2017 HSC Section 2 - Practice Management

Annals of Surgery Volume 258, Number 6, December 2013

The Impact of Safety Checklists on Teamwork in Surgery

UK, London 1 university hospital Trauma and orthopedics Germany, Cologne 1 university hospital Anesthesiology and trauma care

excluding cardiac surgery

Authors Year Type of Checklist Outcome Assessed ∗ Study Methodology † Country Setting Surgical Specialty Checklist Jordan, India, Tanzania, Multispecialty

Multispecialty

Obstetrics

Finland 4 university hospitals

UK 1 obstetric tertiary referral center

6 public hospitals, 1 district rural

hospital, 1 charity hospital

1 university hospital Otorhinolaryngology

Philippines,

the United

Kingdom,

the United

States, New Zealand,

Canada

Helsinki

Finland,

Teamwork climate Survey—pre/post (Pre- and post–data collection lasted for 2 weeks. Checklist

implementation lasted between 1 week and 1 month. The study ran for 1 yr in total.)

Surveys—pre/post (Pre–data collection lasted for 1 month and commenced 4 months before the checklist was introduced, post–data

collection lasted for 1 month as soon as the checklist was introduced)

Surveys—pre/post (Pre–data collection lasted 4–6 weeks, checklist was then implemented over 4 weeks, post–data collection then

commenced and lasted 4–6 weeks)

Surveys—pre/post (Pre–data collection lasted 1 month, post–data collection

commenced 3 months after the checklist was implemented.)

Surveys—pre/post (Pre–data collection lasted 4 months, checklist was then

implemented over 1 month, postchecklist data collection

then commenced and lasted 4 months)

Surveys—pre/post (Post–data collection took place 3 months after checklist implementation. No

information regarding timing of pre–data collection provided)

Communication between OR team members, discussion of critical events, and awareness of OR team members’ names

Quality of communication in the OR

communication and

familiarity with team members

Communication and teamwork

coordination, team

communication, and

familiarity with other staff members

Quality of OR

Interprofessional

Checklist

Checklist

Surgical Safety Checklist

Checklist

Surgical Safety Checklist

Haynes et al 38 2011 WHO Surgical Safety

Helmio et al 39 2011 WHO Surgical Safety

2011 WHO Surgical Safety

Kearns et al 41 2011 Modified WHO

Sewell et al 42 2011 WHO Surgical Safety

Bohmer et al 43 2012 Modified WHO

TABLE 1. ( Continued )

Takala et al (same group as above) 40

∗ For outcome assessed, the terminology of the original study has been used where possible (ie, wherever a consistent descriptor of the outcome variable was provided). † Study methodology includes the timing of the introduction/implementation of the checklist-–as this could have contributed to the impact on the outcome measures. OR indicates operating room; WHO, Word Health Organization.

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