Effect of a Comprehensive Surgical Safety System on Patient Outcomes

Abstract

Implementation of this comprehensive checklist was associated with a reduction in surgical complications and mortality in hospitals with a high standard of care. (Netherlands Trial Register number, NTR1943.).

Crew Resource Management in the Intensive Care Unit: a prospective 3‐year cohort study

“…Fifthly, some checklists were (re)designed. As checklists appear to be independent effective tools for improving patient safety,28, 29 it is difficult to separate their impact on outcome from the CRM effort. In spite of the fact that we cannot exclude a positive influence of the (re)designed checklists on our results, we are convinced that the implementation of a checklist document has less effect on patient safety than the way the team works with the document (e.g., briefing and crosscheck techniques inherent to CRM), especially because checklists were already in use at the department before the intervention.…”

An overview of quality and safety in health care

“…21 Reviewing cases to determine the cause of death is time-consuming but can contribute valuable information for improving the care of future patients. There is increasing evidence that teamwork and communication are key determinants of outcome, [23][24][25][26][27] so it is important to understand not only the contribution of factors related to surgery, anesthesia, and the patient but also the interaction of these factors. Thus, analysis is more likely to be productive if carried out by members of the entire perioperative team rather than by a single craft group.…”

“…45 The influence of improved teamwork and communication on the outcomes of surgery has been mentioned above. [23][24][25][26][27] A collaborative approach that is both interprofessional and patient-centred offers the best chance of success in providing patients with outcomes that are aligned with their own values rather than in those values that health professionals perceive to be important.…”

“…Les données probantes indiquant que le travail en équipe et la communication sont des composantes déterminantes du pronostic s'accumulent. [23][24][25][26][27] Par conséquent, il est important de comprendre non seulement le rôle des facteurs liés à la chirurgie, à l'anesthésie et au patient, mais aussi de l'interaction entre ces facteurs. C'est pourquoi, si l'analyse est réalisée par des membres de toute l'équipe périopératoire plutôt que par un seul groupe de métier, elle aura plus de chances d'être productive.…”

“…45 L'impact d'un meilleur travail d'équipe et d'une meilleure communication sur le pronostic de la chirurgie a été mentionné plus haut. [23][24][25][26][27] En adoptant une approche collaborative à la fois interprofessionnelle et centrée sur le patient, nous mettons toutes les chances de notre côté pour réussir à offrir aux patients des résultats compatibles avec leurs propres valeurs plutôt qu'avec les valeurs que les professionnels de la santé perçoivent comme importantes.…”