Operating Room Briefings and Wrong-Site Surgery

Makary, Martin A.; Mukherjee, Arnab; Sexton, J. Bryan; Syin, Dora; Goodrich, Emmanuelle; Hartmann, Emily C.; Rowen, Lisa; Behrens, Drew C.; Marohn, Michael R.; Pronovost, Peter J.

doi:10.1016/j.jamcollsurg.2006.10.018

Cited by 214 publications

(153 citation statements)

References 17 publications

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“…21,[26][27][28][29] These rates are concordant with the qualitative experience in Calgary, as interviewees reported using some version of the SSC for almost all procedures. However, these rates fail to capture the adherence to the 3 components specifically.…”

Section: Discussionsupporting

confidence: 60%

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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Section: Discussionsupporting

confidence: 60%

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

Dharampal

Cameron

Dixon

et al. 2016

cjs

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“…The use of a checklist in the time-out period is especially recommended. The results of the first studies that evaluated the effect of structured checklists were positive and indicated improved safety climate, decreased wrong site surgery, and improved personnel satisfaction and team cohesion [9][10][11]. However, there were no specific guidelines for the physical design of the checklist.…”

Section: Discussionmentioning

confidence: 99%

“…Another important factor in successful incorporation of a checklist in the OR, is the cooperation of the surgeon [9,10]. It is considered essential that the checklist initiative is supported by the surgeon.…”

Section: Discussionmentioning

confidence: 99%

Can a structured checklist prevent problems with laparoscopic equipment?

et al. 2008

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“…The score was converted into the system of hundreds as follows: 1=0, 2=25, 3=50, 4=75, and 5=100 (Makary, 2007). Answers given to each question of the questionnaire are summarized, divided by the number of items, converted into the system of hundreds, and a point between 0 and 100 is obtained.…”

Section: Data Collectionmentioning

confidence: 99%

Evaluation of surgical nurses’ attitudes concerning patient safety

2015

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The present study was designed as a descriptive study to evaluate the attitudes of surgical nurses concerning patient safety. The study included 123 nurses, who have been working in the operating rooms of the hospitals in Karaman, Konya for at least one year and were voluntary to participate in the study. Data collection tools included a questionnaire to inquire demographic characteristics of surgical nurses, and "Safety Attitudes Questionnaire (SAQ) -Operating Room Version" to evaluate their attitudes concerning patient safety. The mean scores obtained from SAQ sub-dimensions were between 42.12 ±16.82 and 69.07±24.44, whereas the mean score of SAQ total was 59.11 ±13.29. Statistically significant difference was determined between the mean SAQ total score and age, weekly working hours, duration of working in the operating room, resting status, receiving in service training, and training about patient safety. The present study will enhance patient safety in operating rooms by providing an improvement in communication among health workers and in team collaboration, regulating working hours, and scheduling training programs to establish an opinion about worker safety and patient safety.

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Operating Room Briefings and Wrong-Site Surgery

Cited by 214 publications

References 17 publications

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

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

Can a structured checklist prevent problems with laparoscopic equipment?

Evaluation of surgical nurses’ attitudes concerning patient safety

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