Article ; Online: Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events.
2016 Volume 15, Issue 4, Page(s) e36–e39
Abstract: Introduction: The World Health Organization (WHO) distributed a surgical safety checklist in 2008 in a bid to improve patient safety and quality of care in the operating theater. Adherence to the checklist has been shown to reduce "never" events, for ... ...
Abstract | Introduction: The World Health Organization (WHO) distributed a surgical safety checklist in 2008 in a bid to improve patient safety and quality of care in the operating theater. Adherence to the checklist has been shown to reduce "never" events, for example, wrong site surgery. The aim of this quality improvement study was to determine the current adherence by surgeons to the checklist at The Royal Hobart Hospital. Methods: This is a retrospective audit of the digital medical records of 100 consecutive emergency operations performed at The Royal Hobart Hospital. The time-out section of the WHO Surgical Safety Checklist was assessed for completeness. Second, an anonymized survey of theater nursing staff was performed to determine current adherence by surgeons with the time-out. Results: The time-out was completed in 79% of emergency procedures. There were no never events in the patient cohort studied. There was overwhelming support among theater nurses for a surgeon-led time-out. Formal education on the use of the WHO Safe Surgery Checklist is lacking. Most theater nurses have experienced hostility from surgeons when conducting a time-out. Discussion: This work is a step on the way to surgeon-led prevention of never events. Finding a completed time-out in the patient notes does not guarantee surgeon support for or contribution to the time-out process. The findings will inform combined nursing and surgeon education sessions, and together with executive-level support, improved surgeon cooperation with the time-out will inculcate a culture of safety for patients and improve harmony among staff groups. |
---|---|
MeSH term(s) | Checklist ; Cohort Studies ; Emergencies ; Guideline Adherence ; Hospitals ; Humans ; Leadership ; Medical Errors/prevention & control ; Nursing Staff ; Operating Room Nursing ; Operating Rooms ; Patient Safety/standards ; Physician-Nurse Relations ; Professional Role ; Quality Improvement ; Retrospective Studies ; Safety Management ; Surgeons ; Surveys and Questionnaires |
Language | English |
Publishing date | 2016-01-12 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2394324-5 |
ISSN | 1549-8425 ; 1549-8417 |
ISSN (online) | 1549-8425 |
ISSN | 1549-8417 |
DOI | 10.1097/PTS.0000000000000259 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 6583: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.