The World Health Organization  Surgical Safety Checklist

Sparkes, David; Rylah, Barnaby

doi:10.12968/hmed.2010.71.5.47908

Cited by 36 publications

(27 citation statements)

References 14 publications

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“…Facility-external measurements can be performed for instance by government offices, the medical service of health insurers (MDK), patients, network auditors, and subsequent facilities along the patient pathway. Checklists such as those commonly used in QM audits are recommended for all three measurements [15], [16], [17]. …”

Section: Resultsmentioning

confidence: 99%

Review of indicators for cross-sectoral optimization of nosocomial infection prophylaxis – a perspective from structurally- and process-oriented hygiene

Hübner

Fleßa²,

Jakisch³

et al. 2012

GMS Krankenhaushygiene Interdisziplinär; 7(1):Doc15; ISSN 1863-5245

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Section: Resultsmentioning

confidence: 99%

Review of indicators for cross-sectoral optimization of nosocomial infection prophylaxis – a perspective from structurally- and process-oriented hygiene

Hübner

Fleßa²,

Jakisch³

et al. 2012

GMS Krankenhaushygiene Interdisziplinär; 7(1):Doc15; ISSN 1863-5245

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“…70,406,551,552 Empirical research supports assertions that the WHOSSC (i) saves lives; [553][554][555][556][557] (ii) improves communication across the surgical team; 558 (iii) reduces the occurrence of wrong-site surgery; 63 (iv) promotes adherence to defined antibiotic protocols, thereby reducing the incidence of surgical-site infection; [559][560][561] and (v) fosters more efficient use of theatre time and resources, 556 while supporting appropriate staffing levels. 439 Despite such obvious benefits, operationalisation of the WHOSSC may be poor.…”

Section: Reducing Surgical Complicationsmentioning

confidence: 98%

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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“…Full compliance to checklists is often difficult to achieve and largely depends on many contextual factors. Compliance differs between hospitals and staff members and between specific sections and individual items of the checklist 5–7,15–19. Variation in compliance has been noted: Borchard et al7 summarized 15 studies evaluating checklist compliance and found that overall compliance rates ranged from 12% to 100%.…”

Section: Introductionmentioning

confidence: 99%

“…Other prospective studies based on administrative data have indicated that, while items were documented as being checked, clinical behaviors underlying those checks were not observed 18,20–22. While researchers have evaluated outcomes relative to checklist compliance,5–7,15–19 there are currently no studies in this field that have evaluated strategies that support its implementation. As the main intent of using SSCs is to improve interdisciplinary communication among members of the surgical team, the implementation process should be aligned with this objective.…”

Section: Introductionmentioning

confidence: 99%

Unlocking the “black box” of practice improvement strategies to implement surgical safety checklists: a process evaluation

Gillespie¹,

Hamilton²,

Ball³

et al. 2017

JMDH

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BackgroundCompliance with surgical safety checklists (SSCs) has been associated with improvements in clinical processes such as antibiotic use, correct site marking, and overall safety processes. Yet, proper execution has been difficult to achieve.ObjectivesThe objective of this study was to undertake a process evaluation of four knowledge translation (KT) strategies used to implement the Pass the Baton (PTB) intervention which was designed to improve utilization of the SSC.MethodsAs part of the process evaluation, a logic model was generated to explain which KT strategies worked well (or less well) in the operating rooms of a tertiary referral hospital in Queensland, Australia. The KT strategies implemented included change champions/opinion leaders, education, audit and feedback, and reminders. In evaluating the implementation of these strategies, this study considered context, intervention and underpinning assumptions, implementation, and mechanism of impact. Observational and interview data were collected to assess implementation of the KT strategies relative to fidelity, feasibility, and acceptability.ResultsFindings from 35 structured observations and 15 interviews with 96 intervention participants suggest that all of the KT strategies were consistently implemented. Of the 220 staff working in the department, that is, nurses, anesthetists, and surgeons, 160 (72.7%) knew about the PTB strategies. Qualitative analysis revealed that implementation was generally feasible and acceptable. A barrier to feasibility was physician engagement. An impediment to acceptability was participants’ skepticism about the ability of the KT strategies to effect behavioral change.ConclusionOverall, results of this evaluation suggest that success of implementation was moderate. Given the probable impact of contextual factors, that is, team culture and the characteristics of participants, the KT strategies may need modification prior to widespread implementation.

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The World Health Organization Surgical Safety Checklist

Abstract: The World Health Organization produced the Surgical Safety Checklist to improve patient safety. This review examines the supporting evidence, the results of a study of its worldwide trial and discusses the possible mechanisms of its effects.

Cited by 36 publications

References 14 publications

Review of indicators for cross-sectoral optimization of nosocomial infection prophylaxis – a perspective from structurally- and process-oriented hygiene

Review of indicators for cross-sectoral optimization of nosocomial infection prophylaxis – a perspective from structurally- and process-oriented hygiene

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

Unlocking the “black box” of practice improvement strategies to implement surgical safety checklists: a process evaluation

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The World Health Organization Surgical Safety Checklist

Abstract: The World Health Organization produced the Surgical Safety Checklist to improve patient safety. This review examines the supporting evidence, the results of a study of its worldwide trial and discusses the possible mechanisms of its effects.

Cited by 36 publications

References 14 publications

Review of indicators for cross-sectoral optimization of nosocomial infection prophylaxis – a perspective from structurally- and process-oriented hygiene

Review of indicators for cross-sectoral optimization of nosocomial infection prophylaxis – a perspective from structurally- and process-oriented hygiene

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

Unlocking the &ldquo;black box&rdquo; of practice improvement strategies to implement surgical safety checklists: a process evaluation

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Unlocking the “black box” of practice improvement strategies to implement surgical safety checklists: a process evaluation