The surgical safety checklist survey: a national perspective on patient safety

Nugent, Emmeline; Hseino, Hazem; Ryan, Kelsey; Traynor, Oscar; Neary, Paul; Keane, F. B. V.

doi:10.1007/s11845-012-0851-4

Cited by 32 publications

(48 citation statements)

References 21 publications

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“…Stepaniak; Vrijland; Quelerij; Vries; Heij (9) Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time 2010 A2 Sedlack (10) Document The utilization of six sigma and statistical process control techniques in surgical quality improvement. (20) The surgical safety checklist survey: A national perspective on patient safety 2013 C4 Donmez; Ozbayir (21) Validity and reliability of the 'good perioperative nursing care scale' for Turkish patients and nurses 2011 DISCUSSÃO Apesar da contribuição de diversos autores, o modelo de avaliação da qualidade de prestação de cuidados de saúde, usado actualmente, é o modelo de Donabedian, proposto pela OMS (5) . Donabedian, considerado o grande mestre da qualidade em saúde (22) , desenvolveu um modelo de avaliação da qualidade que se tornou o padrão no domínio dos serviços de saúde (23) .…”

Section: Resultsunclassified

“…Também podem ser considerados como resultados as mudanças relacionadas com conhecimentos e comportamentos, bem como a satisfação do cliente/família e profissionais. Alguns destes indicadores são apresentados nos artigos analisados (18)(19)(20)(21) .…”

Section: Avaliação Do Resultadounclassified

“…Estes autores concluem que a "checklist"não foi implementada em todos os blocos operatórios na Irlanda (20) . Nos locais em que foi aplicado percepciona-se uma mudança positiva de cultura de segurança.…”

Section: Avaliação Do Resultadounclassified

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Instrumentos Para Avaliar a Qualidade E Segurança No Bloco Operatório - Revisão Integrativa

Gomes

Martins

Fernandes³

2016

Cogitare Enferm.

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RESUMO: Este estudo teve como objectivo identificar os instrumentos existentes para avaliar a qualidade no bloco operatório. Realizou-se uma revisão integrativa da literatura no período entre 2010 e 2015 com o recurso a motores de busca específicos. Após a análise segundo os critérios de inclusão estabelecidos, foram seleccionados 13 artigos. A análise da evidência científica obtida permitiu organizar os resultados em três áreas temáticas: avaliação da estrutura, avaliação do processo e avaliação do resultado. Os instrumentos analisados são mais frequentes no âmbito do processo e associados à cultura de segurança do doente. INSTRUMENTS TO EVALUATE QUALITY AND SAFETY IN THE SURGICAL CENTER -AN INTEGRATIVE REVIEWABSTRACT: This study aimed to identify the instruments in existence for evaluating quality in the surgical center. An integrative review was undertaken of the literature in the period 2010 -2015 through the use of specific search engines. Following analysis in accordance with the inclusion criteria established, 13 articles were selected. The analysis of the scientific evidence obtained made it possible to organize the results in three thematic areas: evaluation of the structure, evaluation of the process, and evaluation of the result. The instruments analyzed are more frequent in the ambit of the process and associated with the patient safety culture. The results reveal the need for further development at this level specifically through the construction and validation of instruments which are more broad-ranging, integrating the different components of the assessment of quality. DESCRIPTORS: Surgical center; Instruments; Quality of health care. El estudio tuvo como finalidad identificar los instrumentos disponibles para evaluar la cualidad en el bloque operatorio. Se realizó una revisión integrativa de la literatura en el periodo entre 2010 y 2015 con el recurso de los motores de búsqueda específicos. Después del análisis de acuerdo con criterios de inclusión establecidos, fueron seleccionados 13 artículos. El análisis de la evidencia científica obtenida posibilitó organizar los resultados en tres áreas temáticas: evaluación de la estructura, evaluación del proceso y evaluación del resultado. Los instrumentos analizados son más frecuentes en el ámbito del proceso y asociados a la cultura de seguridad del enfermo. Los resultados apuntan la necesidad de más desarrollo en este nivel, específicamente por medio de la construcción y validación de instrumentos de acción más amplia, integrando los distintos componentes de evaluación de la cualidad. DESCRIPTORES: Bloque operatorio; Instrumentos; Cualidad los cuidados.

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Section: Resultsunclassified

Section: Avaliação Do Resultadounclassified

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Instrumentos Para Avaliar a Qualidade E Segurança No Bloco Operatório - Revisão Integrativa

Gomes

Martins

Fernandes³

2016

Cogitare Enferm.

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“…123,566 In addition, pressure of time may lead to surgical procedures being started before the checklist is completed. [567][568][569] Failure to complete sign out is another common deviation. 122 Poor engagement by anaesthetists, 71 surgeons 570 and nursing staff due to resistance and gaps in knowledge has also been reported.…”

Section: Reducing Surgical Complicationsmentioning

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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“…A comunicação é considerada elemento imprescindível para o desempenho de uma equipe. (FRAGATA, 2010;OSVALD et al,2012 ;NUGENT et al, 2013).…”

Section: Características Demográficas E Profissionais Dos Profissionaunclassified

Lista de verificação de segurança cirúrgica da Organização Mundial de Saúde : aplicabilidade em transplante renal de doador falecido

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The surgical safety checklist survey: a national perspective on patient safety

Cited by 32 publications

References 21 publications

Instrumentos Para Avaliar a Qualidade E Segurança No Bloco Operatório - Revisão Integrativa

Instrumentos Para Avaliar a Qualidade E Segurança No Bloco Operatório - Revisão Integrativa

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

Lista de verificação de segurança cirúrgica da Organização Mundial de Saúde : aplicabilidade em transplante renal de doador falecido

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