Journal ArticleDOI
A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project".
Stephanie Russ,Nick Sevdalis,Krishna Moorthy,Erik Mayer,Shantanu Rout,Jochem Caris,Jenny Mansell,Rachel Davies,Charles Vincent,Ara Darzi +9 more
TLDR
Evaluating how the World Health Organization surgical safety checklist was implemented across hospitals in England identified common themes that have aided or hindered the introduction of the WHO checklist in England and have translated into recommendations to guide the implementation of improvement initiatives in surgery and wider health care systems.Abstract:
Objectives: To evaluate how the World Health Organization (WHO) surgical safety checklist was implemented across hospitals in England; to identify barriers and facilitators toward implementation; and to draw out lessons for implementing improvement initiatives in surgery/health care more generally. Background: The WHO checklist has been linked to improved surgical outcomes and teamwork, yet we know little about the factors affecting its successful uptake. Methods: A longitudinal interview study with operating room personnel was conducted across a representative sample of 10 hospitals in England between March 2010 and March 2011. Interviews were audio recorded over the phone. Interviewees were asked about their experience of how the checklist was introduced and the factors that hindered or aided this process. Transcripts were submitted to thematic analysis. Results: A total of 119 interviews were completed. Checklist implementation varied greatly between and within hospitals, ranging from preplanned/phased approaches to the checklist simply “appearing” in operating rooms, or staff feeling it had been imposed. Most barriers to implementation were specific to the checklist itself (eg, perceived design issues) but also included problematic integration into preexisting processes. The most common barrier was resistance from senior clinicians. The facilitators revealed some positive steps that can been taken to prevent/address these barriers, for example, modifying the checklist, providing education/training, feeding-back local data, fostering strong leadership (particularly at attending level), and instilling accountability. Conclusions: We identified common themes that have aided or hindered theread more
Citations
More filters
Journal ArticleDOI
Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence
Jochen Bergs,Frank Lambrechts,Pascale A.M. Simons,Annemie Vlayen,Wim Marneffe,Johan Hellings,Irina Cleemput,Dominique Vandijck +7 more
TL;DR: A pragmatic overview of the user-related barriers and facilitators upon which theories, hypothesising potential change strategies and interactions, can be developed and tested empirically is provided.
Journal ArticleDOI
Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study
Stephanie Russ,Shantanu Rout,Jochem Caris,Jenny Mansell,Rachel Davies,Erik Mayer,Krishna Moorthy,Ara Darzi,Charles Vincent,Nick Sevdalis +9 more
TL;DR: Measures sensitive to checklist practice quality, like CUT, will help identify areas for improvement in implementation and enable provision of comprehensive feedback to OR teams.
Journal ArticleDOI
Adapting a Compilation of Implementation Strategies to Advance School-Based Implementation Research and Practice
TL;DR: The purpose of this study was to initiate the School Implementation Strategies, Translating ERIC Resources (SISTER) Project to iteratively adapt the ERIC compilation to the educational sector, results of a seven-step adaptation process resulted in 75 school-adapted strategies.
Journal ArticleDOI
The problem with checklists
Ken Catchpole,Stephanie Russ +1 more
TL;DR: The Problem with…’ series covers controversial topics related to efforts to improve healthcare quality, including widely recommended but deceptively difficult strategies for improvement and pervasive problems that seem to resist solution.
Journal ArticleDOI
Use of the surgical safety checklist to improve communication and reduce complications
TL;DR: Use of a surgical safety checklist may prevent communication failures and reduce complications, and a growing body of literature points out that while the physical act of “checking the box” may not necessarily prevent all adverse events, the checklist is a scaffold on which attitudes towards teamwork and communication can be encouraged and improved.
References
More filters
Book
Diffusion of Innovations
TL;DR: A history of diffusion research can be found in this paper, where the authors present a glossary of developments in the field of Diffusion research and discuss the consequences of these developments.
Journal ArticleDOI
Diffusion of innovations
TL;DR: Upon returning to the U.S., author Singhal’s Google search revealed the following: in January 2001, the impeachment trial against President Estrada was halted by senators who supported him and the government fell without a shot being fired.
Journal ArticleDOI
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population
Alex B. Haynes,Thomas G. Weiser,Thomas G. Weiser,William R. Berry,Stuart R. Lipsitz,Abdel-Hadi S. Breizat,E. Patchen Dellinger,Teodoro Herbosa,Sudhir Joseph,Pascience L. Kibatala,Marie Carmela,Mc Lapitan,Alan Merry,Krishna Moorthy,R. Reznick,Bryce R. Taylor,Atul A. Gawande +16 more
TL;DR: Implementation of the checklist was associated with concomitant reductions in the rates of death and complications among patients at least 16 years of age who were undergoing noncardiac surgery in a diverse group of hospitals.
Journal ArticleDOI
Disseminating Innovations in Health Care
TL;DR: The theory and research on the dissemination of innovations and applications of that theory to health care are examined and at least 7 recommendations for health care executives who want to accelerate the rate of diffusion of innovations within their organizations are suggested.
Journal ArticleDOI
The Checklist Manifesto: How to Get Things Right
TL;DR: The Checklist Manifesto as mentioned in this paper is one of the most popular checklists for high-pressure tasks and has been used in many areas of the world, from airline safety to heart surgery survival rates.