Patientensicherheit in der Orthopädie: Implementierung und erste Erfahrungen mit CIRS und Team Time-out

Wingenfeld, Carsten; Abbara-Czardybon, Mona; Arbab, Dariusch; Frank, Daniel

doi:10.1055/s-0029-1240661

Cited by 7 publications

(4 citation statements)

References 9 publications

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“…Outcome verbessernde, strukturierte Algorithmen wie das "Team-Time-Out", bei dem patienten-und eingriffsspezifische Details vor Hautschnitt von allen beteiligten Disziplinen besprochen und abgestimmt werden, sollten eingesetzt und, wie im Leitthemenbeitrag dargestellt, erweitert werden [17]. Dies schließt die als "sign in" bezeichnete Bearbeitung einer Checkliste vor Einschleusung des Patienten ebenso ein wie ein postoperatives "sign out", in dem in Abhängigkeit von intraoperativen Aspekten wie Operationsdauer, Blutverlust, Katecholaminbedarf oder respiratorischer Kompromittierung über die weitere Therapie und Notwendigkeit einer Intensivstationsaufnahme im Team entschieden wird.…”

Section: Ist Die Wahl Des Anästhesieverfahrens Für Das Outcome Relevant?unclassified

Perioperatives Management

Schäfer

2016

Anaesthesist

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Section: Ist Die Wahl Des Anästhesieverfahrens Für Das Outcome Relevant?unclassified

Perioperatives Management

Schäfer

2016

Anaesthesist

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“…Similarly, one year after the introduction of a checklist in a German hospital, there was a noted improvement in interdisciplinary team building, additionally staff felt an increased sense of responsibility. ( 17 )…”

Section: Lessons and Limitationsmentioning

confidence: 99%

Improving the preoperative care of patients with femoral neck fractures through the development and implementation of a checklist

Agha

Edison

Fowler

2014

BMJ Qual Improv Report

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The incidence of femoral neck fractures (FNFs) is expected to rise with life expectancy. It is important to improve the safety of these patients whilst under the care of orthopaedic teams.This study aimed to increase the performance of vital preoperative tasks in patients admitted for femoral neck fracture operations by producing and implementing a checklist as an aide memoir. The checklist was designed primarily for use by senior house officers (SHOs) admitting patients from the emergency department.A list of 12 preoperative tasks was identified. A baseline audit of 10 random patients showed that the mean proportion of the 12 tasks completed was 53% (range 25% - 83%). A survey of 14 nurses and surgeons found that the majority of respondents agreed that there was a problem with the performance of most of the tasks. The tasks were incorporated into a checklist which was refined in three plan-do-study-act cycles and introduced into the femoral neck fracture pathway.In the week following the introduction of the checklist, 77% of the checklist tasks were completed, 24% more than at the baseline audit (53%). In week 3, the completion of checklist tasks rose to 88% and to 95% in week 4.In conclusion, a simple checklist can markedly improve the performance and recording of preoperative tasks by SHOs. We recommend the wider adoption of the new checklist to be produced as a sticker for patients’ medical records. Further study is required to ascertain the effect of the checklist on clinical outcomes.

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“…Learning from errors and near misses is crucial for patient safety and over the last several years many European countries including Switzerland have invested in patient safety measures, methods and instruments. For example, Critical Incident Reporting Systems (CIRS) have been implemented in healthcare systems [40][41][42][43]. However, for the benefits of such well-meant systems to be realized, healthcare professionals must be willing to report and share errors [44], which is known to be problematic.…”

Section: Items Of the Sos [33] Mean (95% Ci) ± Sd Median (Iqr)mentioning

confidence: 99%

Nurse-reported patient safety climate in Swiss hospitals - a descriptive-explorative substudy of the Swiss RN4CAST study

Ausserhofer¹,

Schubert²,

Engberg³

et al. 2012

Swiss Med Wkly

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The findings of this study suggest a need to improve the patient safety climate on many units in Swiss hospitals. Leaders in hospitals should strengthen the patient safety climate at unit level by implementing methods, such as root cause analysis or patient safety leadership walk rounds, to improve individual and team skills and redesign work processes. The impact of these efforts should be measured by periodically assessing the patient safety climate with the SOS.

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Patientensicherheit in der Orthopädie: Implementierung und erste Erfahrungen mit CIRS und Team Time-out

Abstract: SSC and reporting near mistakes enables a comprehensive failure analysis helping to avoid future complications and improve medical quality.

Cited by 7 publications

References 9 publications

Perioperatives Management

Perioperatives Management

Improving the preoperative care of patients with femoral neck fractures through the development and implementation of a checklist

Nurse-reported patient safety climate in Swiss hospitals - a descriptive-explorative substudy of the Swiss RN4CAST study

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