Key result
Implementation of an extended surgical safety time-out checklist in a neurosurgery department achieved 100% compliance with SCIP measures, and 98.9% of surveyed team members believed it improved patient safety.
Implementation of an extended surgical time-out checklist in neurosurgery improved compliance with safety measures and was highly valued by the surgical team.
May support checklist use in neurosurgery; leaves open effects on clinical outcomes.
Since the development of the WHO Safe Surgery Saves Lives initiative and Surgical Safety Checklist, numerous hospitals across the globe have adopted the use of a surgical checklist. The UCLA Health System developed its first extended Surgical Safety Checklist in 2008. Authors of the present paper describe how the time-out checklist used before skin incision was implemented and how it progressed to its current form. Compliance with the most recent version of the checklist has been closely monitored via documentation and observance audits. In addition, the surgical team's appreciation of the current time-out has been assessed. Cultural, practice, and human resource challenges are discussed, as are potential future avenues for innovations in the emerging field of the surgical checklist in neurosurgery.
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McLaughlin et al. (2012) studied Surgical safety in neurosurgery (n=93). Extended Surgical Safety Time-Out checklist vs. Standard care (pre-implementation) was evaluated on Belief that performing a time-out prior to procedure start improves patient safety. Implementation of an extended surgical safety time-out checklist in a neurosurgery department achieved 100% compliance with SCIP measures, and 98.9% of surveyed team members believed it improved patient safety.
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