An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams

Anesthesia and Analgesia

Volumn 121, Issue 4, 2015, Pages 948-956

  Tscholl, David W ^a   Weiss, Mona ^b   Kolbe, Michaela ^b   Staender, Sven ^c   Seifert, Burkhardt ^d   Landert, Daniel ^e   Grande, Bastian ^a   Spahn, Donat R ^a   Noethiger, Christoph B ^a  

^a UNIVERSITY HOSPITAL ZURICH   (Switzerland)

^b ETH ZURICH   (Switzerland)

^c Division of Gynecology and Obstetrics Hospital of Männedorf   (Switzerland)

^d UNIVERSITY OF ZURICH   (Switzerland)

^e Swiss International Air Lines Ltd   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ALLERGY; ANESTHESIA INDUCTION; ANESTHESIA PREINDUCTION CHECKLIST; ANESTHESIA TEAM; ARTICLE; ASSESSMENT OF HUMANS; CLINICAL OBSERVATION; COMPUTER PROGRAM; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; HUMAN; INTERVENTION STUDY; KNOWLEDGE; MEDICAL INFORMATION SYSTEM; OUTCOME ASSESSMENT; PATIENT SAFETY; PERCEPTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; TEAMWORK; ANESTHESIA; ATTITUDE TO HEALTH; CHECKLIST; COOPERATION; FEMALE; MALE; PATIENT CARE; QUESTIONNAIRE; STANDARDS; TRENDS;

ANESTHESIA; CHECKLIST; COOPERATIVE BEHAVIOR; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; PATIENT CARE TEAM; PATIENT SAFETY; PERCEPTION; PROSPECTIVE STUDIES; SURVEYS AND QUESTIONNAIRES;

EID: 84941910044     PISSN: 00032999     EISSN: 15267598     Source Type: Journal    
DOI: 10.1213/ANE.0000000000000671     Document Type: Article

References (36)

1. World Alliance for Patient Safety. WHO Guidelines for Safe Surgery. Geneva, Switzerland: World Health Organization, 2008
2. Borchard A, Schwappach DL, Barbir A, Bezzola P. A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Ann Surg 2012;256:925-33
3. van Klei WA, Hoff RG, van Aarnhem EE, Simmermacher RK, Regli LP, Kappen TH, van Wolfswinkel L, Kalkman CJ, Buhre WF, Peelen LM. Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. Ann Surg 2012;255:44-9
4. Weiser TG, Haynes AB, Dziekan G, Berry WR, Lipsitz SR, Gawande AA; 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;251:976-80
5. de Vries EN, Prins HA, Crolla RM, den Outer AJ, van Andel G, van Helden SH, Schlack WS, van Putten MA, Gouma DJ, Dijkgraaf MG, Smorenburg SM, Boermeester MA; SURPASS Collaborative Group. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med 2010;363:1928-37
6. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Herbosa T, Joseph S, Kibatala PL, Lapitan MC, Merry AF, Moorthy K, Reznick RK, Taylor B, Gawande AA; Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009;360:491-9
7. Gillespie BM, Chaboyer W, Thalib L, John M, Fairweather N, Slater K. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. Anesthesiology 2014;120:1380-9
8. Spector JM, Agrawal P, Kodkany B, Lipsitz S, Lashoher A, Dziekan G, Bahl R, Merialdi M, Mathai M, Lemer C, Gawande A. Improving quality of care for maternal and newborn health: prospective pilot study of the WHO safe childbirth checklist program. PLoS One 2012;7:e35151
9. de Vries EN, Eikens-Jansen MP, Hamersma AM, Smorenburg SM, Gouma DJ, Boermeester MA. Prevention of surgical malpractice claims by use of a surgical safety checklist. Ann Surg 2011;253:624-8
10. Semel ME, Resch S, Haynes AB, Funk LM, Bader A, Berry WR, Weiser TG, Gawande AA. Adopting a surgical safety checklist could save money and improve the quality of care in U. S. hospitals. Health Aff (Millwood) 2010;29:1593-9
11. Einav Y, Gopher D, Kara I, Ben-Yosef O, Lawn M, Laufer N, Liebergall M, Donchin Y. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest 2010;137:443-9
12. Greenberg CC, Regenbogen SE, Studdert DM, Lipsitz SR, Rogers SO, Zinner MJ, Gawande AA. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg 2007;204:533-40
13. Helmreich RL. On error management: lessons from aviation. BMJ 2000;320:781-5
14. Kohn LT, Corrigan J, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press, 2000
15. Endsley MR. Toward a theory of situation awareness in dynamic systems human factors. Hum Factors 1995;37:32-64
16. Fioratou E, Flin R, Glavin R, Patey R. Beyond monitoring: distributed situation awareness in anaesthesia. Br J Anaesth 2010;105:83-90
17. Gaba DM, Howard SK, Small SD. Situation awareness in anesthesiology. Hum Factors 1995;37:20-31
18. Schulz CM, Endsley MR, Kochs EF, Gelb AW, Wagner KJ. Situation awareness in anesthesia: concept and research. Anesthesiology 2013;118:729-42
19. Jones DG, Endsley MR. Sources of situation awareness errors in aviation. Aviat Space Environ Med 1996;67:507-12
20. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Dziekan G, Herbosa T, Kibatala PL, Lapitan MC, Merry AF, Reznick RK, Taylor B, Vats A, Gawande AA; Safe Surgery Saves Lives Study Group. 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;20:102-7
21. Brown C, Hofer T, Johal A, Thomson R, Nicholl J, Franklin BD, Lilford RJ. An epistemology of patient safety research: a framework for study design and interpretation. Part 3. End points and measurement. Qual Saf Health Care 2008;17:170-7
22. Lamb BW, Green JS, Benn J, Brown KF, Vincent CA, Sevdalis N. Improving decision making in multidisciplinary tumor boards: prospective longitudinal evaluation of a multicomponent intervention for 1, 421 patients. J Am Coll Surg 2013;217:412-20
23. Burtscher MJ, Kolbe M, Wacker J, Manser T. Interactions of team mental models and monitoring behaviors predict team performance in simulated anesthesia inductions. J Exp Psychol Appl 2011;17:257-69
24. Burtscher MJ, Wacker J, Grote G, Manser T. Managing nonroutine events in anesthesia: the role of adaptive coordination. Hum Factors 2010;52:282-94
25. Kolbe M, Burtscher MJ, Wacker J, Grande B, Nohynkova R, Manser T, Spahn DR, Grote G. Speaking up is related to better team performance in simulated anesthesia inductions: an observational study. Anesth Analg 2012;115:1099-108
26. Salas E, Cooke NJ, Rosen MA. On teams, teamwork, and team performance: discoveries and developments. Hum Factors 2008;50:540-7
27. Russ S, Rout S, Sevdalis N, Moorthy K, Darzi A, Vincent C. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg 2013;258:856-71
28. Mesmer-Magnus JR, Dechurch LA. Information sharing and team performance: a meta-analysis. J Appl Psychol 2009;94:535-46
29. Edmondson AC. Speaking up in the operating room: how team leaders promote learning in interdisciplinary action teams. J Manag Studies 2003;40:1419-52
30. Weiss M, Kolbe M, Grote G, Dambach M, Marty A, Spahn DR, Grande B. Agency and communion predict speaking up in acute care teams. Small Gr Res 2014;45:290-313
31. Dieckmann P, Reddersen S, Wehner T, Rall M. Prospective memory failures as an unexplored threat to patient safety: results from a pilot study using patient simulators to investigate the missed execution of intentions. Ergonomics 2006;49:526-43
32. Thomassen Ø, Brattebø G, Søfteland E, Lossius HM, Heltne JK. The effect of a simple checklist on frequent pre-induction deficiencies. Acta Anaesthesiol Scand 2010;54:1179-84
33. Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg 2005;101:246-50
34. Arriaga AF, Bader AM, Wong JM, Lipsitz SR, Berry WR, Ziewacz JE, Hepner DL, Boorman DJ, Pozner CN, Smink DS, Gawande AA. Simulation-based trial of surgical-crisis checklists. N Engl J Med 2013;368:246-53
35. Harrison TK, Manser T, Howard SK, Gaba DM. Use of cognitive aids in a simulated anesthetic crisis. Anesth Analg 2006;103:551-6
36. Brown C, Hofer T, Johal A, Thomson R, Nicholl J, Franklin BD, Lilford RJ. An epistemology of patient safety research: a framework for study design and interpretation. Part 2. Study design. Qual Saf Health Care 2008;17:163-9