The design and evaluation of a pre-procedure checklist specific to the cardiac catheterisation laboratory

Abstract

Background: With the increasing complexity of procedures being performed in the cardiac catheterisation laboratory, the multidisciplinary team has the challenge of providing safe care to patients who present with a multitude of healthcare needs. Although the use of a surgical safety checklist has become standard practice in operating theatres worldwide, the use of a pre-procedure checklist has not been routinely adopted into interventional cardiology. Objective: The aim of this study was to design and evaluate a pre-procedure checklist specific to the cardiac catheterisation laboratory. Method: A descriptive, exploratory design was used to develop a specifically designed pre-procedure checklist for use in the cardiac catheterisation laboratory in a private hospital in Melbourne, Australia. The pre-procedure checklist was developed by exploring the multidisciplinary team's opinion regarding the organisation's previous surgical pre-procedure checklist through a pre-implementation survey and focus groups. Following an expert review, and implementation of the proposed pre-procedure checklist, a post-implementation survey was completed. Results: Thirty-five (70%) cardiac catheterisation laboratory healthcare professionals completed the preimplementation survey, with 31 (62%) completing the post-implementation survey. Ninety-one per cent of participants agreed that important clinical information required for interventional procedures was not documented on the previous surgical checklist. A specific checklist was developed from the results of the survey and six focus groups (N ¼ 25) and implemented in the cardiac catheterisation laboratory. In the post-implementation survey, participants identified that the cardiac catheterisation laboratory specific pre-procedure checklist included all relevant clinical information and improved documentation of patient information. Conclusion:The development of a specific cardiac catheterisation laboratory pre-procedure checklist has led to an improved transfer of pertinent clinical information required prior to procedures being performed in the unit. The outcome of this study has implications for other cardiac catheterisation laboratories with the potential to standardise practice within interventional cardiology practice and improve patient safety outcomes.

Preprocedure care for outpatients in the cardiac catheterization lab in an acute care hospital in central Mississippi: a best practice implementation project

“…13 Checklists should be easy to use and help the user quickly identify time-sensitive clinical information according to a descriptive implementation study involving 35 CCL clinical teams. 14 The evidence summary supports the need for purposeful preprocedural care to limit complications, improve patient outcomes, and facilitate patient and family satisfaction. 8 Adopting the best practices is vital for any CCL in an acute care setting.…”

“…The checklist proved to be a valuable tool to enhance communication between the cardiac care team members and the patients, resulting in quality procedural care 13 . Checklists should be easy to use and help the user quickly identify time-sensitive clinical information according to a descriptive implementation study involving 35 CCL clinical teams 14 …”