After an initial period of low uptake, a multifaceted intervention led to much higher adherence with surgical checklists.Surgery. 2014 Jun 16; [Epub ahead of print].
Multifaceted interventions improve adherence to the surgical checklist.
Putnam LR, Levy SM, Sajid M, et al. Surgery. 2014;156:336-344.
Checklists have improved surgical outcomes in clinical trials and are widely recommended, but a recentobservational study showed no change in surgical outcomes following checklist adoption. This study sought to improve adherence to surgical checklists at a single institution. Trained observers assessed checklist performance over three 1-year periods during which various interventions were implemented. The authors report only 30% adherence to the WHO surgical checklist 1 year after adoption. Developing clinician leadership, teamwork training, and stakeholder engagement led to a significant increase in checklist adherence 2 years following implementation. This work underscores the resources and effort needed for successfully implementing safety checklists. In a past AHRQ WebM&M interview, Peter Pronovost discussed utilizing checklists as a tool to improve patient safety.
Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety.
Lyons VE, Popejoy LL. West J Nurs Res. 2014;36:245-261.
Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members.
Porter AJ, Narimasu JY, Mulroy MF, Koehler RP. Jt Comm J Qual Patient Saf. 2014;40:3-9.
Do safety checklists improve teamwork and communication in the operating room? A systematic review.
Russ S, Rout S, Sevdalis N, Moorthy K, Darzi A, Vincent C. Ann Surg. 2013;258:856-871.
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Innovation in safety, and safety in innovation.
Eisenberg D, Wren SM. JAMA Surg. 2014;149:7-9.