A survey of surgical team members' perceptions of near misses and attitudes towards Time Out protocols

BMC Surgery

Volumn 13, Issue 1, 2013, Pages

  Haugen, Arvid Steinar ^a   Murugesh, Shamini ^a   Haaverstad, Rune ^a,b   Eide, Geir Egil ^a,b   Søfteland, Eirik ^a  

^a HAUKELAND UNIVERSITY HOSPITAL   (Norway)

^b UNIVERSITY OF BERGEN   (Norway)

Author keywords

Checklist; Medical errors; Near misses; Operating room; Surgery

Indexed keywords

ARTICLE; CHECKLIST; CLINICAL PROTOCOL; CROSS-SECTIONAL STUDY; FEMALE; HEALTH CARE SURVEY; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MEDICAL ERROR; NORWAY; PATIENT CARE; PATIENT SAFETY; PRACTICE GUIDELINE; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; STANDARD; SURGERY; PREVENTION AND CONTROL; PSYCHOLOGY; STANDARDS;

ATTITUDE OF HEALTH PERSONNEL; CHECKLIST; CLINICAL PROTOCOLS; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH CARE SURVEYS; HUMANS; MALE; MEDICAL ERRORS; NORWAY; PATIENT CARE TEAM; PATIENT SAFETY; PRACTICE GUIDELINES AS TOPIC; QUESTIONNAIRES; SURGICAL PROCEDURES, OPERATIVE;

EID: 84885750537     PISSN: None     EISSN: 14712482     Source Type: Journal    
DOI: 10.1186/1471-2482-13-46     Document Type: Article

References (29)

1. The incidence and nature of in-hospital adverse events: a systematic review. de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA, Qual Saf Health Care 2008 17 3 216 223 10.1136/qshc.2007.023622 18519629
2. Adverse events in surgical patients in Australia. Kable AK, Gibberd RW, Spigelman AD, Int J Qual Health Care 2002 14 4 269 276 10.1093/intqhc/14.4.269 12201185
3. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Cohen FL, Mendelsohn D, Bernstein M, J Neurosurg 2010 113 3 461 473 10.3171/2009.10.JNS091282 20020843
4. Near-miss event assessment in orthopedic surgery: Antimicrobial prophylaxis noncompliance. Bonfait H, Delaunay C, de Thomasson E, Charrois O, Orthorisq, Orthop Traumatol Surg Res 2010 96 5 493 499 10.1016/j.otsr.2010.03. 014 20965143
5. Prevention of surgical malpractice claims by use of a surgical safety checklist. de Vries EN, Eikens-Jansen MP, Hamersma AM, Smorenburg SM, Gouma DJ, Boermeester MA, Ann Surg 2011 253 3 624 628 10.1097/SLA.0b013e3182068880 21209590
6. Sentinel Event Alert. A follow-up review of wrong site surgery. vol. 24 2001 3 http://www.jointcommission.org/assets/1/18/SEA-24.pdf. The Joint Commission
7. A Surgical safety checklist to reduce morbidity and mortality in a global population. Haynes A, Weiser T, Berry W, Lipsitz S, Breizat A, Dellinger E, Herbosa T, Joseph S, Kibatala P, Lapitan M, et al. NEJM 2009 360 491 499 10.1056/NEJMsa0810119 19144931
8. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Weiser TG, Haynes AB, Dziekan G, Berry WR, Lipsitz SR, Gawande AA, Ann Surg 2010 251 5 976 980 10.1097/SLA.0b013e3181d970e3 20395848
9. Effects of the introduction of the WHO "Surgical Safety Checklist" on In-Hospital Mortality: a cohort study. van Klei WA, Hoff RG, van Aarnhem EEHL, Simmermacher RKJ, Regli LPE, Kappen TH, van Wolfswinkel L, Kalkman CJ, Buhre WF, Peelen LM, Ann Surg 2012 255 1 44 49 10.1097/SLA. 0b013e31823779ae 22123159
10. Effect of a comprehensive surgical safety system on patient outcomes. de Vries EN, Prins HA, Crolla RMPH, den Outer AJ, van Andel G, van Helden SH, Schlack WS, van Putten MA, Gouma DJ, Dijkgraaf MGW, et al. NEJM 2010 363 20 1928 1937 10.1056/NEJMsa0911535 21067384
11. Avoiding wrong site surgery: a systematic review. DeVine J, Chutkan N, Norvell DC, Dettori JR, Spine 2010 35 9S Supplement 28 S36 20407349
12. The Occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. James MA, Seiler JGIII, Harrast JJ, Emery SE, Hurwitz S, J Bone Joint Surg 2012 94 1 2-1-12 22218388
13. Human error: models and management. Reason J, BMJ 2000 320 7237 768 770 10.1136/bmj.320.7237.768 10720363
14. Patient safety in surgical environments: Cross-countries comparison of psychometric properties and results of the Norwegian version of the Hospital survey on patient safety. Haugen AS, Softeland E, Eide GE, Nortvedt M, Aase K, Harthug S, BMC Health Serv Res 2010 10 1 279 10.1186/1472-6963-10-279 20860787
15. Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. Barach P, Small SD, BMJ 2000 320 7237 759 763 10.1136/bmj.320.7237.759 10720361
16. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Shojania KG, Duncan BW, McDonald KM, Wachter RM, Markowitz AJ, Evidence Reports/Technology Assessments. Volume 43 Rockville MD: Agency for Healthcare Research and Quality 2001 39 50
17. Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences. Thomassen O, Brattebo G, Heltne JK, Softeland E, Espeland A, BMC Health Serv Res 2010 10 1 342 10.1186/1472-6963-10-342 21171967
18. SPSS, PASW Statistics for Windows, Version 18.0 Chicago: SPSS Inc 2009
19. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Graneheim UH, Lundman B, Nurse Educ Today 2004 24 2 105 112 10.1016/j.nedt.2003.10.001 14769454
20. Helsinki Declaration http://www.wma.net/en/30publications/10policies/b3/ index.html.pdf?print-media-type
21. Getting surgery right. Clarke JR, Johnston J, Finley ED, Ann Surg 2007 246 3 395 405 10.1097/SLA.0b013e3181469987 17717443
22. Incidence of wrong-site surgery among hand surgeons. Meinberg E, Stern P, J Bone Joint Surg 2003 85-A 2 193 197 12571293
23. Can the surgical checklist reduce the risk of wrong site surgery in orthopaedics?-can the checklist help? Supporting evidence from analysis of a national patient incident reporting system. Panesar S, Noble D, Mirza S, Patel B, Mann B, Emerton M, Cleary K, Sheikh A, Bhandari M, J Orthop Surg Res 2011 6 1 18 10.1186/1749-799X-6-18 21501466
24. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Nilsson L, Lindberget O, Gupta A, Vegfors M, Acta Anaesthesiol Scand 2010 54 2 176 182 10.1111/j.1399-6576.2009. 02109.x 19719811
25. Impact of the World Health Organization's surgical safety checklist on safety culture in the operating theatre: a controlled intervention study. Haugen AS, Søfteland E, Eide GE, Sevdalis N, Vincent CA, Nortvedt MW, Harthug S, Br J Anaesth 2013 110 5 807 815 10.1093/bja/aet005 23404986
26. Adjusting team involvement: a grounded theory study of challenges in utilizing a surgical safety checklist as experienced by nurses in the operating room. Waehle H, Haugen A, Softeland E, Hjalmhult E, BMC Nurs 2012 11 1 16 10.1186/1472-6955-11-16 22958326
27. The extended surgical Time-Out: Does it improve quality and prevent wrong-site surgery? Lee S, Perm J 2010 14 1 19 23 20740127
28. Patient safety in the operating room: an intervention study on latent risk factors. van Beuzekom M, Boer F, Akerboom S, Hudson P, BMC Surg 2012 12 1 10 10.1186/1471-2482-12-10 22726757
29. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. Pronovost PJ, Goeschel CA, Colantuoni E, Watson S, Lubomski LH, Berenholtz SM, Thompson DA, Sinopoli DJ, Cosgrove S, Sexton JB, et al. BMJ 2010 340 209 10.1136/bmj.c209 20097692