PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL
Introduction. Patient safety and the avoidance of inhospital adverse events is a key focus of clinical practice and medical audit. A large of proportion of medical errors affect surgical patients in the peri-operative setting. Safety checklists have been adopted by the medical profession from t...
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doaj-68ad9ff6ccf74f538faba04042ba76c42020-11-25T01:09:23ZengAcademy of Romanian ScientistsInternational Journal of Medical Dentistry2066-60632066-60632012-09-0123159166PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITALV. Karyadinata0Zoya Georgieva1 Eleni Anastasiadis2Sukyee Pang3Ayo Oshowo4 P. Gogalniceanu5University College London Medical School, London, UK. University College London Medical School, London, UKWhittington Hospital, London, UKWhittington Hospital, London, UKWhittington Hospital, London, UK. London Postgraduate School of Surgery, London, UKIntroduction. Patient safety and the avoidance of inhospital adverse events is a key focus of clinical practice and medical audit. A large of proportion of medical errors affect surgical patients in the peri-operative setting. Safety checklists have been adopted by the medical profession from the aviation industry as a cheap and reliable method of avoiding errors which arise from complex or stressful situations. Current evidence suggests that the use of periooperative checklists has led to a decrease in surgical morbidity and hospital costs. Aim. To assess the quality of implementation of a modified patient safety checklist in a UK district general hospital. Methods. An observational tool was designed to assess in real time the peri-operative performance of the surgical safety checklist in patients undergoing general surgical, urological or orthopaedic procedures. Initiation of the checklist, duration of performance and staff participation were audited in real time. Results. 338 cases were monitored. Nurses were most active in initiating the safety checklist. The checklist was performed successfully in less than a minute in most cases. 11-24% of staff (according to professional group) present in the operating room did not participate in the checklist. Critical safety checks (patient identity and procedure name were performed in all cases across all specialties. Variations were noted in checking other categories, such as deep vein thrombosis (DVT) prophylaxis or patient warming. Conclusions. There is still a potential for improving the practice and culture of surgical patient safety activities. Staff training and designation of patient safety leadership roles is needed in increasing compliance and implementation of patient safety mechanism, such as peri-operative checklists. There is significant data to advocate the need to implement patient safety surgical checklists internationallyhttp://www.ijmd.ro/articole/255_19_IJMD%203-2012.pdf |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
V. Karyadinata Zoya Georgieva Eleni Anastasiadis Sukyee Pang Ayo Oshowo P. Gogalniceanu |
spellingShingle |
V. Karyadinata Zoya Georgieva Eleni Anastasiadis Sukyee Pang Ayo Oshowo P. Gogalniceanu PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL International Journal of Medical Dentistry |
author_facet |
V. Karyadinata Zoya Georgieva Eleni Anastasiadis Sukyee Pang Ayo Oshowo P. Gogalniceanu |
author_sort |
V. Karyadinata |
title |
PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL |
title_short |
PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL |
title_full |
PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL |
title_fullStr |
PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL |
title_full_unstemmed |
PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL |
title_sort |
patient safety in surgery: the quality of implementation of patient safety checklists in a regional hospital |
publisher |
Academy of Romanian Scientists |
series |
International Journal of Medical Dentistry |
issn |
2066-6063 2066-6063 |
publishDate |
2012-09-01 |
description |
Introduction. Patient safety and the avoidance of inhospital
adverse events is a key focus of clinical practice
and medical audit. A large of proportion of medical errors
affect surgical patients in the peri-operative setting. Safety
checklists have been adopted by the medical profession
from the aviation industry as a cheap and reliable method
of avoiding errors which arise from complex or stressful
situations. Current evidence suggests that the use of periooperative
checklists has led to a decrease in surgical morbidity
and hospital costs.
Aim. To assess the quality of implementation of a
modified patient safety checklist in a UK district general
hospital.
Methods. An observational tool was designed to assess
in real time the peri-operative performance of the surgical
safety checklist in patients undergoing general surgical,
urological or orthopaedic procedures. Initiation of the
checklist, duration of performance and staff participation
were audited in real time.
Results. 338 cases were monitored. Nurses were most
active in initiating the safety checklist. The checklist was
performed successfully in less than a minute in most cases.
11-24% of staff (according to professional group) present
in the operating room did not participate in the checklist.
Critical safety checks (patient identity and procedure name
were performed in all cases across all specialties. Variations
were noted in checking other categories, such as deep
vein thrombosis (DVT) prophylaxis or patient warming.
Conclusions. There is still a potential for improving the
practice and culture of surgical patient safety activities.
Staff training and designation of patient safety leadership
roles is needed in increasing compliance and implementation
of patient safety mechanism, such as peri-operative
checklists. There is significant data to advocate the need to
implement patient safety surgical checklists internationally |
url |
http://www.ijmd.ro/articole/255_19_IJMD%203-2012.pdf |
work_keys_str_mv |
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1725179211683987456 |