Articles: checklist.
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Ann Fr Anesth Reanim · Jun 2011
[One year implemention of the safe surgery checklist in France, what has been achieved so far, what could be improved?].
Despite important advances accomplished during the last ten years, patient safety in the OR remains a subject high on everyone's priority list: healthcare professionals, organisations and of course, patients. In this setting, the French National Authority for Health (Haute Autorité de santé, HAS) conducted a study with the scientific societies of professionals working in the OR. ⋯ Additionally, the organisations receive HAS certification are partners for the programme's promotion. One year after its institution, HAS is undertaking its first evaluation of the lessons and perspectives from the checklist's utilisation.
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The World Health Organisation (WHO) recommends routine use of a surgical safety checklist prior to all surgical operations. The aim of this study was to prospectively audit checklist use in orthopaedic patients before and after implementation of an educational programme designed to increase use and correlate this with early complications, mortality and staff perceptions. Data was collected on 480 patients before the educational program and 485 patients after. ⋯ Seventy-seven percent thought the checklist improved team communication. Checklist use was not associated with a significant reduction in early complications and mortality in patients undergoing orthopaedic surgery. Education programs can significantly increase accurate use and staff perceptions following implementation.
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The aim of this study was to examine the implementation and sustainability of checklist use among procedural-based specialties in a pediatric hospital and to survey perceptions of checklist efficacy among staff members and physicians. ⋯ The implementation of a procedural checklist can be sustained across specialties with high compliance. Off-hours utilization remains problematic. Perceptions of checklist efficacy are disparate among roles in the operating room.