Survey Analysis of an Ambulatory Surgical Checklist for Patient Use

Fernando, Rohesh J.; Shapiro, Fred E.; Urman, Richard D.

doi:10.1016/j.aorn.2015.07.013

Cited by 4 publications

(4 citation statements)

References 38 publications

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“…A research has reiterated the need of informing patients on these data, considering the current context of population aging and the presence of multiple morbidities. Therefore, addressing these items before discharge would contribute for the safety of patients, as they would have received information on the plans, and additional signs and symptoms to be observed, as well as on how and when they should seek professional help (17) .…”

Section: Discussionmentioning

confidence: 99%

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Safe surgeries: elaboration and validation of a checklist for outpatient surgical procedures

Porcari

Cavalari

Roscani

et al. 2020

Rev. Gaúcha Enferm.

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Purpose: To prepare and validate the content of a checklist in order to assure the safety for outpatient surgical procedures. Method: Methodological research, performed between May and December 2018, as per three stages: 1) preparation of the checklist; 2) validation of content by five judges; and 3) preliminary testing of the instrument. The concord, among the judges, was measured by the Content Validity Index and the values over 0.9 were considered as being satisfactory. Results: Initially the instrument was prepared having 58 items, considering the heading and six topics. In the first round, two topics and 27 items had an index below 0.9. After reformulations, in the second round, only two items had values below 0.9 and, in the third, all items reached an index of 1.0. Along the preliminary testing, modifications were realized. The final version it has 43 items, distributed as per five topics. Conclusion: The “Checklist for Safe Surgery regarding Ambulatory Surgical Procedures” was prepared and its contents were validated.

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Section: Discussionmentioning

confidence: 99%

“…This is in accordance to the needs of professionals who apply these instruments to practical settings, since these are often not thought in accordance to the dynamic of the services (5) . In addition, the layout of an instrument collaborates for its greater acceptability and usability (17) .…”

Section: Discussionmentioning

confidence: 99%

Safe surgeries: elaboration and validation of a checklist for outpatient surgical procedures

Porcari

Cavalari

Roscani

et al. 2020

Rev. Gaúcha Enferm.

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show abstract

“…Based on the findings of our study, specific suggestions to decrease risk in the ASC setting chiefly involve screening to ensure that patients are directed to appropriate facilities, practitioners conducting thorough preoperative assessments including those of dentition (implicated in 25.2% of ASC claims), and implementing system-wide checklist systems, for example, for peripheral nerve blocks or World Health Organization Surgical Safety Checklists in the operating room. 30,31 Patient assessments are important for determining the level of care and monitoring that the patient will need both intraoperatively and postoperatively, especially given that inadequate monitoring was implicated in 9% of ASC claims. Patients with cardiac or pulmonary comorbidities may require a higher level of monitoring because of their pre-existing medical conditions.…”

Section: Discussionmentioning

confidence: 99%

Leading Causes of Anesthesia-Related Liability Claims in Ambulatory Surgery Centers

Ranum¹,

Beverly

Shapiro³

et al. 2017

J Patient Saf

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Objective: We present a contemporary analysis of patient injury, allegations, and contributing factors of anesthesia-related closed claims, which involved cases that specifically occurred in free-standing ambulatory surgery centers (ASCs). Methods:We examined ASC-closed claims data between 2007 and 2014 from The Doctors Company, a medical malpractice insurer. Findings were coded using the Comprehensive Risk Intelligence Tool developed by CRICO Strategies. We compared coded data from ASC claims with hospital operating room (HOR) claims, in terms of injury severity category, nature of injury, nature of allegation, contributing factors identified, and contributing comorbidities and claim value.Results: Ambulatory surgery center claims were more likely to be classified as medium severity than HOR claims, more likely to involve dental damage or pain than HOR claims, but less likely to involve death or respiratory or cardiac arrest. Technical performance was the most common contributing factor: 47% of ASCs and 48% of HORs. Only 7% of allegations relating to technical performance were judged to be a direct result of poor technical performance. The most common anesthesia procedures resulting in ASC claims were injection of anesthesia into a peripheral nerve (34%) and intubation (29%). Obesity was the most common contributing comorbidity in both settings. Mean closed claim value was significantly lower for ASC than HOR claims, averaging US $87,888 versus $107,325.Conclusions: Analysis of ASC and HOR claims demonstrates significant differences and several common sources of liability. These include improving strategies for thorough screening, preoperative assessment and risk stratifying of patients, incorporating routine dental and airway assessment and documentation, diagnosing and treating perioperative pain adequately, and improving the efficacy of communication between patients and care providers.

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“…They asserted that physicians of all specialties, nurses, patients, patient advocates, and administrators could take an active role in checklist development and dissemination. A followup cross-sectional survey analysis revealed that that 94% of patients and 83% of providers thought the checklist would be beneficial for patients [46]. The analysis included potential barriers to checklist implementation reported by 37% of providers, which included fear of confusing the patient, making patients doubt the care they were receiving, taking too much time, and lack of resources [46].…”

Section: Patient Education Decision Aids and Shared Decision Makingmentioning

confidence: 99%

Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea

Osman

Shapiro

2019

Arch Plast Surg

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There has been an exponential increase in plastic surgery cases over the last 20 years, surging from 2.8 million to 17.5 million cases per year. Seventy-two percent of these cases are being performed in the office-based or ambulatory setting. There are certain advantages to performing aesthetic procedures in the office, but several widely publicized fatalities and malpractice claims has put the spotlight on patient safety and the lack of uniform regulation of office-based practices. While 33 states currently have legislation for office-based surgery and anesthesia, 17 states have no mandate to report patient deaths or adverse outcomes. The literature on office-base surgery and anesthesia has demonstrated significant improvements in patient safety over the last 20 years. In the following review of the proceedings from the PRS Korea 2018 meeting, we discuss several key concepts regarding safe anesthesia for officebased cosmetic surgery. These include the safe delivery of oxygen, appropriate local anesthetic usage and the avoidance of local anesthetic toxicity, the implementation of Enhanced Recovery after Surgery protocols, multimodal analgesic techniques with less reliance on narcotic pain medications, the use of surgical safety checklists, and incorporating “the patient” into the surgical decision-making process through decision aids.

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Survey Analysis of an Ambulatory Surgical Checklist for Patient Use

Cited by 4 publications

References 38 publications

Safe surgeries: elaboration and validation of a checklist for outpatient surgical procedures

Safe surgeries: elaboration and validation of a checklist for outpatient surgical procedures

Leading Causes of Anesthesia-Related Liability Claims in Ambulatory Surgery Centers

Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea

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