Monitoring Universal Protocol Compliance Through Real-Time Clandestine Observation by Medical Students Results in Performance Improvement

Logan, Catherine; Cressey, Brienne D.; Wu, Roger; Janicki, Adam; Chen, Cyril X.; Bolourchi, Meena; Hodnett, Jessica L.; Stratigis, John D.; Mackey, William C.; Fairchild, David G.

doi:10.1016/j.jsurg.2011.05.015

Cited by 11 publications

(10 citation statements)

References 10 publications

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“…An alternative method for monitoring compliance is a real-time "clandestine" observation. Such a strategy, with medical students observing the compliance in operating rooms, has been shown to improve compliance [13]. Finally, centralized monitoring has also been shown helpful in diminishing quality defects in multicenter trials [14].…”

Section: Discussionmentioning

confidence: 99%

Short- and long-term effects of clinical audits on compliance with procedures in CT scanning

Oliveri

Howarth²,

Gevenois

et al. 2015

Eur Radiol

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Section: Discussionmentioning

confidence: 99%

Short- and long-term effects of clinical audits on compliance with procedures in CT scanning

Oliveri

Howarth²,

Gevenois

et al. 2015

Eur Radiol

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“…Studies have demonstrated methods for compliance monitoring (e.g., real-time, clandestine observation) and their value for continuous improvement of care processes and protocols (85).…”

Section: Concurrent Reviewmentioning

confidence: 99%

Reducing Hospital Errors: Interventions that Build Safety Culture

Singer¹,

Vogus

2013

Annu. Rev. Public Health

153

145

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Hospital errors are a seemingly intractable problem and continuing threat to public health. Errors resist intervention because too often the interventions deployed fail to address the fundamental source of errors: weak organizational safety culture. This review applies and extends a theoretical model of safety culture that suggests it is a function of interrelated processes of enabling, enacting, and elaborating that can reduce hospital errors over time. In this model, enabling activities help shape perceptions of safety climate, which promotes enactment of safety culture. We then classify a broad array of interventions as enabling, enacting, or elaborating a culture of safety. Our analysis, which is intended to guide future attempts to both study and more effectively create and sustain a safety culture, emphasizes that isolated interventions are unlikely to reduce the underlying causes of hospital errors. Instead, reducing errors requires systemic interventions that address the interrelated processes of safety culture in a balanced manner.

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“…It has been shown that, despite being a mandatory step in the UP, pre-surgical "time outs" only occur in 89.7% of cases. 45 In 18.4% of cases, at least one member of the surgical team is inattentive during the timeout 45 . Perhaps most surprising, despite UP implementation, the surgical site remains unmarked in 8.2% of cases.…”

Section: Current Initiativesmentioning

confidence: 99%

“…Perhaps most surprising, despite UP implementation, the surgical site remains unmarked in 8.2% of cases. 45 The data supporting the overall effectiveness of the UP in preventing surgical errors of "wrong site, wrong-patient, wrong-procedure" is mixed. In a retrospective analysis of non-spine wrong-site operations performed, 63% were found to potentially avoidable if the UP had been implemented.…”

Section: Current Initiativesmentioning

confidence: 99%