Changes in Safety Attitude and Improvement of Multidisciplinary Teamwork by Implementation of the WHO Surgical Safety Checklist in University Hospital

Ayabe, Takanori; Shinpuku, Genji; Tomita, Masaki; Nakamura, Sayoko; Yokoyama, Etsuko; Shimizu, Shigeko; Okumura, Manabu; Itai, Koichiro; Tsuneyoshi, Isao; Takeshima, Hideo; Nakamura, Kunihide

doi:10.4236/ojsst.2017.71003

Cited by 3 publications

(1 citation statement)

References 40 publications

(24 reference statements)

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“…We evaluated the outcomes of multidisciplinary-reported incidents regarding patient safety management at the Special Functioning Hospital [10]. We have introduced the WHO Surgical Safety Checklist to a multidisciplinary team at a university hospital and reported on the changes in safety attitudes [11]. We have also analyzed and studied incidents reported by surgeons in "surgical patient safety" [12].…”

Section: Introductionmentioning

confidence: 99%

Development of a System to Support Surgical Safety-I and Safety-II. Implementation of Resilient Surgical Healthcare for Bleeding Incidents in Thoracic Surgery

Ayabe¹,

Tomita²,

Maeda³

et al. 2020

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Section: Introductionmentioning

confidence: 99%

Development of a System to Support Surgical Safety-I and Safety-II. Implementation of Resilient Surgical Healthcare for Bleeding Incidents in Thoracic Surgery

Ayabe¹,

Tomita²,

Maeda³

et al. 2020

Self Cite

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The use of the World Health Organization Surgical Safety Checklist in operating theatres

Zyl

Wyk

Leech

2023

Health SA Gesondheid

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Background There is a global concern over intraoperative patient safety, as adverse events are on the rise. When the World Health Organization Surgical Safety Checklist (WHO SSC) is used correctly, it has the potential to prevent such events. Unfortunately, the intraoperative team in the designated hospital lacked the cooperation to successfully use the checklist. Aim This study, therefore, aimed to explore and describe the factors that affect the use of the checklist in the operating theatres in a designated hospital. Methods A qualitative research approach together with an implementation science strategy structured according to the Consolidated Framework for Implementation Research was used. Individual interviews with nine surgeons and focus group interviews with six operating theatre professional nurses provided sufficient data for inductive and deductive analysis. Results A deeper understanding of the contextual and interventional factors that affect the use of the WHO SSC is provided by the findings. A high demand for surgery, the hierarchy in the surgical team, their uncertainty about hospital policies and reluctance to adjust to change contributed to the poor use of the checklist. Conclusion A sustainable implementation process is crucial and should be embraced and promoted by the intraoperative team. Contribution The article contributes a description of the factors that address the use of a checklist for intraoperative patient safety. It recommends that the factors that hinder the use of the checklist be timeously addressed.

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Evaluation and Outcome of Surgeon-Reported Incidents regarding Surgical Patient Safety

Ayabe¹,

Tomita²,

Okumura³

et al. 2018

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Background: We retrospectively analyzed incident reports from surgeons to learn about surgical patient safety and improve surgical quality. Material and Methods: For the 10 years and 3 months between February 2007 and May 2017, 236 incident reports from surgeons were collected. The impact levels of the incidents for patients were represented by a degree of adverse influence to a patient (level 0, 1, 2, 3a, 3b, 4a, 4b, and 5). The outcome of the incident reports was evaluated by the profile, cause, surgery-relation, and factor. Results: The level of incidents resulted in level 0 (n = 18, 7.6%), level 1 (n = 28, 11.9%), level 2 (n = 16, 6.8%), level 3a (n = 44, 18.6%), level 3b (n = 94, 39.8%), level 4a (n = 1, 0.4%), level 4b (n = 6, 2.5%), level 5 (n = 15, 6.4%) and others (n = 14, 5.9%). The profiles of the surgery-related incidents (n = 84) showed other unexpected events (15.7%, n = 37), second surgery within 24 hours (9.3%, n = 22), and unexpected excessive bleeding (6.8%, n = 16). The cause of the surgery-related incidents involved hemorrhage (n = 45, 53.6%). Except for complications and accidental diseases (n = 77, 32.6%), the occurrence factor of the incidents cited factors of personal behavior (n = 85, 36.0%), human factors (n = 37, 15.7%), environmental equipment (n = 6, 2.5%), and others (n = 31, 13.1%). Conclusions: The perioperative incidents submitted by surgeons were comparatively proved to be a higher influence level for patients such as unexpected events or surgery and second surgery within 24 hours. An incident reporting system is crucial for surgeons to ensure both surgical patient safety and to improve surgical quality. An aggressive reporting attitude should become useful to enhance safety awareness on a facility-wide basis.

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Changes in Safety Attitude and Improvement of Multidisciplinary Teamwork by Implementation of the WHO Surgical Safety Checklist in University Hospital

Cited by 3 publications

References 40 publications

Development of a System to Support Surgical Safety-I and Safety-II. Implementation of Resilient Surgical Healthcare for Bleeding Incidents in Thoracic Surgery

Development of a System to Support Surgical Safety-I and Safety-II. Implementation of Resilient Surgical Healthcare for Bleeding Incidents in Thoracic Surgery

The use of the World Health Organization Surgical Safety Checklist in operating theatres

Evaluation and Outcome of Surgeon-Reported Incidents regarding Surgical Patient Safety

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