Cabral, Richard A; Eggenberger, Terry; Keller, Kathryn; Gallison, Barry S; Newman, David. AORN Journal: The Official Voice of Perioperative Nursing; Denver Том 104, Изд. 3, (Sep 2016): 206-216. DOI:10.1016/j.aorn.2016.06.019
Выберите один или несколько элементов.
Чтобы использовать цитирование, отправку по электронной почте, сохранение и экспорт, сначала выберите элементы результатов.
У вас может быть доступ к полной статье.
Попробуйте войти через свое учреждение и проверьте, есть ли у него доступ к полному тексту.
Web End = Use of a Surgical Safety Checklist to Improve Team Communication
RICHARD A. CABRAL, DNP, CRNA;
TERRY EGGENBERGER, PhD, RN, NEA-BC, CNE, CNL;
KATHRYN KELLER, PhD, RN, CNE;
BARRY S. GALLISON, DNP, MS, APRN-BC, NEA-BC, CPHQ, AHN-BC; DAVID NEWMAN, PhD
To improve surgical team communication, a team at Broward Health Imperial Point Hospital, Ft Lauderdale, Florida, implemented a program for process improvement using a locally adapted World Health Organization Surgical Safety Checklist. This program included a standardized, comprehensive time out and a brieng/debrieng process. Postimplementation responses to the Safety Attitudes Questionnaire revealed a signicant increase in the surgical teams perception of communication compared with that reported on the pretest (6% improvement resulting in t79 e1.72, P < .05, d 0.39).
Perceptions of communication increased signicantly for nurses (12% increase, P .002), although
the increase for surgeons and surgical technologists was lower (4% for surgeons, P .15 and 2.3%
for surgical technologists, P .06). As a result of this program, we have observed improved surgical
teamwork behaviors and an enhanced culture of safety in the OR. AORN J 104 (September 2016) 206-216. AORN, Inc, 2016. http://dx.doi.org/10.1016/j.aorn.2016.06.019
Key words: communication, teamwork, safety, WHO Surgical Safety Checklist.
Effective surgical team communication is vital to creating a reliable culture of safety in ORs. In 2000, the Institute of Medicine released its sentinel report,To Err is Human: Building a Safer Health System, showing alarming statistical data from two major studies by theAmerican Hospital Association.1 These studies revealed that at least 44,000 people, and perhaps as many as 98,000, die in hospitals each year as a result of medical errors that could have been prevented.1(p1) The Institute of Medicine afrmed high error rates are most prevalent in intensive care units, ORs, and emergency departments.1 Unfortunately, more than a decade later, these numbers may be even higherdbetween 210,000 and 440,000.2
Sentinel events continue to occur in the United States. The national incidence rate of wrong-patient, wrong-procedure, or wrong-site surgery is estimated to be as high as 50 per week.3The Emergency Care Research Institute extrapolated data from the Pennsylvania Patient Safety Authority in 2012 and estimated that the annual number of surgical res in theUnited States is approximately 200 to 240.4 The JointCommission recently reported that the most frequently.
