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Debriefing: the forgotten phase of the surgical safety checklist.
Bartz-Kurycki, Marisa A; Anderson, Kathryn T; Abraham, Jocelyn E; Masada, Kendall M; Wang, Jiasen; Kawaguchi, Akemi L; Lally, Kevin P; Tsao, KuoJen.
Afiliação
  • Bartz-Kurycki MA; Department of Pediatric Surgery, McGovern Medical School, The University Of Texas Health Sciences Center At Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas; Center For Surgical Trials and Evidence-based Practices (C-STEP), The University of Texas Health Sciences Center
  • Anderson KT; Department of Pediatric Surgery, McGovern Medical School, The University Of Texas Health Sciences Center At Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas; Center For Surgical Trials and Evidence-based Practices (C-STEP), The University of Texas Health Sciences Center
  • Abraham JE; Department of Pediatric Surgery, McGovern Medical School, The University Of Texas Health Sciences Center At Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas; Center For Surgical Trials and Evidence-based Practices (C-STEP), The University of Texas Health Sciences Center
  • Masada KM; Department of Pediatric Surgery, McGovern Medical School, The University Of Texas Health Sciences Center At Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas; Center For Surgical Trials and Evidence-based Practices (C-STEP), The University of Texas Health Sciences Center
  • Wang J; Department of Pediatric Surgery, McGovern Medical School, The University Of Texas Health Sciences Center At Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas; Center For Surgical Trials and Evidence-based Practices (C-STEP), The University of Texas Health Sciences Center
  • Kawaguchi AL; Department of Pediatric Surgery, McGovern Medical School, The University Of Texas Health Sciences Center At Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas; Center For Surgical Trials and Evidence-based Practices (C-STEP), The University of Texas Health Sciences Center
  • Lally KP; Department of Pediatric Surgery, McGovern Medical School, The University Of Texas Health Sciences Center At Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas; Center For Surgical Trials and Evidence-based Practices (C-STEP), The University of Texas Health Sciences Center
  • Tsao K; Department of Pediatric Surgery, McGovern Medical School, The University Of Texas Health Sciences Center At Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas; Center For Surgical Trials and Evidence-based Practices (C-STEP), The University of Texas Health Sciences Center
J Surg Res ; 213: 222-227, 2017 06 01.
Article em En | MEDLINE | ID: mdl-28601318
BACKGROUND: The debriefing phase of the surgical safety checklist (SSC) provides the operative team an opportunity to share pertinent intraoperative information and communicate postoperative plans. Prior quality improvement initiatives at our institution focused on the preincision phase of the SSC; however, the debriefing phase has not been evaluated. We aimed to assess adherence to the debrief checklist at our institution and identify areas for improvement. MATERIALS AND METHODS: An observational study was conducted from 2014 to 2016 with a convenience sample of pediatric surgery cases at an academic children's hospital over 8-wk periods annually to evaluate the debriefing checklist across 14 subspecialties. Intraoperative team members' adherence to eight prespecified checkpoints was assessed. Descriptive statistics, Pearson's chi square, Kruskal-Wallis rank test, and Cohen's kappa for interrater reliability were used (P < 0.05 was significant). RESULTS: A total of 603 cases were observed (2014 n = 191; 2015 n = 195; 2016 n = 217). The debriefing checklist was conducted in 90.6%, 90.3%, and 94.9% of observed cases each year respectively with the median number of checklist items completed relatively unchanged (8, 7, and 7, range 0-8). However, the checklist was only fully completed in 55%, 48%, and 50% of cases over the study period (P = 0.001) with no debriefing at all in approximately 9% of cases in 2014 and 2015 versus 5% in 2016 (P < 0.001). Interrater reliability annually was >0.65. CONCLUSIONS: Despite slight increases annually in overall compliance to the debriefing checklist, only half of all checklists were completed in full. Future efforts to augment adherence are needed and will include interventions targeting the debriefing phase and increasing operating room efficiency.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Operatórios / Erros Médicos / Fidelidade a Diretrizes / Lista de Checagem / Melhoria de Qualidade / Segurança do Paciente Tipo de estudo: Guideline / Observational_studies / Prognostic_studies Limite: Child / Humans País como assunto: America do norte Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Operatórios / Erros Médicos / Fidelidade a Diretrizes / Lista de Checagem / Melhoria de Qualidade / Segurança do Paciente Tipo de estudo: Guideline / Observational_studies / Prognostic_studies Limite: Child / Humans País como assunto: America do norte Idioma: En Ano de publicação: 2017 Tipo de documento: Article