Key result
Implementation of a pre-procedural multidisciplinary checklist and physician-led time-out resulted in zero wrong-site events or near misses across 5,017 interventional spine procedures.
Why the study?
Medical errors can have devastating consequences, making it crucial to prevent sentinel and wrong-side events to ensure patient safety in interventional pain procedures.
Does a pre-procedural multidisciplinary checklist and physician-led time-out prevent wrong-site events and near misses in interventional spine procedures?
Case Report (n=5,017)
Yes
Does a pre-procedural multidisciplinary checklist and physician-led time-out prevent wrong-site events and near misses in interventional spine procedures?
The implementation of a multidisciplinary preoperative checklist and physician-led time-out effectively prevented wrong-site events and near misses in a high-volume interventional pain practice.
Supports multidisciplinary checklists in interventional pain procedures; leaves open impact on sentinel events without higher-level evidence.
Medical errors can have devastating consequences for patients. Therefore, it is crucial to prevent sentinel and wrong-side events in order to ensure patient safety. One effective tool for achieving this goal is the World Health Organization (WHO) Surgical Safety Checklist, which can be used in conjunction with a pre-procedural, multidisciplinary checklist and physician-led time-out. In a QI project that focused on interventional pain procedures, a pre-procedural, multidisciplinary checklist and physician-led time-out were implemented. Over a period of 30 months and 5,017 procedures, no near misses or incidents were recorded. These preliminary results suggest that the use of multi-disciplinary checklists and attending-led time outs can significantly improve patient safety in interventional pain procedures.
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Akhil Chhatre (2023) conducted a case report in Interventional spine procedures (n=5,017). Preoperative Safety Checklist Protocol (ASK protocol) vs. Historical practice was evaluated on Wrong-site events or near misses. Implementation of a pre-procedural multidisciplinary checklist and physician-led time-out resulted in zero wrong-site events or near misses across 5,017 interventional spine procedures.
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