Safety Checklist Briefings: A Systematic Review of the Literature

AORN Journal

Volumn 99, Issue 1, 2014, Pages

  McDowell, Diana Soule ^a,b   McComb, Sara A ^b,c  

^a INDIANA UNIVERSITY HEALTH   (United States)

^b PURDUE UNIVERSITY   (United States)

^c Schools of Nursing   (United States)

Author keywords

Checklists; Literature review; Surgical safety

Indexed keywords

ARTICLE; CHECKLIST; CHECKLISTS; HUMAN; LITERATURE REVIEW; PATIENT SAFETY; SURGERY; SURGICAL SAFETY;

CHECKLISTS; LITERATURE REVIEW; SURGICAL SAFETY;

CHECKLIST; HUMANS; PATIENT SAFETY; SURGICAL PROCEDURES, OPERATIVE;

EID: 84890885295     PISSN: 00012092     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.aorn.2013.11.015     Document Type: Article

References (48)

1. Weiser T.G., Regenbogen S.E., Thompson K.D., et al. An estimation of the global volume of surgery: a modeling strategy based on available data. Lancet 2008, 372(9633):139-144.
2. Gawande A.A., Thomas E.J., Zinner M.J., Brennan T.A. The incidence and nature of surgical adverse events inColorado and Utah in 1992. Surgery 1999, 126(1):66-75.
3. Kable A.K., Gibberd R.W., Spigelman A.D. Adverse events in surgical patients in Australia. Int J Qual Health Care 2002, 14(4):269-276.
4. WHO Guidelines for Safe Surgery 2008, World Health Organization, Geneva, Switzerland. A.A. Gawande, T.G. Weiser (Eds.).
5. Centers for Disease Control and Prevention. QuickStats: death rate* from complications of medical and surgical care among adults aged ≥ 45 years, by age group-United States, 1999-2009. Morbidity and Mortality Weekly Report. September 21, 2012. Accessed September 12,2013. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6137a6.htm?s_cid=mm6137a6_w.
6. Van Den Bos J., Rustagi K., Gray T., Halford M., Ziemkiewicz E., Shreve J. The $17.1 billion problem: theannual cost of measurable medical errors. Health Aff (Millwood) 2011, 30(4):596-603.
7. Reid J., Clark J. Progressing safer surgery. JPerioper Pract 2009, 19(10):336-341.
8. Classen D.C., Resar R., Griffin F., et al. "Global trigger tool" shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood) 2011, 30(4):581-589.
9. Stahel P.F., Sabel A.L., Victoroff M.S., et al. Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. Arch Surg 2010, 145(10):978-984.
10. Dimick J.B., Chen S.L., Taheri P.A., Henderson W.G., Khuri S.F., Campbell D.A. Hospital costs associated with surgical complications: a report from the private-sector National Surgical Quality Improvement Program. JAm Coll Surg 2004, 199(4):531-537.
11. Eappen S., Lane B.H., Rosenberg B., et al. Relationship between occurrence of surgical complications and hospital finances. JAMA 2013, 309(15):1599-1606.
12. Haynes A.B., Weiser T.G., Berry W.R., et al. Asurgical safety checklist to reduce morbidity and mortality in a global population. NEngl J Med 2009, 360(5):491-499.
13. Gawande A.A., Zinner M.J., Studdert D.M., Brennan T.A. Analysis of errors reported by surgeons at three teaching hospitals. Surgery 2003, 133(6):614-621.
14. Lingard L., Reznick R., Espin S., Regehr G., DeVito I. Team communications in the operating room: talk patterns, sites of tension, and implications for novices. Acad Med 2002, 77(3):232-237.
15. Gardezi F., Lingard L., Espin S., Whyte S., Orser B., Baker G.R. Silence, power and communication in the operating room. JAdv Nurs 2009, 65(7):1390-1399.
16. To Err is Human: Building a Safer Health System 2000, The National Academies Press, Washington, DC, Accessed September 13, 2013. http://www.nap.edu/catalog.php?record_id=9728, L.T. Kohn, J.M. Corrigan, M.S. Donaldson (Eds.).
17. Leape L.L., Berwick D.M., Bates D.W. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA 2002, 288(4):501-507.
18. Lingard L., Espin S., Rubin B., Whyte S., et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Qual Saf Health Care 2005, 14(5):340-346.
19. Safe Surgery Saves Lives. World Health Organization. Accessed October 25,2013. http://www.who.int/patientsafety/safesurgery/en/index.html.
20. de Vries E.N., Hollmann M.W., Smorenburg S.M., Gouma D.J., Boermeester M.A. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care 2009, 18(2):121-126.
21. Semel M.E., Resch S., Haynes A.B., et al. Adopting a surgical safety checklist could save money and improve the quality of care in U.S. hospitals. Health Aff (Millwood) 2010, 29(9):1593-1599.
22. Surgical safety web map. World Health Organization. Accessed September 13,2013. http://maps.cga.harvard.edu:8080/Hospital.
23. Gawande A. The Checklist Manifesto: How to Get Things Right 2010, Metropolitan Books of Henry Holt and Company, New York, NY.
24. Haynes A.B., Weiser T.G., Berry W.R., et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Qual Saf 2011, 20(1):102-107.
25. Borchard A., Schwappach D.L., Barbir A., Bezzola P. Asystematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Ann Surg 2012, 256(6):925-933.
26. Fineout-Overholt E., Melnyk B.M., Stillwell S.B., Williamson K.M. Evidence-based practice step by step: critical appraisal of the evidence: part I. Am J Nurs 2010, 110(7):47-52.
27. Calland J.F., Turrentine F.E., Guerlain S., et al. The surgical safety checklist: lessons learned during implementation. Am Surg 2011, 77(9):1131-1137.
28. Lingard L., Whyte S., Espin S., Baker G.R., Orser B., Doran D. Towards safer interprofessional communication: constructing a model of "utility" from preoperative team briefings. JInterprof Care 2006, 20(5):471-483.
29. Mainthia R., Lockney T., Zotov A., 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.
30. Vogts N., Hannam J.A., Merry A.F., Mitchell S.J. Compliance and quality in administration of a surgical safety checklist in a tertiary New Zealand hospital. NZ Med J 2011, 124(1342):48-58.
31. Yuan C.T., Walsh D., Tomarken J.L., Alpern R., Shakpeh J., Bradley E.H. Incorporating the World Health Organization Surgical Safety Checklist into practice at two hospitals in Liberia. Jt Comm J Qual Patient Saf 2012, 38(6):254-260.
32. Lingard L., Regehr G., Orser B., 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.
33. Kearns R.J., Uppal V., Bonner J., Robertson J., Daniel M., McGrady E.M. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Qual Saf 2011, 20(9):818-822.
34. de Vries E.N., Prins H.A., Bennink C., et al. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf 2012, 21(6):503-508.
35. Berrisford R.G., Wilson I.H., Davidge M., Sanders D. Surgical time out checklist with debriefing and multidisciplinary feedback improves venous thromboembolism prophylaxis in thoracic surgery: a prospective audit. Eur J Cardiothorac Surg 2012, 41(6):1326-1329.
36. Askarian M., Kouchak F., Palenik C.J. Effect of surgical safety checklists on postoperative morbidity and mortality rates, Shiraz, Faghihy Hospital, a 1-year study. Qual Manag Health Care 2011, 20(4):293-297.
37. Kasatpibal N., Senaratana W., Chitreecheur J., Chotirosniramit N., Pakvipas P., Junthasopeepun P. Implementation of the World Health Organization surgical safety checklist at a university hospital in Thailand. Surg Infect (Larchmt) 2012, 13(1):50-56.
38. de Vries E.N., Eikens-Jansen M.P., Hamersma A.M., Smorenburg S.M., Gouma D.J., Boermeester M.A. Prevention of surgical malpractice claims by use of a surgical safety checklist. Ann Surg 2011, 253(3):624-628.
39. Einav Y., Gopher D., Kara I., et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest 2010, 137(2):443-449.
40. Ali M., Osborne A., Bethune R., Pullyblank A. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. JPatient Saf 2011, 7(3):139-143.
41. Helmiö P., Blomgren K., Takala A., Pauniaho S.L., Takala R.S., Ikonen T.S. Towards better patient safety: WHO Surgical Safety Checklist in otolaryngology. Clin Otolaryngol 2011, 36(3):242-247.
42. Takala R.S., Pauniaho S., Korkansalo A., et al. Apilot study of the implementation of WHO surgical checklist in Finland: improvements in activities and communication. Acta Anaesthesiol Scand 2011, 55(10):1206-1214.
43. Böhmer A.B., Wappler F., Tinschmann T., et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Acta Anaesthesiol Scand 2012, 56(3):332-338.
44. Nilsson L., Lindberget O., Gupta A., Vegfors M. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta Anaesthesiol Scand 2010, 54(2):176-182.
45. Papaspyros S.C., Javangula K.C., Adluri R.K., O'Regan D.J. Briefing and debriefing in the cardiac operating room. Analysis of impact on theatre team attitude and patient safety. Interact Cardiovasc Thorac Surg 2010, 10(1):43-47.
46. Thomassen Ø., Brattebø G., Heltne J.K., Søfteland E., Espeland A. Checklists in the operating room: help orhurdle? A qualitative study on health workers' experiences. BMC Health Serv Res 2010, 10(342). Accessed September 18, 2013. http://www.biomedcentral.com/1472-6963/10/342.
47. Bandari J., Schumacher K., Simon M., et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. JtComm J Qual Patient Saf 2012, 38(4):154-160.
48. Melnyk B., Fineout-Overholt E. Evidence-Based Practice in Nursing & Healthcare 2005, Lippincott, Williams & Wilkins, Philadelphia, PA.