WHO Surgical Checklist in Dermatology: Compliance, Barriers, and Attitudes

Tian, Tina; Bray, Adam; Bogucki, Pawel; Myers, L. M.; Berker, David de

doi:10.1097/dss.0000000000001922

Cited by 3 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 The factors influencing the success of, and barriers faced following, implementation are multifactorial. 20 For example, lack of time, 21 education or training delivery 21,22 and crucially, human behaviour factors. 23 Thus, the attitudes of veterinary professionals (VPs) towards SSCs will be a key determinant that influences frequency and manner of use, and consequently, SSC introduction success.…”

Section: Introductionmentioning

confidence: 99%

Surgical safety checklists in UK veterinary practice: Current implementation and attitudes towards their use

2023

View full text Add to dashboard Cite

Background: Surgical safety checklist (SSC) use benefits veterinary patients, but endorsement and implementation are essential for these benefits to be observed. Methods: A cross-sectional survey assessed UK veterinary professionals' attitudes towards and usage of SSCs and identified factors associated with poorer attitude or failure to use SSCs. Results: Of 513 respondents, 70% used SSCs. Of these, 87.1% used SSCs for every surgical procedure, 19.1% adapted SSCs for different procedures and 61.1% had a standard operating procedure detailing how to use SSCs. Attitudes towards SSC use were favourable, with increased positive attitude associated with employing at least one registered veterinary nurse with a post-qualifying qualification (p < 0.001), current SSC use (p < 0.001), undertaking self-directed reading (p = 0.033) or completing SSC-relevant post-qualification continuing professional development (p = 0.005). Factors associated with veterinary practices not using SSCs included Practice Standards Scheme (PSS) non-membership (odds ratio [OR] 2.0, 1.1-3.4), no RCVS hospital status (OR 1.9, 1.1-3.5) or being a mixed first-opinion veterinary practice (OR 2.4, 1.2-5.0). Limitations: Study limitations include sampling methodology and nonvalidated attitudinal scale usage. Conclusion: Most respondents used SSCs. Familiarity, education and the RCVS PSS were associated with improved uptake and attitudes, but mixed practice was associated with reduced usage.

show abstract

Section: Introductionmentioning

confidence: 99%

Surgical safety checklists in UK veterinary practice: Current implementation and attitudes towards their use

2023

View full text Add to dashboard Cite

show abstract

“…Tian, et al . [ 16 ] stated that even these safety checks were performed, 24% of the checklist items may still be missed. Aveling, et al [ 17 ] observed that although medical staff could realize or appreciate the value of this checklist, they also felt puzzled or dissatisfied with its implementation, which related to conflicts between their philosophical background, local culture, medical education conditions, and social/economic factors.…”

Section: Introductionmentioning

confidence: 99%

The surgical safety checklist: a quantitative study on attitudes and barriers among gynecological surgery teams

Gong

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background Implementation of the surgical safety checklist (SSC) plays a significant role in improving surgical patient safety, but levels of compliance to a SSC implementation by surgical team members vary significantly. We aimed to investigate the factors affecting satisfaction levels of gynecologists, anesthesiologists, and operating room registered nurses (OR-RNs) with SSC implementation. Methods We conducted a survey based on 267 questionnaires completed by 85 gynecologists from 14 gynecological surgery teams, 86 anesthesiologists, and 96 OR-RNs at a hospital in China from March 3 to March 16, 2020. The self-reported questionnaire was used to collect respondent’s demographic information, levels of satisfaction with overall implementation of the SSC and its implementation in each of the three phases of a surgery, namely sign-in, time-out, and sign-out, and reasons for not giving a satisfaction score of 10 to its implementation in all phases. Results The subjective ratings regarding the overall implementation of the SSC between the surgical team members were different significantly. “Too many operations to check” was the primary factor causing gynecologists and anesthesiologists not to assign a score of 10 to sign-in implementation. The OR-RNs gave the lowest score to time-out implementation and 82 (85.42%) did not assign a score of 10 to it. “Surgeon is eager to start for surgery” was recognized as a major factor ranking first by OR-RNs and ranking second by anesthesiologists, and 57 (69.51%) OR-RNs chose “Too many operations to check” as the reason for not giving a score of 10 to time-out implementation. “No one initiates” and “Surgeon is not present for ‘sign out’” were commonly cited as the reasons for not assigning a score of 10 to sign-out implementation. Conclusion Factors affecting satisfaction with SSC implementation were various. These factors might be essentially related to heavy workloads and lack of ability about SSC implementation. It is advisable to reduce surgical team members’ excessive workloads and enhance their understanding of importance of SSC implementation, thereby improving surgical team members’ satisfaction with SSC implementation and facilitating compliance of SSC completion.

show abstract

The checklist saves the day!

Barve

2021

Int J Dermatology

View full text Add to dashboard Cite

of the BRAF gene. 2 This mutation resulted in substitution of the valine (V) at position 600 by an aspartic acid (D) and the deletion of the lysine (K) at position 601. As glutamic acid (E) and aspartic acid (D) have similar biochemical properties, we hypothesized that our patient would also experience efficacy from BRAFi/MEKi. 2 Although we cannot exclude that the tumoral shrinkage could have been a delayed response to immunotherapy, first progression of lymph nodes occurred after 9 months of immunotherapy and was confirmed at 12 months, whereas BRAFi/MEKi allowed rapid decrease in these refractory targets.To note, this patient experimented several toxicities from BRAFi/ MEKi (hepatitis, serous chorioretinopathy), although we cannot conclude whether the underlying rare mutation would have contributed to such toxicity.To conclude, BRAFi/MEKi are likely to exert antitumoral effects on melanoma carrying the orphan p.V600_K601delinsE mutation. Our experience suggests that safety should be carefully monitored in this setting.

show abstract

WHO Surgical Checklist in Dermatology: Compliance, Barriers, and Attitudes

Cited by 3 publications

References 18 publications

Surgical safety checklists in UK veterinary practice: Current implementation and attitudes towards their use

Surgical safety checklists in UK veterinary practice: Current implementation and attitudes towards their use

The surgical safety checklist: a quantitative study on attitudes and barriers among gynecological surgery teams

The checklist saves the day!

Contact Info

Product

Resources

About