe, Independent Practitioners

Dougherty

DeMaio

DeRosa

2015

Clinical Orthopaedics &Amp; Related Research

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Section: Introductionmentioning

confidence: 99%

CORR ® Curriculum — Orthopaedic Education: Developing Safe, Independent Practitioners

Dougherty

DeMaio

DeRosa

2015

Clinical Orthopaedics &Amp; Related Research

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“…A variável duração influenciou significativamente a existência de checklist, já que cirurgias mais longas abrangem maior número de passos críticos, o que poderia justificar uma maior preocupação da equipe em utilizá-lo. Cullati et al 21 avaliaram 80 checklists antes de o paciente sair da sala e 81 antes da indução anestésica com índices de adesão inferiores ao esperado, porém, nas cirurgias de maior risco, a adesão foi maior.…”

Section: Discussionunclassified

Avaliação da adesão ao checklist de cirurgia segura da OMS em cirurgias urológicas e ginecológicas, em dois hospitais de ensino de Natal, Rio Grande do Norte, Brasil

et al. 2014

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O checklist de cirurgia segura da Organização Mundial da Saúde é uma ferramenta útil para diminuir eventos adversos em hospitais, porém sua implantação efetiva ainda é um desafio. Este estudo objetiva avaliar a adesão ao checklist em cirurgias urológicas e ginecológicas de dois hospitais de ensino em Natal, Rio Grande do Norte, Brasil. O desenho foi observacional transversal; selecionaram-se cirurgias eletivas, e a coleta se deu por meio de revisão de prontuários. Descreveu-se a adesão mediante a existência e qualidade do preenchimento do checklist, e analisou-se a associação de fatores estruturais e socioprofissionais valendo-se de análise de regressão múltipla. Das 375 cirurgias revisadas, 61% tinham checklist, e 4% estavam totalmente preenchidos. A existência do checklist se associou às cirurgias ginecológicas (maternidade) (OR = 130,18) e à maior duração da cirurgia (OR = 2,13), enquanto a qualidade do preenchimento se relacionou com as cirurgias urológicas (hospital geral) (β = 26,36). A adesão ao checklist precisa ser aprimorada, e as diferenças sugerem a influência das distintas estratégias de implantação utilizadas em cada instituição.

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“…Another study noted that poor compliance with "debriefing" may be because of ambiguity of the item or the need to dispel interdisciplinary tension that may arise from detection of errors. 31 Our study, however, identified alternative barriers to compliance with the "debrief": mainly health care providers are concerned about the utility and feasibility of carrying out another checklist item at the end of a procedure, particularly if the procedure went as planned. The SSC was viewed as being disruptive to previous perioperative workflow, which was considered a barrier to adoption from a complexity and trialability perspective.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

Dharampal

Cameron

Dixon

et al. 2016

cjs

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Background: Following a landmark study showing decreased morbidity and mortality after implementation of the surgical safety checklist (SSC), it has been widely adopted into perioperative policy. We explored the impact of attitudes and beliefs surrounding the SSC on its uptake in Calgary. Methods:We used qualitative methodology to examine factors influencing SSC use. We performed semistructured interviews based on Rogers' theory of diffusion of innovation. Purposive and snowball sampling were used to identify surgeons, anesthesiologists and operating room nurses from hospitals in Calgary. Data collection and analysis were based on grounded theory. Two individuals jointly analyzed data and achieved consensus on emerging themes.Results: Generated themes included 1) the SSC has brought organization to previous informal perioperative checks, 2) the SSC is most helpful when it is simple, and 3) the 3 current components of the checklist are redundant. The briefing was considered the most important aspect and the debriefing the least important. Initially the SSC was difficult to implement owing to a shift in time management and perioperative culture; however, it has now assimilated into perioperative routine. Finally, though most participants agreed that the SSC might avoid some delays and complications, only a few believe there have been observable improvements to morbidity and mortality. Conclusion:Although the SSC has been integrated into perioperative practice in Calgary, participants believe that previous informal checkpoints were able to circumvent most perioperative issues. Although the SSC may help with flow and equipment, participants believe it fails to show a subjective, clinically important improvement.Contexte : Après une étude charnière ayant montré une baisse de la morbidité et de la mortalité après la mise en oeuvre de la liste de contrôle de la sécurité chirurgicale, cette dernière a été largement intégrée aux politiques périopératoires. Nous avons examiné l'effet des attitudes et des croyances entourant la liste sur son adoption à Calgary.Méthodes : À l'aide d'une méthode qualitative, nous nous sommes penchés sur les facteurs influençant l'utilisation de la liste. Pour ce faire, nous avons effectué des entrevues semi-dirigées fondées sur la théorie de la diffusion de l'innovation de Rogers. Nous avons utilisé l'échantillonnage dirigé et le sondage en boule de neige pour cibler des chirurgiens, des anesthésiologistes et des membres du personnel infirmier de salle d'opération des hôpitaux de Calgary. La collecte et l'analyse des données étaient fondées sur la théorie ancrée. Deux personnes ont analysé ensemble les données et se sont entendues sur les thèmes émergents.Résultats : Voici les principales conclusions dégagées : 1) la liste a permis de structurer les contrôles périopératoires non officiels du passé, 2) la liste est surtout utile quand elle est simple et 3) les 3 composantes actuelles de la liste de contrôle sont redondantes. Le breffage était considéré comme étant l'aspect le plus important e...

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Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital

Abstract: Training on the proper completion of the checklist must be provided to OR teams. The severity of the interventions influenced the number of items properly checked.

Cited by 65 publications

References 38 publications

CORR ® Curriculum — Orthopaedic Education: Developing Safe, Independent Practitioners

CORR ® Curriculum — Orthopaedic Education: Developing Safe, Independent Practitioners

Avaliação da adesão ao checklist de cirurgia segura da OMS em cirurgias urológicas e ginecológicas, em dois hospitais de ensino de Natal, Rio Grande do Norte, Brasil

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

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