Sustainable, effective implementation of a surgical preprocedural checklist: An "attestation" format for all operating team members

Joint Commission Journal on Quality and Patient Safety

Volumn 40, Issue 1, 2014, Pages 3-9

  Porter, Allison J ^a   Narimasu, Jon Y ^a   Mulroy, Michael F ^a   Koehler, Richard P ^b  

^a VIRGINIA MASON MEDICAL CENTER   (United States)

^b Mammoth Hospital   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHECKLIST; HOSPITAL BED CAPACITY; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL ERROR; METHODOLOGY; OPERATING ROOM; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PRACTICE GUIDELINE; PREOPERATIVE CARE; PUBLIC RELATIONS; TOTAL QUALITY MANAGEMENT; WORLD HEALTH ORGANIZATION;

CHECKLIST; COMMUNICATION; GUIDELINE ADHERENCE; HOSPITAL BED CAPACITY, 300 TO 499; HUMANS; INTERPROFESSIONAL RELATIONS; MEDICAL ERRORS; OPERATING ROOMS; PATIENT CARE TEAM; PRACTICE GUIDELINES AS TOPIC; PREOPERATIVE CARE; QUALITY IMPROVEMENT; WORLD HEALTH ORGANIZATION;

EID: 84892387542     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1553-7250(14)40001-1     Document Type: Article

References (43)

1. 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.
2. Wolf FA, Way LW, Stewart L. The efficacy of medical team training: Improved team performance and decreased operating room delays: A detailed analysis of 4863 cases. Ann Surg. 2010;252(3):477-483.
3. Nundy S, et al. Impact of preoperative briefings on operating room delays: A preliminary report. Arch Surg. 2008;143(11):1068-1072.
4. Henrickson SE, et al. Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. J Am Coll Surg. 2009;208(6):1115- 1123.
5. Makary MA, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2)236-243.
6. Neily J, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010 Oct 20;304(15):1693-1700.
7. Haynes AB, et al.; Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009 Jan 29;360(5):491-499.
8. de Vries EN, et al.; SURPASS Collaborative Group. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010 Nov 11;363(20):1928-1937.
9. Weiser TG, et al.; Safe Surgery Saves Lives Investigators and Study Group. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Ann Surg. 2010;251(5):976-980.
10. World Health Organization. WHO Surgical Safety Checklist and Implementation Manual. 2008. Accessed Dec 1, 2013. http://www.who.int/ patientsafety/safesurgery/ss-checklist/en/index.html.
11. The Joint Commission. 2013 Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oak Brook, IL: Joint Commission Resources, 2012.
12. The Joint Commission. Facts About the Universal Protocol. (Updated Jan 3, 2013.) Accessed Dec 1, 2013. http://www.jointcommission.org/facts -about-the-universal-protocol/.
13. Fourcade A, et al. Barriers to staff adoption of a surgical safety checklist. BMJ Qual Saf. 2012;21(3):191-197.
14. Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11.
15. Helmreich RL, Wilhelm JA. Outcomes of crew resource management training. Int J Aviat Psychol. 1991;1(4):287-300.
16. Paull DE, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. Am J Surg. 2009;198(5):675-678.
17. Conley DM, et al. Effective surgical safety checklist implementation. J Am Coll Surg. 2011;212(5):873-879.
18. Halverson AL, et al. Surgical team training: The Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-112.
19. France DJ, et al. An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. Am J Surg. 2008;195(4):546-553.
20. Levy SM, et al. Implementing a surgical checklist: More than checking a box. Surgery. 2012;152(3):331-336.
21. van Klei WA, et al. Effects of the introduction of the WHO Surgical Safety Checklist on in-hospital mortality: A cohort study. Ann Surg. 2012;255(1):44- 49.
22. Böhmer AB, et al. Long-term effects of a perioperative safety checklist from the viewpoint of personnel. Acta Anaesthesiol Scand. 2013;57(2):150-157.
23. American College of Surgeons. About ACS NSQIP. Accessed Dec 1, 2013. http://site.acsnsqip.org/about/.
24. 'Preflight checklist' builds safety culture, reduces nurse turnover. OR Manager. 2003;19(12):1, 8-10.
25. Tobin SN, Campbell DA, Boyce NW. Durability of response to a targeted intervention to modify clinician transfusion practices in a major teaching hospital. Med J Aust. 2001;174(9):445-448.
26. Johnston G, Ekert L, Pally E. Surgical site signing and time out: Issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-2580.
27. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: Cross sectional surveys. BMJ. 2000 Mar 18;320(7237):745- 749.
28. Mazzocco K, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-685.
29. Lingard L, 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.
30. Amalberti R, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005 May 3;142(9):756-764.
31. ElBardissi AW, et al. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Ann Thorac Surg. 2007;83(4):1412-1418.
32. Carney BT, et al. Differences in nurse and surgeon perceptions of teamwork: Implications for use of a briefing checklist in the OR. AORN J. 2010;91(6):722-729.
33. Sexton JB, et al. Teamwork in the operating room: Frontline perspectives among hospitals and operating room personnel. Anesthesiology. 2006;105(5):877-884.
34. Makary MA, et al. Operating room teamwork among physicians and nurses: Teamwork in the eye of the beholder. J Am Coll Surg. 2006;202(5):746-752.
35. Lingard L, et al. Communication failures in the operating room: An observational classification of recurrent types and effects. Qual Saf Health Care. 2004;13:330-334.
36. 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.
37. Reeves S, et al. Structuring communication relationships for interprofessional teamwork (SCRIPT): A Canadian initiative aimed at improving patientcentred care. J Interprof Care. 2007;21(1):111-114.
38. 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.
39. Rodriguez-Paz JM, et al. A novel process for introducing a new intraoperative program: A multidisciplinary paradigm for mitigating hazards and improving patient safety. Anesth Analg. 2009;108(1):202-210.
40. Einav Y, et al. Preoperative briefing in the operating room: Shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-449.
41. de Korne DF, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-347.
42. DeFontes J, Surbida S. Preoperative Safety Briefing project. Perm J. 2004:8(2);21-27.
43. Pronovost PJ, Freischlag JA. Improving teamwork to reduce surgical mortality. JAMA. 2010 Oct 20;304(15):1721-1722.