Articles: checklist.
-
Increased emphasis on patient safety in hospitals worldwide has become a critical goal for health care facilities and providers over the past decade. Resident work hour restrictions, handwashing efforts, medication reconciliation, procedural pauses, and a variety of improved communication mechanisms among all providers have been instituted. ⋯ The concept was to develop a tool to maintain and improve patient safety in the operating rooms that would be both effective and practical. The authors report on their 8-year experience with this tool and review the literature concerning surgical checklists.
-
The purpose of this study was to implement a multidisciplinary daily quality checklist in a trauma intensive care setting to determine adherence to infection prevention protocols as well as the impact on infection and complications. ⋯ Initiation of a multidisciplinary daily quality checklist is correlated with decreased infection rates in a trauma intensive care setting.
-
Comparative Study
Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the OR.
The quality of teamwork among health care professionals is known to affect patient outcomes. In the OR, surgeons report more favorable perceptions of communication during procedures and of teamwork effectiveness than do nurses. We undertook a quality improvement project in the Veterans Health Administration to confirm reported teamwork differences between perioperative nurses and surgeons and to examine the implications of these differences for improving practice patterns in the OR. ⋯ Perioperative nurses who participated in the survey rated teamwork higher with other nurses than with surgeons, but surgeons rated teamwork high with each other and with nurses. On five of six communication and collaboration items, surgeons had a significantly more favorable perception than did perioperative nurses. To increase the likelihood of success when implementing the use of checklist-based crew resource management tools, such as the World Health Organization's Surgical Safety Checklist, project leaders should anticipate differences in perception between members of the different professions that must be overcome if teamwork is to be improved.
-
To test the validity and reliability of a Swedish version of the Non-Communicating Children's Pain Checklist-Postoperative Version (NCCPC-PV). ⋯ The Swedish version of the NCCPC-PV can be used for pain assessment in children with cognitive impairments who lack verbal communication. Aspects of reliability need to be further analysed.