Surgical Safety Checklists in Children’s Surgery: Surgeons’ Attitudes and Review of the Literature

Roybal, Jessica; Tsao, KuoJen; Rangel, Shawn J.; Ottosen, Madelene J.; Skarda, David E.; Berman, Loren

doi:10.1097/pq9.0000000000000108

Cited by 6 publications

(3 citation statements)

References 38 publications

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“…Previous working groups have analyzed the subjective perception that different pediatric surgeons have regarding the ability of the checklist to improve patient safety, having found a low conviction rate regarding its usefulness. 3,4 One of the most illustrative models of human error in medicine is the so-called Swiss cheese model. This causality model was proposed by Reason in 2000, 5 and it is frequently used in risk analysis and management.…”

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confidence: 99%

“…[6][7][8] However, recent studies show that there is a significant disparity in attitudes and perceptions of patient safety depending on the pediatric surgeon interviewed, demonstrating that there is significant room for improvement in this area. 3,4 Similarly, the degree of involvement of pediatric surgeons with external patient safety programs is low, which is another important area for improvement. 9 So we have the tools and we have the means, but how do we implement them effectively?…”

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confidence: 99%

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confidence: 99%

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From Aviation to Pediatric Surgery

Montero

Pascual

2023

Clin Pediatr (Phila)

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Aviation is a tremendously complex process involving multiple factors that can be subsidiary to human error. The implementation of checklists, tools that reduce this risk, has often been extrapolated to other fields, especially medicine. Through this reflection, we comment on the critical and relevant aspects of pediatric surgical patient safety, briefly discussing the existing literature and analyzing potential areas for improvement.

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confidence: 99%

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From Aviation to Pediatric Surgery

Montero

Pascual

2023

Clin Pediatr (Phila)

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A review of twenty-first century developments in paediatric surgery in Africa

Bandyopadhyay,

Philipo,

Bokhary

et al. 2024

Pediatr Surg Int

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The timeout procedure in pediatric surgery - effective tool or lip service? A randomized prospective observational study

Muensterer

Kreutz

Poplawski

et al. 2020

Preprint

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Background: For over a decade, the preoperative timeout procedure has been implemented in most pediatric surgery units. In our hospital, a standardized team-timeout is performed before every operation. However, the impact of this intervention has not been systematically studied. Purpose: This study evaluates whether purposefully-introduced errors during the timeout routine are picked up by the operating team members. Methods: After ethics board approval and informed consent, deliberate errors were randomly and clandestinely introduced into the timeout routine for elective surgical procedures by a pediatric surgery attending. Errors were randomly selected among wrong name, site, side, allergy, intervention, birthdate, and gender items. The main outcome measure was how frequent an error was picked up by the team, and by whom. Results: Over the course of 16 months, 1800 operations and timeouts were performed. Errors were randomly introduced in 120 cases (6.7%). Overall, 54% of the errors were picked up, the remainder went unnoticed. Errors were picked up most frequently by an anesthesiologists (64%), followed by nursing staff (28%), residents-in-training (6%) and medical students (1%). Conclusions: Errors in the timeout routine go unnoticed by the team in almost half of cases. Therefore, even if preoperative timeout routines are strictly implemented, mistakes may be overlooked. Hence, the timeout procedure in its current form appears unreliable. Future developments may be useful to improve the quality of the surgical timeout and should be studied in detail.

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Surgical Safety Checklists in Children’s Surgery: Surgeons’ Attitudes and Review of the Literature

Abstract: Supplemental Digital Content is available in the text.

Cited by 6 publications

References 38 publications

From Aviation to Pediatric Surgery

From Aviation to Pediatric Surgery

A review of twenty-first century developments in paediatric surgery in Africa

The timeout procedure in pediatric surgery - effective tool or lip service? A randomized prospective observational study

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