Impact of the Time-Out Process on Safety Attitude in a Tertiary Neurosurgical Department

McLaughlin, Nancy; Winograd, Deborah; Chung, Hyun-Kyung; Wiele, Barbara Van de; Martin, Neil A.

doi:10.1016/j.wneu.2013.07.074

Cited by 22 publications

(24 citation statements)

References 44 publications

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“…Nineteen studies (40.43%) were from the USA, nine studies (19.15%) were from the UK, seven (40.43%) from China, two (4.26%) from Denmark, Sweden, and Norway, respectively, and one study (2.13%) from Netherlands, Canada, Japan, Italy, and Switzerland, respectively. There were also one multinational study and the investigated population was from US, Canada, India, Jordan, New Zealand, Philippines, Tanzania, and UK …”

Section: Resultsmentioning

confidence: 99%

Use of patient safety culture instruments in operating rooms: A systematic literature review

Zhao

et al. 2017

J Evidence Based Medicine

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Section: Resultsmentioning

confidence: 99%

Use of patient safety culture instruments in operating rooms: A systematic literature review

Zhao

et al. 2017

J Evidence Based Medicine

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“…Ao avaliar a incidência de eventos adversos após a implementação sistemática do time out, um estudo realizado com procedimentos neurocirúrgicos demonstrou que nenhum erro ocorreu em um período de seis meses (18) . Achado similar foi encontrado em um estudo realizado em Los Angeles (EUA), ao incentivar o time out entre 98 membros da equipe cirúrgica, demonstrou que 97,8% sentiram-se seguros quanto à realização dos procedimentos cirúrgicos após o uso do instrumento (20) .…”

Section: Discussionunclassified

Índice Autorreferido Pela Equipe De Cirurgia Ortopédica Sobre O Protocolo E Checklist De Cirurgia Segura

Garcia¹,

Oliveira

2018

Cogitare Enferm.

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RESUMO: Objetivo: este estudo avaliou o índice autorreferido pela equipe de cirurgia ortopédica quanto ao protocolo de cirurgia segura e aplicação do checklist. Método: estudo descritivo em dois hospitais de Belo Horizonte -Minas Gerais, realizado entre junho e outubro de 2016 com 133 profissionais, médicos (preceptores/ residentes), enfermeiros e técnicos de enfermagem. Não foram incluídos profissionais sob licença médica, férias/ folga durante a pesquisa. Os dados foram analisados descritivamente, por medidas de tendência central e dispersão. Resultados: 83,3% (25)

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“…The checklist process favorably impacts team's safety attitude and perception as well overall safety climate in neurosurgical OR. 24 This and many such studies have amply mitigated the concerns of the surgeons or OR manager regarding compliance and increase in workload by adopting such protocols.…”

Section: Discussionmentioning

confidence: 99%

“…6,26,27 Procedure specifi c or technology tailored SSC have been designed incorporating specifi c steps of surgery to ensure safety of patient. 6,24,25 Successful implementation requires peri-operative stakeholders to understand the nature of errors, recognize the complex dynamic between systems and individuals, and create a just culture that encourages a shared vision of patient safety.…”

Section: 25mentioning

confidence: 99%

Modified surgical safety checklist (mSSC)- a must to avoid disaster in neurosurgical procedures!

Thapa

Shakya

et al. 2017

Nep J Neurosci

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The World Health Organization (WHO) introduced surgical safety checklist (SSC) as a part of Second Global Patient Safety Challenge: Safe Surgery Saves Lives to address the safety of surgical care. Althoughfound to be benefi cial for general surgical patient, we introduced certain modification to suit neurosurgical patients and hereby present our experience with the modified checklist.We introduced the modified SSC in July 2012 for neurosurgical purpose after we identified minor but common errors in carefully audited 100 patients in our operating theatre. Modification included checklists in pre procedure room, during sign in enquiring for pulse oximeter (for local anesthetic procedures) and lastly during sign out an elaborated list of items to guarantee safe transfer of the patients. Nurses and doctors were trained and SSC was methodically administered.Outcome as number of complications was evaluated and graded according to no harm, low harm, moderated harm, severe harm and death. During last 5 years (July 2012 to June 2017), 1310 patients undergoing surgical procedures in neurosurgical theatre at KMCTH were studied. Modified SSC was used in both routine (50.5%) and emergency cases (49.5%), of which compliance was 80% and 55% respectively. Poor compliance was due to ignorance of its use, emergency nature of procedure, change of staff. Completeness of mSSC was found in 70% cases with most left out part of mSSC was during signing out (i.e during transfer of patients). Use of mSSC identified many common but minor negligent acts on part of doctors, nurses and OR technicians which could be rectified in time and hence avoided any major mishaps. Age of the patients ranged from newborn to 98 year old. There were no major mishaps including death on table events. Despite confirming during mSSC checklist, machine failure occurred in 10 cases (0.8%) which were of low harm category. The total time taken for performing and filling the checklist took roughly 7 minutes.We modified WHO surgical safety checklist to include post operative transfer out to recovery room and used it in both routine and emergency procedures. This has helped us to avoid major mishaps during and after the neurosurgical procedures. We recommend stringent use of SSC in all neurosurgical centre and advise suitable local modifications according to prevailing conditions for special procedures or locations.Nepal Journal of Neuroscience, Volume 14, Number 3, 2017, page: 7-12

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Impact of the Time-Out Process on Safety Attitude in a Tertiary Neurosurgical Department

Cited by 22 publications

References 44 publications

Use of patient safety culture instruments in operating rooms: A systematic literature review

Use of patient safety culture instruments in operating rooms: A systematic literature review

Índice Autorreferido Pela Equipe De Cirurgia Ortopédica Sobre O Protocolo E Checklist De Cirurgia Segura

Modified surgical safety checklist (mSSC)- a must to avoid disaster in neurosurgical procedures!

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