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The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction
Author(s) -
BÖHMER A. B.,
WAPPLER F.,
TINSCHMANN T.,
KINDERMANN P.,
RIXEN D.,
BELLENDIR M.,
SCHWANKE U.,
BOUILLON B.,
GERBERSHAGEN M. U.
Publication year - 2012
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.2011.02590.x
Subject(s) - medicine , checklist , perioperative , patient safety , traumatology , quality (philosophy) , incidence (geometry) , quality management , medical emergency , nursing , family medicine , surgery , health care , orthopedic surgery , operations management , psychology , philosophy , epistemology , economics , cognitive psychology , economic growth , management system , physics , optics
Background The implementation of the ‘ S urgical S afety C hecklist’ caused a significant reduction in the incidence of complications and mortality among patients undergoing surgery. The aim of the present study was to evaluate perioperative safety standards and the quality of interprofessional cooperation before and after the introduction of a safety checklist from staff members' point of view. Methods Employees' attitude concerning safety‐relevant aspects of the perioperative period, work processes, and quality of interprofessional cooperation was surveyed before and 3 months after introducing an adapted form of the ‘ S urgical S afety C hecklist’ by a 19‐item questionnaire. Results After the implementation of the checklist, the cognizance of the names and functions of the individual operating room ( OR ) staff members, verification of the patient's written consent for surgery, indication for antibiotics before the surgical incision, and the quality of interprofessional cooperation were rated more positively. Traumatology physicians were more convinced that all artifacts had been removed from the surgical field. Finally, communication about intraoperative complications had improved. Conclusions Our attitude surveys demonstrate that from the OR staff's perspective, in the perioperative setting, safety‐relevant factors can be handled significantly better and with greater awareness by implementing a safety checklist as proposed by the W orld H ealth O rganization.