Proposal for a ‘surgical checklist’ for ambulatory oral surgery

Pérez, Bernardo Perea; Santiago‐Sáez, Andrés; García-Marín, Fernando; Labajo-González, Elena

doi:10.1016/j.ijom.2011.04.004

Cited by 32 publications

(21 citation statements)

References 11 publications

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“…A proposal for a checklist for ambulatory oral surgery has recently been published [7]. It has before-and after-surgery sections and is proposed for operations under local anaesthesia by a small OR team without an anaesthesiologist.…”

Section: Discussionmentioning

confidence: 99%

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WHO Surgical Safety Checklist in otorhinolaryngology-head and neck surgery: specialty-related aspects of check items

Helmiö

Takala²,

Aaltonen

et al. 2012

Acta Oto-Laryngologica

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In all, 101 responses were received from OR staff; the response rate was 95.3%. The users were mainly satisfied with the checklist's content for ORL-HNS operations. Mean scores of the importance of check items varied from 4.08 to 4.89 on a five-point scale. The item 'Allergy' had the highest score and 'Team members introduced' the lowest. A need to modify the checklist for in-hospital patients did not emerge. However, a more compact checklist for outpatient surgery carried out under local anaesthesia was suggested.

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Section: Discussionmentioning

confidence: 99%

“…However, the checklist should be customized to meet the needs of different surgical specialities [4,5], and thus, ensure optimal safety. Reports on developing the checklist for different working environments have recently been published [6,7].…”

Section: Introductionmentioning

confidence: 99%

WHO Surgical Safety Checklist in otorhinolaryngology-head and neck surgery: specialty-related aspects of check items

Helmiö

Takala²,

Aaltonen

et al. 2012

Acta Oto-Laryngologica

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“…In the same way that the document which presents the Surgical Checklist places an emphasis on the need for adaptation to diverse circumstances, habits and specializations in surgical activity, we believe that the principles formulated by the “World Alliance for Patient Safety” for completing and applying the Checklist may also be applied to dental treatments (13). It is from this perspective that we deal with its adaptation to the field of endodontics.…”

Section: Introductionmentioning

confidence: 99%

Proposal of a Checklist for endodontic treatment

et al. 2014

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Objectives: On the basis of the “Surgical Checklist” proposed by the WHO, we propose a new Checklist model adapted to the procedures of endodontic treatment. Study Design: The proposed document contains 21 items which are broken down into two groups: those which must be verified before beginning the treatment, and those which must be verified after completing it, but before the patient leaves the dentist’s office. Results: The Checklist is an easy-to-use tool that requires little time but provides, order, logic and systematization by taking into account certain basic concepts to increase patient safety. Discussion: We believe that the result is a Checklist that is easy to complete and which ensure the fulfillment of the key points on patient safety in the field of endodontics. Key words:Checklist, endodontics, patient safety, adverse event.

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“…531 It is, therefore, acknowledged that to foster engagement and enhance compliance, 532 each theatre team must adapt the WHOSSC to their needs and routine operative workflow and to address many different types of surgery. [533][534][535][536][537][538][539][540][541][542][543][544][545] With increasing acceptance of the WHOSSC, 546 aligned approaches have been adapted to address broader surgical issues and hazards. [547][548][549][550] There have also been more subtle changes such as the adjustment of the timing of questions likely to cause anxiety to patients.…”

Section: World Health Organization Surgical Safety Checklistmentioning

confidence: 99%

A realist analysis of hospital patient safety in Wales: applied learning for alternative contexts from a multisite case study

Herepath

Kitchener

Waring

2015

Health Serv Deliv Res

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BackgroundHospital patient safety is a major social problem. In the UK, policy responses focus on the introduction of improvement programmes that seek to implement evidence-based clinical practices using the Model for Improvement, Plan-Do-Study-Act cycle. Empirical evidence that the outcomes of such programmes vary across hospitals demonstrates that the context of their implementation matters. However, the relationships between features of context and the implementation of safety programmes are both undertheorised and poorly understood in empirical terms.ObjectivesThis study is designed to address gaps in conceptual, methodological and empirical knowledge about the influence of context on the local implementation of patient safety programmes.DesignWe used concepts from critical realism and institutional analysis to conduct a qualitative comparative-intensive case study involving 21 hospitals across all seven Welsh health boards. We focused on the local implementation of three focal interventions from the 1000 Lives+patient safety programme: Improving Leadership for Quality Improvement, Reducing Surgical Complications and Reducing Health-care Associated Infection. Our main sources of data were 160 semistructured interviews, observation and 1700 health policy and organisational documents. These data were analysed using the realist approaches of abstraction, abduction and retroduction.SettingWelsh Government and NHS Wales.ParticipantsInterviews were conducted with 160 participants including government policy leads, health managers and professionals, partner agencies with strategic oversight of patient safety, advocacy groups and academics with expertise in patient safety.Main outcome measuresIdentification of the contextual factors pertinent to the local implementation of the 1000 Lives+patient safety programme in Welsh NHS hospitals.ResultsAn innovative conceptual framework harnessing realist social theory and institutional theory was produced to address challenges identified within previous applications of realist inquiry in patient safety research. This involved the development and use of an explanatory intervention–context–mechanism–agency–outcome (I-CMAO) configuration to illustrate the processes behind implementation of a change programme. Our findings, illustrated by multiple nested I-CMAO configurations, show how local implementation of patient safety interventions are impacted and modified by particular aspects of context: specifically, isomorphism, by which an intervention becomes adapted to the environment in which it is implemented; institutional logics, the beliefs and values underpinning the intervention and its source, and their perceived legitimacy among different groups of health-care professionals; and the relational structure and power dynamics of the functional group, that is, those tasked with implementing the initiative. This dynamic interplay shapes and guides actions leading to the normalisation or the rejection of the patient safety programme.ConclusionsHeightened awareness of the influence of context on the local implementation of patient safety programmes is required to inform the design of such interventions and to ensure their effective implementation and operationalisation in the day-to-day practice of health-care teams. Future work is required to elaborate our conceptual model and findings in similar settings where different interventions are introduced, and in different settings where similar innovations are implemented.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Proposal for a ‘surgical checklist’ for ambulatory oral surgery

Cited by 32 publications

References 11 publications

WHO Surgical Safety Checklist in otorhinolaryngology-head and neck surgery: specialty-related aspects of check items

WHO Surgical Safety Checklist in otorhinolaryngology-head and neck surgery: specialty-related aspects of check items

Proposal of a Checklist for endodontic treatment

A realist analysis of hospital patient safety in Wales: applied learning for alternative contexts from a multisite case study

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