A Methodological Study to Develop and Evaluate Usability of a Nursing Checklist for Patients Undergoing Cardiac Catheterization

Vati, Jogindra; Principal, Sghs cum; Kaur, Rupinder; Sharma, Yash Paul

doi:10.26634/jnur.5.2.3572

Cited by 1 publication

(2 citation statements)

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“…Results from previous studies have found that checklists contribute to improved communication and increased situational awareness amongst multidisciplinary teams. 30e33, 36,37 Studies completed in interventional medicine also support the notion that a safety checklist promotes staff involvement and reduces human error. 15,27,36,37 Although patient outcomes were not measured in this study, a reduction in mortality (1.5e0.8%) and inpatient complications (11e7%) was reported in a systematic review after the introduction of a surgical safety checklist in the operating theatre.…”

Section: Discussionmentioning

confidence: 94%

“…30e33, 36,37 Studies completed in interventional medicine also support the notion that a safety checklist promotes staff involvement and reduces human error. 15,27,36,37 Although patient outcomes were not measured in this study, a reduction in mortality (1.5e0.8%) and inpatient complications (11e7%) was reported in a systematic review after the introduction of a surgical safety checklist in the operating theatre. 38 With the limited implementation of a pre-procedure checklist in the CCL, generalising the finding from studies conducted in the operating room could be considered as it is a comparable clinical environment, with similar risks that influence patient safety.…”

Section: Discussionmentioning

confidence: 94%

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The design and evaluation of a pre-procedure checklist specific to the cardiac catheterisation laboratory

Nicholson

Kühn

Manias

et al. 2021

Australian Critical Care

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Background: With the increasing complexity of procedures being performed in the cardiac catheterisation laboratory, the multidisciplinary team has the challenge of providing safe care to patients who present with a multitude of healthcare needs. Although the use of a surgical safety checklist has become standard practice in operating theatres worldwide, the use of a pre-procedure checklist has not been routinely adopted into interventional cardiology. Objective: The aim of this study was to design and evaluate a pre-procedure checklist specific to the cardiac catheterisation laboratory. Method: A descriptive, exploratory design was used to develop a specifically designed pre-procedure checklist for use in the cardiac catheterisation laboratory in a private hospital in Melbourne, Australia. The pre-procedure checklist was developed by exploring the multidisciplinary team's opinion regarding the organisation's previous surgical pre-procedure checklist through a pre-implementation survey and focus groups. Following an expert review, and implementation of the proposed pre-procedure checklist, a post-implementation survey was completed. Results: Thirty-five (70%) cardiac catheterisation laboratory healthcare professionals completed the preimplementation survey, with 31 (62%) completing the post-implementation survey. Ninety-one per cent of participants agreed that important clinical information required for interventional procedures was not documented on the previous surgical checklist. A specific checklist was developed from the results of the survey and six focus groups (N ¼ 25) and implemented in the cardiac catheterisation laboratory. In the post-implementation survey, participants identified that the cardiac catheterisation laboratory specific pre-procedure checklist included all relevant clinical information and improved documentation of patient information. Conclusion:The development of a specific cardiac catheterisation laboratory pre-procedure checklist has led to an improved transfer of pertinent clinical information required prior to procedures being performed in the unit. The outcome of this study has implications for other cardiac catheterisation laboratories with the potential to standardise practice within interventional cardiology practice and improve patient safety outcomes.

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