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    Surgical checklists: the human factor.

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    Authors
    O Connor, Paul
    Reddin, Catriona
    O Sullivan, Michael
    O Duffy, Fergal
    Keogh, Ivan
    Issue Date
    2013-05-14
    
    Metadata
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    Citation
    Surgical checklists: the human factor. 2013, 7 (1):14 Patient Saf Surg
    Journal
    Patient safety in surgery
    URI
    http://hdl.handle.net/10147/293001
    DOI
    10.1186/1754-9493-7-14
    PubMed ID
    23672665
    Abstract
    BACKGROUND: Surgical checklists has been shown to improve patient safety and teamwork in the operating theatre. However, despite the known benefits of the use of checklists in surgery, in some cases the practical implementation has been found to be less than universal. A questionnaire methodology was used to quantitatively evaluate the attitudes of theatre staff towards a modified version of the World Health Organisation (WHO) surgical checklist with relation to: beliefs about levels of compliance and support, impact on patient safety and teamwork, and barriers to the use of the checklist. METHODS: Using the theory of planned behaviour as a framework, 14 semi-structured interviews were conducted with theatre personnel regarding their attitudes towards, and levels of compliance with, a checklist. Based upon the interviews, a 27-item questionnaire was developed and distribute to all theatre personnel in an Irish hospital. RESULTS: Responses were obtained from 107 theatre staff (42.6% response rate). Particularly for nurses, the overall attitudes towards the effect of the checklist on safety and teamworking were positive. However, there was a lack of rigour with which the checklist was being applied. Nurses were significantly more sensitive to the barriers to the use of the checklist than anaesthetists or surgeons. Moreover, anaesthetists were not as positively disposed to the surgical checklist as surgeons and nurse. This finding was attributed to the tendency for the checklist to be completed during a period of high workload for the anaesthetists, resulting in a lack of engagement with the process. CONCLUSION: In order to improve the rigour with which the surgical checklist is applied, there is a need for: the involvement of all members of the theatre team in the checklist process, demonstrated support for the checklist from senior personnel, on-going education and training, and barriers to the implementation of the checklist to be addressed.
    Item Type
    Article
    Language
    en
    ISSN
    1754-9493
    ae974a485f413a2113503eed53cd6c53
    10.1186/1754-9493-7-14
    Scopus Count
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    Journal articles & published research

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