Journal ArticleDOI
Effective Surgical Safety Checklist Implementation
Dante M. Conley,Dante M. Conley,Sara J. Singer,Lizabeth Edmondson,Lizabeth Edmondson,William R. Berry,Atul A. Gawande,Atul A. Gawande +7 more
TLDR
The impact of surgical safety checklists on patient outcomes is likely to vary with the effectiveness of each hospital's implementation process, and the ability of implementation leaders to persuasively explain why and adaptively show how to use the checklist hinges on this.Abstract:
Background Research suggests that surgical safety checklists can reduce mortality and other postoperative complications. The real world impact of surgical safety checklists on patient outcomes, however, depends on the effectiveness of hospitals' implementation processes. Study Design We studied implementation processes in 5 Washington State hospitals by conducting semistructured interviews with implementation leaders and surgeons from September to December 2009. Interviews were transcribed, analyzed, and compared with findings from previous implementation research to identify factors that distinguish effective implementation. Results Qualitative analysis suggested that effectiveness hinges on the ability of implementation leaders to persuasively explain why and adaptively show how to use the checklist. Coordinated efforts to explain why the checklist is being implemented and extensive education regarding its use resulted in buy-in among surgical staff and thorough checklist use. When implementation leaders did not explain why or show how the checklist should be used, staff neither understood the rationale behind implementation nor were they adequately prepared to use the checklist, leading to frustration, disinterest, and eventual abandonment despite a hospital-wide mandate. Conclusions The impact of surgical safety checklists on patient outcomes is likely to vary with the effectiveness of each hospital's implementation process. Further research is needed to confirm these findings and reveal additional factors supportive of checklist implementation.read more
Citations
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Journal ArticleDOI
Communication About Serious Illness Care Goals: A Review and Synthesis of Best Practices
Rachelle Bernacki,Susan D. Block +1 more
TL;DR: It is concluded that communication about serious illness care goals is an intervention that should be systematically integrated into clinical care structures and processes.
Journal ArticleDOI
Introduction of Surgical Safety Checklists in Ontario, Canada
TL;DR: Implementation of surgical safety checklists in Ontario, Canada, was not associated with significant reductions in operative mortality or complications.
Making health care safer II: an updated critical analysis of the evidence for patient safety practices.
Paul G. Shekelle,Robert M. Wachter,Peter J. Pronovost,Karen M Schoelles,Kathryn M. McDonald,Sydney M. Dy,Kaveh G. Shojania,James Reston,Zackary Berger,Breanne Johnsen,Jody Larkin,Scott Lucas,Kathryn A. Martinez,Aneesa Motala,Sydne J Newberry,Meredith Noble,Elizabeth R. Pfoh,Sumant R. Ranji,Stephanie Rennke,Eric W. Schmidt,Roberta M. Shanman,Nancy Sullivan,Fang Sun,Kelley Tipton,Jonathan Treadwell,A Tsou,Mary E. Vaiana,Sallie J. Weaver,Renee F Wilson,Bradford D. Winters +29 more
TL;DR: The evidence supporting the effectiveness of many patient safety practices has improved substantially over the past decade, and evidence about implementation and context has also improved, but continues to lag behind evidence of effectiveness.
Journal ArticleDOI
Surgical checklists: a systematic review of impacts and implementation
TL;DR: Surgical checklists were associated with increased detection of potential safety hazards, decreased surgical complications and improved communication among operating staff, and represent a relatively simple and promising strategy for addressing surgical patient safety worldwide.
Journal ArticleDOI
A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery.
TL;DR: Checklists are effective and economic tools that decrease mortality and morbidity in surgery and further research in particular relating to implementation is needed.
References
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