Articles: checklist.
-
Avoidable adverse events must be subjected to continuous control to be detected at the time and prevent their occurrence. Its knowledge is essential to prevent them and their consequences and any effective action on the matter of risk management and health safety must be taken into account. Surgical checklists fulfil these requirements, making patient care easier and opening the possibility of effective communication with the group and with the patient. ⋯ In the preparation of this checklist, a review was made of other surgical checklists of reference, as well as the recommendations for producing one and the justification of its need in all interventional procedures of risk. A simple checklist has been designed, which is adaptable to the specific characteristics of interventional radiology. Nursing staff are the key professionals on the design and implementation helping to identify those conditions that may threaten the success of the intervention.
-
Morbidity due to avoidable medical errors is a crippling reality intrinsic to health care. In particular, iatrogenic surgical errors lead to significant morbidity, decreased quality of life, and attendant costs. In recent decades there has been an increased focus on health care quality improvement, with a concomitant focus on mitigating avoidable medical errors. ⋯ Comparatively, the field of neurosurgery has only minimally addressed the utility of checklists as a health care improvement measure. Literature on the use of checklists in this field has been sparse. Considering the widespread efficacy of this tool in other fields, the authors seek to raise neurosurgical awareness regarding checklists by reviewing the current literature.
-
Quality and safety are basic concerns in any medical practice. Especially in daily surgical practice, with increasing turnover and shortened procedure times, attention to these topics needs to be assured. Starting in 2007, the authors used a perioperative checklist in all elective procedures and extended the checklist in January 2011 according to the so-called team time-out principles, with additional assessment of patient identity and the planned surgical procedure performed immediately before skin incision, including the emergency cases. ⋯ In the authors' daily experience, the advanced perioperative checklist developed according to the team time-out principles improves preoperative workup and the focus of the entire team. The focus is drawn to the procedure, expected difficulties of the surgery, and special needs in the treatment of the particular patient. Especially in emergency situations, the team time-out synchronizes the involved team members and helps to improve patient safety.
-
Der Urologe. Ausg. A · Nov 2012
[Introduction of operating room checklists as a part of clinical risk management: are there hard facts on complication prevention available?].
For approximately the past 10 years the aspects of quality and risk management have spread widely not only into the realm of hospitals but also into overall general medicine, which is viewed by many physicians as a paradigmatic change. The required use of the WHO operating room (OR) checklist has in the meantime become routine procedure in many hospitals but with varying degrees of acceptance. Current data reaffirm the positive effect of the checklist in lowering complication and mortality rates. This effect can be directly traced to a higher level for safety culture in the OR.