Improving Patient Safety in the Intra-operative MRI Suite Using an On-Duty Safety Nurse, Safety Manual and Checklist

Matsumae, Mitsunori; Nakajima, Yasuhiro; Morikawa, E; Nishiyama, Jun; Aoki, Hideki; Tominaga, Jiro; Tsugu, Atsushi; Kenmochi, Isao

doi:10.1007/978-3-211-99651-5_34

Cited by 11 publications

(23 citation statements)

References 11 publications

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“…Country of origin Overall, 11 out of 15 (69%) papers reporting neurosurgical checklists were from the USA (5-9,12,13,15-18). Three studies originated from Europe (Spain (11), Germany (14) and Finland (19) and 1 was from Asia (Japan) (10). These data clearly demonstrate that the problem of patient safety in neurosurgery is more real and important for colleagues from the USA, most probably due to the peculiarities of their health system and the traditionally higher level of medicolegal issues there.…”

Section: Neurosurgical Checklistsmentioning

confidence: 89%

“…Overall, 7 out of 15 neurosurgical checklists were reasonably designed and applied in general neurosurgery (8,10,11,(13)(14)(15)19), 3 were in vascular neurosurgery (9,17,18), 2 in stereotactic and functional neurosurgery (7,12), another 2 were in spinal neurosurgery (6,16) and 1 was regarding the placement of external ventricular drainage (5). Two of the general neurosurgery checklists were developed to guide and prevent errors in an intraoperative magnetic resonance imaging (MRI) suite (10,15).…”

Section: Area Of Neurosurgerymentioning

confidence: 99%

“…Two of the general neurosurgery checklists were developed to guide and prevent errors in an intraoperative magnetic resonance imaging (MRI) suite (10,15). These numbers clearly reflected the case distribution in the common neurosurgical practice.…”

Section: Area Of Neurosurgerymentioning

confidence: 99%

“…Most of the checklist studies include both elective and emergency cases (8 out of 15) (6,8,10,(13)(14)(15)(16)18). One checklist was applied in elective and voluntarily in emergency procedures (19).…”

Section: Type Of Neurosurgical Proceduresmentioning

confidence: 99%

“…The prevention of all types of wrong site surgery was almost ubiquitously one of the primary goals of the neurosurgical checklists (11/15) (6-8, [10][11][12][13][14][15]18,19). Three of the checklists (3/15) (9,16,17) did not include this item because of their highly specific and narrow areas and sites of action, in which incorrect site surgery did not exist as an option.…”

Section: Preventing Incorrect Site Surgerymentioning

confidence: 99%

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Checklists in Neurosurgery to Decrease Preventable Medical Errors: A Review

Enchev¹

2015

Balkan Med J

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Neurosurgery, although being one of the most high-tech surgical areas, is not reliably protected against preventable medical errors like all subtypes of incorrect surgery site, complications due to incorrect positioning of the patients for neurosurgical interventions and complications due to failure of the devices required for the specific procedure. In an attempt to increase patient safety and reduce the risk factors, checklists were introduced and implemented in this zero tolerance environment. Neurosurgical checklists represent both source and practical expression of a safety culture in neurosurgery.The primary objective of this review was to highlight the current state of the checklist application in neurosurgery as well as to outline its future trends concerning a reduction of preventable medical errors.Neurosurgery represents a zero tolerance environment for medical errors, especially preventable ones like all types of wrong site surgery, complications due to the incorrect positioning of patients for neurosurgical interventions and complications due to failure of the devices required for the specific procedure. Following the excellent and encouraging results of the safety checklists in intensive care medicine and in other surgical areas, the checklist was naturally introduced in neurosurgery. To date, the reported world experience with neurosurgical checklists is limited to 15 series with fewer than 20,000 cases in various neurosurgical areas. The purpose of this review was to study the reported neurosurgical checklists according to the following parameters: year of publication; country of origin; area of neurosurgery; type of neurosurgical procedureelective or emergency; person in charge of the checklist completion; participants involved in completion; whether they prevented incorrect site surgery; whether they prevented complications due to incorrect positioning of the patients for neurosurgical interventions; whether they prevented complications due to failure of the devices required for the specific procedure; their specific aims; educational preparation and training; the time needed for checklist completion; study duration and phases; number of cases included; barriers to implementation; efforts to implementation; team appreciation; and safety outcomes. Based on this analysis, it could be concluded that neurosurgical checklists represent an efficient, reliable, cost-effective and time-saving tool for increasing patient safety and elevating the neurosurgeons' self-confidence. Every neurosurgical department must develop its own neurosurgical checklist or adopt and modify an existing one according to its specific features and needs in an attempt to establish or develop its safety culture. The world, continental, regional and national neurosurgical societies could promote safety checklists and their benefits.

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Section: Neurosurgical Checklistsmentioning

confidence: 89%

Section: Area Of Neurosurgerymentioning

confidence: 99%

Section: Area Of Neurosurgerymentioning

confidence: 99%

Section: Type Of Neurosurgical Proceduresmentioning

confidence: 99%

Section: Preventing Incorrect Site Surgerymentioning

confidence: 99%

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Checklists in Neurosurgery to Decrease Preventable Medical Errors: A Review

Enchev¹

2015

Balkan Med J

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A Silk Cranial Fixation System for Neurosurgery

Liu

Shi

Zhang

et al. 2018

Adv Healthcare Materials

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Cranial fixation should be safe, reliable, ideally degradable, and produce no hazardous residues and no artifacts on neuroimaging. Protein-based fixation devices offer an exciting opportunity for this application. Here, the preclinical development and in vivo efficacy verification of a silk cranial fixation system in functional models are reported by addressing key challenges toward clinical use. A comprehensive study on this fixation system in rodent and canine animal models for up to 12 months is carried out. The silk fixation system shows a superb performance on the long-term stability of the internal structural support for cranial flap fixation and bone reconnection and has good magnetic resonance imaging compatibility, and tolerability to high dose radiotherapy, underscoring the favorable clinical application of this system for neurosurgery compared to the current gold standard.

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