What Is It about Checklists? Exploring Safe Work Practices in Surgical Teams

Høyland, Sindre; Aase, Karina; Hollund, Jan Gustav; Haugen, Arvid Steinar

doi:10.1201/9781315549774-8

Cited by 4 publications

(4 citation statements)

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“… 27 Survey of surgical checklists and analysis after their application show that their introduction reduces mortality and morbidity in surgery. 28 - 32 …”

Section: Introductionmentioning

confidence: 99%

“…27 Survey of surgical checklists and analysis after their application show that their introduction reduces mortality and morbidity in surgery. [28][29][30][31][32] The analysis of literature showed that there is a lot of research on operative approaches of surgeons, their expert knowledge and abilities (sensory-motor capabilities and situational awareness), their workload (mental and physical) and workload-caused vulnerability (musculoskeletal disorders and hand dexterity).…”

Section: Introductionmentioning

confidence: 99%

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The Selection of Main Surgical Work Factors in Operating Rooms

Grozdanovic

Janaćković

Grozdanović

et al. 2021

INQUIRY

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The main component of error minimization in operating rooms (ORs) is to maintain high reliability of surgical teams. The analysis of adverse events in the OR reveals deficiencies in cognitive and interpersonal skills as the main factors influencing surgeons’ errors. Therefore, research of these additional factors is necessary, besides factors related to surgeons’ clinical knowledge and technical skills. In this paper, the key factors for evaluating activities in surgical operating rooms are identified. Fuzzy analytic hierarchy process is used for identification of key factors. Fifteen key factors are identified for evaluating activities in surgical operating rooms to improve the efficiency of surgical operations. For each group of activities (surgical “capabilities,” operating room characteristics, and non-technical skills), five factors are identified. As the most important, the following factors are obtained: communication, indoor environment standardization, and tool handle design. The aim of the analysis of these key factors is surgeons’ work capability enhancement, rational design of operating rooms, and advancement of operators’ cognitive and interpersonal skills.

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“… 27 Survey of surgical checklists and analysis after their application show that their introduction reduces mortality and morbidity in surgery. 28 - 32 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Selection of Main Surgical Work Factors in Operating Rooms

Grozdanovic

Janaćković

Grozdanović

et al. 2021

INQUIRY

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show abstract

“…The number of procedures remained at an almost constant level for many years, varying depending on the industry, ranging from relatively strong regulations enforced in air transport, to the near absence of formal procedures in medicine [16]. The main regulator of all types of activities was the state, which itself was often the recipient of regulations; for instance, until the 1980s, the railway sectors in Western Europe were practically not separated from state structures [17].…”

Section: Introductionmentioning

confidence: 99%

How to Do It With Sticky Notes: A Method for Exploring Expert Knowledge to Prepare Guidelines for Practice in Railway Vehicle Maintenance

2021

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The process of describing human activities in procedures has been used since the beginning of the 20th century. However, it is increasingly evident that procedures understood as sets of orders and prohibitions can be counter-productive because they do not allow the proper use of employees' knowledge and experience. Therefore, it is postulated that guidelines for practice should be co-developed by employees from the 'sharp end' of the organization, but there are no simple methods that can achieve this aim. In the present work, we propose a procedure based on sticky notes, inspired by how information technology teams function. We present a description of the original sticky notes method (SNM) and demonstrate its application in the railway sector. As a result of the workshops conducted with the participation of experts, we gained knowledge about practices that were not included in the documentation, but that could significantly improve the process under research. The primary purpose of the SNM is to ensure the involvement of employees in the process of creating guidelines for practice. This method is particularly useful for describing linear processes in which activities can be arranged chronologically.

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“…Standardisation is often viewed as a purely objective, technical exercise, but this is a misconception 13. However, objective, rationalised, complete and internally consistent a set of standardised procedures might be, their development, interpretation and application are social processes, subject to the context, history, politics and goals of actors in the system 14. In addition, there are inevitably gaps between the imagined world of the procedures and the real world of work,15 and conflicts among competing goals; both must be recognised, negotiated and resolved in action by workers in a community of practice.…”

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confidence: 99%

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What Is It about Checklists? Exploring Safe Work Practices in Surgical Teams

Cited by 4 publications

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The Selection of Main Surgical Work Factors in Operating Rooms

The Selection of Main Surgical Work Factors in Operating Rooms

How to Do It With Sticky Notes: A Method for Exploring Expert Knowledge to Prepare Guidelines for Practice in Railway Vehicle Maintenance

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