What question did this study set out to answer?

To assess healthcare personnel attitudes and perceptions regarding a preoperative 'time out' checklist one year following its implementation in operating departments.

August 31, 2009Acta Anaesthesiologica Scandinavica

Implementing a pre‐operative checklist to increase patient safety: a 1‐year follow‐up of personnel attitudes

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Why the study?

Does a pre-operative checklist improve personnel attitudes toward patient safety in the operating room?

Population

331 operating department personnel out of 704 surveyed in two Swedish hospitals

Design

Cross-sectional

Follow-up

1 year post-implementation

Authors

LNLena NilssonLinköping University OLO. LindbergetVrinnevisjukhuset i Norrköping AGAnil GuptaKarolinska University Hospital

Discussion

Member takes

Implication

Staff perceive time-out checklists as safety-enhancing; leaves open whether attitudes improve objective outcomes.

Key Points

To assess healthcare personnel attitudes and perceptions regarding a preoperative 'time out' checklist one year following its implementation in operating departments.
Implemented a preoperative 'time out' protocol as a safety barrier across operating departments in two Swedish hospitals in December 2007.
Conducted a 1-year follow-up email questionnaire distributed to 704 operating personnel, including surgeons, anesthesiologists, operation nurses, anesthetic nurses, and nurse assistants (N=331 respondents; 47% response rate).
Overall, 93% of respondents reported that the 'time out' checklist contributes to increased patient safety, and 86% stated it provided an opportunity to identify and resolve problems.
Verification of patient identity, correct procedure, correct surgical site, and allergy/infection status were rated as 'very important' by 78% to 84% of respondents, with 72% to 99% agreeing with individual components of a post-surgery checklist.

Structured PICO

Does a pre-operative checklist improve personnel attitudes toward patient safety in the operating room?

Population

331 operating department personnel (surgeons, anesthesiologists, operation and anesthetic nurses, and nurse assistants) out of 704 surveyed in two Swedish hospitals

Intervention

Pre-operative checklist ('time out') implemented immediately before the start of the operative procedure

Outcome

Personnel attitudes to a pre-operative checklist ('time out')

Operating room staff reported highly positive attitudes toward a pre-operative surgical checklist one year after its implementation, perceiving it as contributing to increased patient safety.

Cite This Study

Nilsson et al. (2009) studied this question.

synapsesocial.com/papers/6a70aba8c1a24a6142db8dde https://doi.org/10.1111/j.1399-6576.2009.02109.x

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Implementing a pre‐operative checklist to increase patient safety: a 1‐year follow‐up of personnel attitudes

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Implementing a pre‐operative checklist to increase patient safety: a 1‐year follow‐up of personnel attitudes

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider