Articles: checklist.
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Ann Fr Anesth Reanim · Jun 2011
[Implementation strategy of the HAS French surgical check-list in a university hospital].
The check-list (CL) "Safety in Operating Room" has been introduced in our teaching hospital since 2009, associated to a "Quality and Prevention of Risks" program. This introduction was carried out over two distinct phases. The first one was a pilot start including five OR, allowing us to draw firm recommendations on the best way to perform the introduction, followed by a generalization to the other operating room (OR). ⋯ Indeed, the 10 items of the OR should be thought as the last check before the no-return point, which should be shared by anyone in the OR. If these conditions were fulfilled, the CL could be viewed as an actual improvement of safety in the OR. Otherwise, CL is just a supplementary form.
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Ann Fr Anesth Reanim · Jun 2011
Editorial Comment[Safety of care: what place for proceduralization?].
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Ann Fr Anesth Reanim · Jun 2011
[Deployment of the checklist "Patient safety in the operating room" in two Lorraine hospitals. Performances and difficulties].
To evaluate the implementation of the checklist HAS 2010 in two Lorraine health facilities to identify objectively brakes and levers to suggest possible improvements. ⋯ Good adhesion to the concept, hope for better results after stock enhancement: optimize information and training of all professionals, avoid duplication with other documents. The audit record alone is not a good tool for evaluating the use of LBC, we must associate a self-administered questionnaire.
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Ann Fr Anesth Reanim · Jun 2011
[French surgical checklist in a universitary hospital: achievements one year after implementation].
Implementation of the checklist "Safe surgery saves live" (CL) is associated with reduction of perioperative morbidity and mortality. In France, CL is mandatory in operating rooms (OR) since January 2010. The objective of this work was to evaluate the level of the roll out of the CL in our institution, a French universitary hospital. ⋯ CL evaluation restricted to levels of use is limited and should be extended to a qualitative evaluation. Communication in the OR remains insufficient and represents an important quality improvement aim to improve security in the OR.