Quality improvement strategy to enhance compliance with the World Health Organization Surgical Safety Checklist in a large hospital: Quality improvement study

Röhsig, Vania; Maestri, Rúbia Natasha; Mutlaq, Mohamed Fayeq Parrini; Souza, Aline Brenner de; Seabra, Artur Pacheco; Farias, Eliane Reus; Lorenzini, Elisiane

doi:10.1016/j.amsu.2020.04.027

Cited by 14 publications

(26 citation statements)

References 22 publications

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“…The 24 studies included 17 quantitative studies in which researchers examined the effectiveness of interventions or approaches to enhance compliance with or successful implementation of the WHO SSC. 32,[34][35][36][37][40][41][42][43][44][45][46][47][48][49]51,53 In addition, researchers for four qualitative studies explored strategies or facilitators to enhance compliance with or implementation of the checklist; 31,33,38,50 the remaining three studies were of mixed-methods design. 39,52,54 The quantitative studies included…”

Section: Sample Characteristicsmentioning

confidence: 99%

“…With respect to intervention effectiveness, all of the quantitative study researchers examined the effect of an intervention on either compliance or successful implementation. 32,[34][35][36][37][40][41][42][43][44][45][46][47][48][49]51,53 We noted positive changes in compliance with some elements of the SSC process in all 17 quantitative studies [33][34][35][36][37][40][41][42][43][44][45][46][47][48][49]51,53 and three mixedmethods studies. 39,52,54 We noted several implementation and compliance improvements including…”

Section: Effectiveness Of Interventionsmentioning

confidence: 99%

“…• increased completion rate of SSC items, 34,36,37,46,48,49,51 • increased use of or attempt at using SSC, [43][44][45][52][53][54] • improved team communications, 41,46,48 • improved completion of team briefing, 40 and…”

Section: Effectiveness Of Interventionsmentioning

confidence: 99%

“…Researchers for seven quantitative 35,36,40,43,46,47,53 and the three mixed-methods 39,52,54 studies assessed the WHO SSC across all three phases (ie, sign in, time out, sign out). For the remaining quantitative studies, researchers assessed one 32,34,37,41,42,49,51 or two SSC phases. 44,45,48 During the 17 quantitative and three mixed-methods studies, researchers measured SSC compliance in different ways, including…”

Section: Measurement Of Who Ssc Compliancementioning

confidence: 99%

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A Systematic Review of Interventions Used to Enhance Implementation of and Compliance With the World Health Organization Surgical Safety Checklist in Adult Surgery

Liu¹,

Mehigan²

2021

AORN Journal

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The focus of this systematic review is to identify and synthesize the evidence for effectiveness of interventions to increase compliance with the World Health Organization Surgical Safety Checklist (SSC) for adult surgery. We searched a variety of databases and identified 24 peer‐reviewed articles of either a quantitative (n = 17), qualitative (n = 4), or mixed‐methods design (n = 3) published in English from January 1, 2008, to July 8, 2020. Interventions included modifying the ways of delivering the SSC, integrating or tailoring the SSC to local context or existing practice, promoting clinician awareness and engagement, and managing policies. Despite a lack of common outcome measures, all quantitative and mixed‐methods study results showed a significant positive effect on SSC compliance. A few researchers reported nonsignificant or negative changes in certain aspects with the interventions. Additional research is needed to address SSC compliance measures globally and outcomes in developing countries.

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Section: Sample Characteristicsmentioning

confidence: 99%

Section: Effectiveness Of Interventionsmentioning

confidence: 99%

Section: Effectiveness Of Interventionsmentioning

confidence: 99%

Section: Measurement Of Who Ssc Compliancementioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of Interventions Used to Enhance Implementation of and Compliance With the World Health Organization Surgical Safety Checklist in Adult Surgery

Liu¹,

Mehigan²

2021

AORN Journal

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“…We identified categories of SSC implementation that can be adapted to meet the individual organization’s needs 47 . Perioperative leaders and nurses should identify possible barriers and facilitators, select a theoretical framework, and analyze the safety culture before implementing the SSC 48 . Completing these initial steps provides an assessment of the perioperative environment relevant to process improvement and may help leaders identify and adapt tools for future implementation interventions as well as determine indicators of improvement for the evaluation phase.…”

Section: Discussionmentioning

confidence: 99%

A Scoping Review of Strategies Used to Implement the Surgical Safety Checklist

Ramírez-Torres¹,

Pedraz‐Marcos²,

Maciá-Soler³

et al. 2021

AORN Journal

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In 2007, the World Health Organization initiated the Surgical Safety Checklist (SSC) as part of an initiative to improve patient outcomes. After publication of the SSC, perioperative nurses identified challenges with implementing it and questioned its effectiveness. We desired to summarize the state of the science on the effectiveness of strategies that perioperative personnel have used to implement and assess the SSC; therefore, we conducted a scoping review. We searched several databases and identified 28 articles that described the three key stages of SSC implementation (ie, before, during, and after). Half of the identified articles addressed intervention strategies and most articles provided strategies for SSC implementation. The literature also indicated that effective implementation occurred when there was adequate planning. Perioperative leaders should work with nurses when implementing the SSC and monitor its use after implementation to verify compliance and help prevent negative patient outcomes.

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An evidence‐based general anaesthesia and prone position nursing checklist: Development and testing

Cai

Huang

2022

Nursing Open

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Aim Prone positioning during general anaesthesia is one of the most difficult practices for the perioperative nurse. Patients in this position are vulnerable to many preventable complications. However, no studies have developed an evidence‐based tool to improve nursing practice during general anaesthesia and prone positioning. This study aimed to develop and test a general anaesthesia and prone position nursing checklist for use by the circulating nurse. Design A prospective pre‐post study was performed between October 2020 and March 2021. Methods The WHO checklist development model and evidence‐based methods guided the checklist development process. We prospectively observed circulating nurses that attended to prone general anaesthesia during posterior lumbar spine surgery for 3 months before and after the introduction of the general anaesthesia and prone position nursing risk checklist. The main outcomes were successful delivery of essential prone positional nursing practices during each surgery and the nurse's opinion of the checklist's efficacy and utility. Results A general anaesthesia and prone position nursing checklist comprised of 4 pause points and 22 necessary nursing practices was developed. Seventy‐two nurses participated in this study. Use of the checklist significantly increased the average performance of essential practices during each surgery from 72.72%–95.45%. Three measures had a compliance rate of 100%. The delivery rate of 14 measures was significantly improved, 91.7% of nurses considered the checklist easy to use, and 94.4% nurses would want the checklist to be used if they underwent a prone position and general anaesthesia operation.

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Quality improvement strategy to enhance compliance with the World Health Organization Surgical Safety Checklist in a large hospital: Quality improvement study

Cited by 14 publications

References 22 publications

A Systematic Review of Interventions Used to Enhance Implementation of and Compliance With the World Health Organization Surgical Safety Checklist in Adult Surgery

A Systematic Review of Interventions Used to Enhance Implementation of and Compliance With the World Health Organization Surgical Safety Checklist in Adult Surgery

A Scoping Review of Strategies Used to Implement the Surgical Safety Checklist

An evidence‐based general anaesthesia and prone position nursing checklist: Development and testing

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