Open AccessObjective Assessment of Checklist Fidelity Using Digital Audio Recording and a Standardized Scoring System Audit
Author(s) -
Douglas Salgado,
Kimberly Barber,
M Danic
Publication year - 2016
Publication title -
journal of patient safety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 34
eISSN - 1549-8425
pISSN - 1549-8417
DOI - 10.1097/pts.0000000000000306
Subject(s) - checklist , audit , fidelity , protocol (science) , patient safety , high fidelity , medicine , computer science , medical emergency , medical physics , psychology , health care , engineering , pathology , business , accounting , telecommunications , alternative medicine , economics , electrical engineering , cognitive psychology , economic growth
The use of the World Health Organization Surgical Safety Checklist (SSC) has been reported to significantly reduce operative morbidity and mortality rates. Recent findings have cast doubt on the efficacy of such checklists in improving patient safety. The effectiveness of surgical safety checklists cannot be fully measured or understood without an accurate assessment of implementation fidelity, most effectively through direct observations of the checklist process. Here, we describe the use of a secure audio recording protocol in conjunction with a novel standardized scoring system to assess checklist compliance rates.