Perspectives in quality: designing the WHO Surgical Safety Checklist

Weiser, Thomas; Haynes, Alex B.; Lashoher, Angela; Dziekan, Gerald; Boorman, Daniel J.; Berry, William R.; Gawande, Atul A.

doi:10.1093/intqhc/mzq039

Cited by 239 publications

(174 citation statements)

References 13 publications

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“…A clinical pro forma or check list has been reported to be beneficial in allowing clinicians to concentrate on complex issues while the simple ones are addressed for every patient, every time. 24 …”

Section: The Role Of the Dentist At Cmasmentioning

confidence: 99%

Establishing comprehensive oral assessments for children with safeguarding concerns

Park¹,

Welbury²,

Herbison

et al. 2015

Br Dent J

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The dental profession is well placed to contribute important information in child protection cases but no previous research has been reported that assesses the volume or impact of this information. Comprehensive oral assessment clinics were introduced and established as an integral part of comprehensive medical assessments for children with welfare concerns in Greater Glasgow and Clyde. An assessment protocol and standardised paperwork for comprehensive oral assessments were developed to enhance information sharing and patient access to appropriate care. Two cases are presented and discussed to demonstrate the value of dental input.

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Section: The Role Of the Dentist At Cmasmentioning

confidence: 99%

Establishing comprehensive oral assessments for children with safeguarding concerns

Park¹,

Welbury²,

Herbison

et al. 2015

Br Dent J

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“…8 The timing of checklist use is critical, as checklist tasks and items must be associated with actions that allow for corrections and modifications prior to specific nonreversible events (e.g., skin incision). The ideal checklist can be used during a natural pause in workflow, as during the surgical pause before skin incision, in order to identify and remedy errors before their effects are spread to the patient.…”

Section: How To Make a Good Medical Checklistmentioning

confidence: 99%

Review article: Perioperative checklist methodologies

Weiser

Berry

2012

Can J Anesth/J Can Anesth

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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.

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“…Medical ward safety checklists have been developed as one way of ensuring systematic review following the successes of the WHO Surgical Safety Checklist. 8 There are several forms of ward safety checklists, which are often tailored to the individual specialty or organisation. Some are mnemonic and others evaluative, aiming to reduce errors of omission.…”

Section: Introductionmentioning

confidence: 99%

Teaching a ‘good’ ward round

2015

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Teaching a 'good' ward roundWard rounds are a vital part of hospital medicine and junior doctors play a key role in their delivery. Despite the importance of ward rounds to patient care and experience, we believe that junior doctors may lack the training and skills to carry them out most effectively. We designed a simulation-based training session focusing on ward round skills themed to key patient safety issues and have delivered the training to over 100 learners (medical students and foundation year one doctors). Few learners had any prior training in ward rounds. The session was highly valued by all participants and surveys completed both before and after the session showed statistically signifi cant improvements in confi dence in leading and documenting ward rounds. In addition, 94% of fi nal year medical students and 93% of doctors felt such training should be included in the undergraduate curriculum. We believe there is a current gap in training around ward round skills and would strongly encourage simulation-based ward round training to be developed for undergraduates. Further sessions following qualifi cation may then consolidate and develop ward round skills adapted to the level of the doctor. KEYWORDS: Ward round, simulation, junior doctors, education IntroductionAs the predominant point of doctor-patient interaction, ward rounds can signifi cantly infl uence patient experience as well as ensure high-quality, safe care for patients. 1,2 The joint RCP/ RCN publication Ward rounds in medicine: principles for best practice 3 highlights the signifi cant variation in terms of current organisation and practice of ward rounds. It recommends rounds that have clear structure and strong leadership for maximum effectiveness. Most consultant job plans allow for only two ward rounds a week, so many rounds are led by junior doctors.Whether leading or participating, the roles that junior doctors play in ward rounds are central to their delivery. In return, ward rounds offer many teaching and learning opportunities. 4 In recent years ward rounds have become both time pressured and discharge focused, so additional effort is required to ensure that their educational potential is not lost. Medical students fi rst encounter ward rounds during undergraduate placements but, to our knowledge, receive little in the way of formal training and may lack essential ward-round skills at qualifi cation. 5 As postgraduates, communication skills and patient safety feature heavily in foundation curricula, but the ability to lead or participate in a structured, safe, ward round is not specifi cally referred to. 6 Hectic and time-pressured situations can compromise quality and increase the chance of error. In ward rounds this could translate into hurried, unsafe practice in which key elements are missed, eg it has been demonstrated that less thorough ward rounds can lead to poorer outcome in surgical patients. 7 Just as importantly, chaotic rounds are likely to have a negative effect on patient experience. Medical ward safety checklists ...

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Perspectives in quality: designing the WHO Surgical Safety Checklist

Cited by 239 publications

References 13 publications

Establishing comprehensive oral assessments for children with safeguarding concerns

Establishing comprehensive oral assessments for children with safeguarding concerns

Review article: Perioperative checklist methodologies

Teaching a ‘good’ ward round

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