Methodology and bias in assessing compliance with a surgical safety checklist

Joint Commission Journal on Quality and Patient Safety

Volumn 39, Issue 2, 2013, Pages 77-82

  Poon, Sabrina J ^a   Zuckerman, Scott L ^b   Mainthia, Rajshri ^c   Hagan, Scott L ^c   Timothy Lockney, D ^c   Zotov, Alexander ^d   Holt, Ginger E ^b,e,f   Bennett, Marc L ^b   Anders, Shilo ^b   France, Daniel J ^g,h  

^a Harvard Affiliated Emergency Medicine Residency Program   (United States)

^b VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

^c VANDERBILT UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d VANDERBILT UNIVERSITY   (United States)

^e Department of Orthopaedic Surgery and Rehabilitation ^*  (United States)

^f Musculoskeletal Oncology   (United States)

^g VANDERBILT UNIVERSITY   (United States)

^h Vanderbilt's Center for Improving Patient Safety   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHECKLIST; HEALTH CARE QUALITY; HUMAN; MEDICAL STUDENT; METHODOLOGY; NURSING STAFF; OBSERVER VARIATION; PATIENT SAFETY; PRACTICE GUIDELINE; PROSPECTIVE STUDY; STANDARD; STATISTICS; SURGERY;

CHECKLIST; GUIDELINE ADHERENCE; HUMANS; NURSING STAFF, HOSPITAL; OBSERVER VARIATION; PATIENT SAFETY; PRACTICE GUIDELINES AS TOPIC; PROSPECTIVE STUDIES; QUALITY INDICATORS, HEALTH CARE; STUDENTS, MEDICAL; SURGICAL PROCEDURES, OPERATIVE;

MLCS; MLOWN;

EID: 84874515071     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1553-7250(13)39011-4     Document Type: Article

References (40)

1. Clarke JR, Johnston J, Finley ED. Getting surgery right. Ann Surg. 2007; 246(3):395 - 403, discussion 403 - 405. (Pubitemid 47312126)
2. Canadian Orthopaedic Association. Committee on Orthopaedic Practice & Economics (COPE) Position Paper on Wrong Sided Surgery in Orthopaedics. Wright P. Jun 1994. (Updated: Nov 26, 2005.) Accessed Dec 27, 2012. http://www.coa-aco.org/library/health-policy/wrong-sided-surgery-in- orthopaedics.html.
3. American Academy of Orthopaedic Surgeons. Information Statement: Wrong-Site Surgery. Accessed Dec 27, 2012. http://www.aaos.org/about/papers/ advistmt/1015.asp.
4. American College of Surgeons. Statement on ensuring correct patient, correct site, and correct procedure surgery. Bull Am Coll Surg. 2002; 87(12):26.
5. Association of Perioperative Registered Nurses. AORN Position Statement: Preventing Wrong-Patient, Wrong-Site, Wrong-Procedure Events. Apr 2005. (Updated Feb 2011.) Accessed Dec 27, 2012. http://www.aorn.org/WorkArea/DownloadAsset. aspx?id=21936.
6. National Quality Forum (NQF). Safe Practices for Better Healthcare: 2006 Update. Washington, DC: NQF, 2007.
7. US Department of Veterans Affairs, Veterans Health Administration (VHA). Ensuring Correct Surgery and Invasive Procedures. VHA Directive 2010-023. Washington, DC: VHA, May 17, 2010.
8. Edwards P. Promoting correct site surgery: A national approach. J Perioper Pract. 2006; 16(2):80 - 86.
9. De Fontes J, Surbida S. Preoperative safety briefing project. Permanente Journal. 2004; 8(2):21 - 27. Accessed Dec 27, 2012. http://xnet.kp.org/ permanentejournal/spring04/awardwin.pdf.
10. Mazzocco K, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009; 197(5):678 - 685.
11. World Health Organization. 10 Facts on Safe Surgery. Jun 25, 2008. Accessed Dec 27, 2012. http://www.who.int/features/factfiles/safe-surgery/en/ index.html.
12. Kable AK, Gibberd RW, Spigelman AD. Adverse events in surgical patients in Australia. Intl J Qual Health Care. 2002; 14(4):269 - 276.
13. Makary MA, et al. Operating room briefings: Working on the same page. Jt Comm J Qual Patient Saf. 2006; 32(6):351 - 355.
14. The Joint Commission. 2013 Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oak Brook, IL: The Joint Commission, 2012.
15. World Alliance for Patient Safety. WHO Surgical Safety Checklist and Implementation Manual. Geneva: World Health Organization, 2008. Accessed Dec 27, 2012. http://www.who.int/patientsafety/safesurgery/ss-checklist/en/index.html.
16. Lingard L, et al. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Arch Surg. 2008; 143(1):12 - 17; discussion 18. (Pubitemid 351159287)
17. de Vries EN, et al. Prevention of surgical malpractice claims by use of a surgical safety checklist. Ann Surg. 2011; 253(3):624 - 628.
18. Pronovost PJ, Freischlag JA. Improving teamwork to reduce surgical mortality. JAMA. 2010 Oct 20; 304(15):1721 - 1722.
19. Neily J, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010 Oct 20; 304(15):1693 - 1700.
20. Norton E. Implementing the universal protocol hospital-wide. AORN J. 2007; 85(6):1187 - 1197.
21. American College of Surgeons. Wrong site surgery and the Universal Protocol. Bull Am Coll Surg. 2006; 91(11):63.
22. Laurance J. Peter Pronovost: Champion of checklists in critical care. Lancet. 2009 Aug 8; 374(9688):443.
23. Stahel P F, et al. The 5th anniversary of the "Universal Protocol": Pitfalls and pearls revisited. Patient Saf Surg. 2009 Jul 1; 3(1):14.
24. Shah RK, et al. Variation in surgical time-out and site marking within pediatric otolaryngology. Arch Otolaryngol Head Neck Surg. 2011; 137(1):69 - 73.
25. Engstrom JL, et al. Accuracy of self-reported height and weight in women: An integrative review of the literature. J Midwifery Womens Health. 2003; 48(5): 338 - 345. (Pubitemid 37185464)
26. Bowman RL, DeLucia JL. Accuracy of self-reported weight: A meta-analysis. Behav Ther. 1992; 23(4):637 - 655.
27. Finkelstein JA, et al. Self-reported physician practices for children with asthma: Are national guidelines followed? Pediatrics. 2000; 106(4 Suppl): 886 - 896.
28. Adams AS, et al. Evidence of self-report bias in assessing adherence to guidelines. Int J Qual Health Care. 1999; 11(3):187 - 192. (Pubitemid 29302446)
29. Campbell WK, Sedikides C. Self-threat magnifies the self-serving bias: A metaanalytic integration. Review of General Psychology 1999; 3(1):23 - 43.
30. Haynes AB, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009 Jan 29; 360(5):491 - 499.
31. Khoshbin A, Lingard L, Wright JG. Evaluation of preoperative and perioperative operating room briefings at the Hospital for Sick Children. Can J Surg. 2009; 52(4):309 - 315.
32. Harbarth S, et al. Compliance with hand hygiene practice in pediatric intensive care. Pediatr Crit Care Med. 2001; 2(4):311 - 314.
33. Lam BC, Lee J, Lau YL. Hand hygiene practices in a neonatal intensive care unit: A multimodal intervention and impact on nosocomial infection. Pediatrics. 2004; 114(5):e565 - 571. (Pubitemid 41647663)
34. Stange KC, et al. How valid are medical records and patient questionnaires for physician profiling and health services research? A comparison with direct observation of patients visits. Med Care. 1998; 36(6):851 - 867. (Pubitemid 128454322)
35. Mainthia R, et al. Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. Surgery. 2012; 151(5):660 - 666.
36. Logan CA, et al. Monitoring Universal Protocol compliance through real-time clandestine observation by medical students results in performance improvement. J Surg Educ. 2012; 69(1):41 - 46.
37. Kasatpibal N, et al. Implementation of the World Health Organization Surgical Safety Checklist at a university hospital in Thailand. Surg Infect (Larchmt). 2012; 13(1):50 - 56.
38. Spano R. Potential sources of observer bias in police observational data. Soc Sci Res. 2005; 34(3):591 - 617. (Pubitemid 41334974)
39. Béteille A, Madan TN. Encounter and Experience: Personal Accounts of Field-work. Honolulu: University of Hawaii Press, 1975.
40. Blackburn M, van Vliet P, Mockett S P. Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of people with stroke. Phys Ther. 2002; 82(1):25 - 34. (Pubitemid 34052113)