Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance

Singer, Sara J.; Molina, George; Li, Zhonghe; Jiang, Wei; Nurudeen, Suliat; Kite, Julia G.; Edmondson, Lizabeth; Foster, Richard W.; Haynes, Alex B.; Berry, William R.

doi:10.1016/j.jamcollsurg.2016.07.006

Cited by 58 publications

(52 citation statements)

References 23 publications

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“…There is currently no published research-based evidence that the ED Safety Checklist improves patient safety, but it is premised on the basis of a substantial body of evidence which demonstrates the value of checklists in health care and in industries where safety is paramount (Catchpole, 2015;Hales, Terblanche, Fowler, & Sibbald, 2008;Kapur, Parand, Soukup, Reader, & Sevdalis, 2016;Kohn, Corrigan, & Donaldson, 2000). Research has also shown clinicians' relationships with and uptake of checklists depends on a variety of factors: beliefs and expectations about benefits, previous experiences, checklist complexity, involvement in the checklist development and the orientation of clinical teams (van Daalen, Geerlings, Prins, & Hulscher, 2016;Russ et al, 2015;Singer et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

The introduction of a safety checklist in two UK hospital emergency departments: A qualitative study of implementation and staff use

Stone

Banks

Brant

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To explore the extent to which a checklist designed to support patient safety in hospital Emergency Departments was recognised and used by staff. Background Patient crowding in UK Emergency Departments makes it difficult for staff to monitor all patients for signs of clinical deterioration. An Emergency Department Safety Checklist was developed at a UK hospital to ensure patients are regularly monitored. It was subsequently implemented in six hospitals and recommended for use across the National Health Service in England. Methods This was a qualitative study in two UK hospital Emergency Departments. Data collection consisted of sixty‐six hours of nonparticipant observation and interviews with twenty‐six staff. Observations were sampled across different days and times. Interviews sampled a range of staff. Data were analysed thematically. The study was undertaken in accordance with COREQ guidelines. Results Staff described the Emergency Department Safety Checklist as a useful prompt and reminder for monitoring patients' vital signs and other aspects of care. It was also reported as effective in communicating patient care status to other staff. However, completing the checklist was also described as a task which could be overlooked during busy periods. During implementation, the checklist was promoted to staff in ways that obscured its core function of maintaining patient safety. Conclusions The Emergency Department Safety Checklist can support staff in maintaining patient safety. However, it was not fully recognised by staff as a core component of everyday clinical practice. Relevance to clinical practice The Emergency Department Safety Checklist is a response to an overcrowded environment. To realise the potential of the checklist, emergency departments should take the following steps during implementation: (a) focus on the core function of clinical safety, (b) fully integrate the checklist into the existing workflow and (c) employ a departmental team‐based approach to implementation and training.

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Section: Discussionmentioning

confidence: 99%

The introduction of a safety checklist in two UK hospital emergency departments: A qualitative study of implementation and staff use

Stone

Banks

Brant

et al. 2020

Journal of Clinical Nursing

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“…No presente estudo, houve relato de pouco engajamento da equipe médica na aplicação da Lista de Verificação para Cirurgia Segura. Este aspecto também é encontrado em estudos realizados em outros países, como Canadá e Inglaterra 6,9 . Um estudo desenvolvido no Brasil revelou que para os profissionais de enfermagem a falta de participação da equipe médica, em alguns momentos, resultou em constrangimentos ao realizar a Lista de Verificação 12 .…”

Section: Discussionunclassified

“…Resultados de investigações realizadas em diferentes países apontam para o benefício da utilização da Lista de Verificação para Segurança Cirúrgica na redução de complicações e mortalidade pós-operatórias, quando comparado os níveis antes e após a implantação da ferramenta 1,6 , além de reduzir o número de erros possíveis de serem prevenidos 7 .…”

Section: Introductionunclassified

Lista de verificação para segurança cirúrgica: conhecimento e desafios para a equipe do centro cirúrgico

Santos

Domingues

Eduardo

2019

Revenf

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Identificar o conhecimento de profissionais da saúde sobre a Lista de Verificação para Segurança Cirúrgica, os desafios e estratégias para sua implantação em uma instituição pública hospitalar. Trata-se de uma pesquisa quantitativa, de caráter descritivo, transversal. Realizada entre abril e maio de 2017, compreendeu o preenchimento de um questionário sobre o conhecimento e percepções do Protocolo de Cirurgia Segura por profissionais que atuam no centro cirúrgico. Os dados foram analisados considerando a estatística descritiva. 72 profissionais participaram do estudo, entre técnicos de enfermagem, enfermeiros, médicos e instrumentadores, a maioria conhecia o Protocolo e objetivos. A falta de adesão da equipe foi o principal desafio encontrado por esta equipe para utilização deste protocolo. Apontaram estratégias importantes que possivelmente subsidiariam a implantação da ferramenta na instituição. A hipótese do estudo foi confirmada, pois se constatou que os profissionais possuem conhecimento sobre a Lista de Verificação e a reconhecem como uma ferramenta que assegura a qualidade da assistência durante o período perioperatório, além de elencarem os principais desafios para sua implantação.

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“…This OR communication has been studied qualitatively and quantitatively and was shown to improve overall team function. [12][13][14][15] Optimizing OR communication is especially complex as these teams often change, not only from day to day but also from case to case, thus limiting their adaptive capacity. The literature indicates that several factors are integral to success, including: 1) shared knowledge and understanding, 2) shared goals, and 3) mutual respect.…”

Section: Communication In the Ormentioning

confidence: 99%

Social distancing: implications for the operating room in the face of COVID-19

Prin

Bartels

2020

Can J Anesth/J Can Anesth

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Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance

Cited by 58 publications

References 23 publications

The introduction of a safety checklist in two UK hospital emergency departments: A qualitative study of implementation and staff use

The introduction of a safety checklist in two UK hospital emergency departments: A qualitative study of implementation and staff use

Lista de verificação para segurança cirúrgica: conhecimento e desafios para a equipe do centro cirúrgico

Social distancing: implications for the operating room in the face of COVID-19

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