The incidence and nature of surgical adverse events in Colorado and Utah in 1992

Gawande, Atul A.; Thomas, Eric J.; Zinner, Michael J.; Brennan, Troyen A.

doi:10.1067/msy.1999.98664

Cited by 837 publications

(552 citation statements)

References 52 publications

(45 reference statements)

Supporting

Mentioning

490

Contrasting

Unclassified

Order By: Relevance

“…1 A Canadian audit revealed an incidence of 7.5 AEs per 100 hospital admissions, 2 which is concordant with other national AE rates. 1,[3][4][5] Nearly half of these occur in surgical patients, and 36%-51% of them are retrospectively judged to be preventable. Additionally, a substantial portion of these AEs are "never events," such as wrong site surgery and retained foreign objects.…”

mentioning

confidence: 99%

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

Dharampal

Cameron

Dixon

et al. 2016

cjs

View full text Add to dashboard Cite

Background: Following a landmark study showing decreased morbidity and mortality after implementation of the surgical safety checklist (SSC), it has been widely adopted into perioperative policy. We explored the impact of attitudes and beliefs surrounding the SSC on its uptake in Calgary. Methods:We used qualitative methodology to examine factors influencing SSC use. We performed semistructured interviews based on Rogers' theory of diffusion of innovation. Purposive and snowball sampling were used to identify surgeons, anesthesiologists and operating room nurses from hospitals in Calgary. Data collection and analysis were based on grounded theory. Two individuals jointly analyzed data and achieved consensus on emerging themes.Results: Generated themes included 1) the SSC has brought organization to previous informal perioperative checks, 2) the SSC is most helpful when it is simple, and 3) the 3 current components of the checklist are redundant. The briefing was considered the most important aspect and the debriefing the least important. Initially the SSC was difficult to implement owing to a shift in time management and perioperative culture; however, it has now assimilated into perioperative routine. Finally, though most participants agreed that the SSC might avoid some delays and complications, only a few believe there have been observable improvements to morbidity and mortality. Conclusion:Although the SSC has been integrated into perioperative practice in Calgary, participants believe that previous informal checkpoints were able to circumvent most perioperative issues. Although the SSC may help with flow and equipment, participants believe it fails to show a subjective, clinically important improvement.Contexte : Après une étude charnière ayant montré une baisse de la morbidité et de la mortalité après la mise en oeuvre de la liste de contrôle de la sécurité chirurgicale, cette dernière a été largement intégrée aux politiques périopératoires. Nous avons examiné l'effet des attitudes et des croyances entourant la liste sur son adoption à Calgary.Méthodes : À l'aide d'une méthode qualitative, nous nous sommes penchés sur les facteurs influençant l'utilisation de la liste. Pour ce faire, nous avons effectué des entrevues semi-dirigées fondées sur la théorie de la diffusion de l'innovation de Rogers. Nous avons utilisé l'échantillonnage dirigé et le sondage en boule de neige pour cibler des chirurgiens, des anesthésiologistes et des membres du personnel infirmier de salle d'opération des hôpitaux de Calgary. La collecte et l'analyse des données étaient fondées sur la théorie ancrée. Deux personnes ont analysé ensemble les données et se sont entendues sur les thèmes émergents.Résultats : Voici les principales conclusions dégagées : 1) la liste a permis de structurer les contrôles périopératoires non officiels du passé, 2) la liste est surtout utile quand elle est simple et 3) les 3 composantes actuelles de la liste de contrôle sont redondantes. Le breffage était considéré comme étant l'aspect le plus important e...

show abstract

mentioning

confidence: 99%

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

Dharampal

Cameron

Dixon

et al. 2016

cjs

View full text Add to dashboard Cite

show abstract

“…Previous estimates predict that as many as half of the deaths and complications following surgery in western countries are preventable. 1,2 Many of these injuries result from breakdowns in communication between team members. 3 Surgical care has plenty of room for improvement, and use of checklists should now be considered standard of care to help ensure adherence to safety steps known to prevent complications and limit errors that might contribute to patient harm 4 ( Fig.…”

Section: Résumémentioning

confidence: 99%

Review article: Perioperative checklist methodologies

Weiser

Berry

2012

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose Checklists are increasingly being used by surgical teams in the perioperative period to improve clinical care and increase patient safety. In this article, we review some of the mechanisms by which checklists work and evaluate evidence supporting their use. Principal findings There is a growing body of evidence showing the importance of team-based checklists in clinical care. In multiple complex clinical environments, from the operating room to the intensive care unit, checklists can help ensure adherence to known standards of care and improve communication amongst team members. In addition, the efficacy of checklists is being shown in both developed and developing settings. Conclusion Checklists can aid clinicians involved in complex processes and multidisciplinary team interactions to improve the quality and safety of care by prompting dialogue and exchange of information.

show abstract

“…Even in developed countries, 3-16% of hospitalized surgical patients develop major complications from their procedures, with permanent disability or death occurring in nearly 1%. 5,6 In resource-limited settings, these figures are likely to be considerably higher, and much of the increased risk is attributable to anesthesia. In modern practice, anesthesia related mortality rates are considered to be very low.…”

mentioning

confidence: 99%

“…En effet, et ce même dans les pays développés, 3 -16 % des patients chirurgicaux hospitalisés souffrent de complications majeures à la suite de l'intervention qu'ils ont subie, et presque 1 % de ces patients souffrent de handicap permanent ou décèdent de ces complications. 5,6 Dans les environnements où les ressources sont limitées, ces chiffres sont probablement considérablement plus élevés, et une grande partie de ces risques accrus est attribuable à l'anesthésie. Dans la pratique moderne, les taux de mortalité associés à l'anesthésie sont considérés très bas.…”

unclassified

The WFSA and patient safety in the perioperative setting

Enright

Merry

2008

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

The incidence and nature of surgical adverse events in Colorado and Utah in 1992

Cited by 837 publications

References 52 publications

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

Review article: Perioperative checklist methodologies

The WFSA and patient safety in the perioperative setting

Contact Info

Product

Resources

About