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Samost-Williams A, Sridhar S, Thomas EJ. Guide to perioperative checklist design, implementation, and integration. J Clin Anesth 2024; 96:111422. [PMID: 38413327 DOI: 10.1016/j.jclinane.2024.111422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 02/09/2024] [Accepted: 02/19/2024] [Indexed: 02/29/2024]
Affiliation(s)
- Aubrey Samost-Williams
- Department of Anesthesia, Critical Care, and Pain Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, 6431 Fannin St., MSB 5.020, Houston, TX 77030, USA.
| | - Srikanth Sridhar
- Department of Anesthesia, Critical Care, and Pain Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, 6431 Fannin St., MSB 5.020, Houston, TX 77030, USA
| | - Eric J Thomas
- Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, University of Texas Professionals Building, 6400 Fannin St, Houston, TX 77030, USA
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Turley N, Kogut K, Burian B, Moyal-Smith R, Etheridge J, Sonnay Y, Berry W, Merry A, Hannenberg A, Haynes AB, Dias RD, Hagen K, Molina G, Spruce L, Williams C, Brindle ME. Adapting the World Health Organization's Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol. ANNALS OF SURGERY OPEN 2024; 5:e436. [PMID: 38911631 PMCID: PMC11191993 DOI: 10.1097/as9.0000000000000436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 04/19/2024] [Indexed: 06/25/2024] Open
Abstract
Objectives The proposed study aims to assess users' perceptions of a surgical safety checklist (SSC) reimplementation toolkit and its impact on SSC attitudes and operating room (OR) culture, meaningful checklist use, measures of surgical safety, and OR efficiency at 3 different hospital sites. Background The High-Performance Checklist toolkit (toolkit) assists surgical teams in modifying and implementing or reimplementing the World Health Organization's SSC. Through the explore, prepare, implement, and sustain implementation framework, the toolkit provides a process and set of tools to facilitate surgical teams' modification, implementation, training on, and evaluation of the SSC. Methods A pre-post intervention design will be used to assess the impact of the modified SSC on surgical processes, team culture, patient experience, and safety. This mixed-methods study includes quantitative and qualitative data derived from surveys, semi-structured interviews, patient focus groups, and SSC performance observations. Additionally, patient outcome and OR efficiency data will be collected from the study sites' health surveillance systems. Data analysis Statistical data will be analyzed using Statistical Product and Service Solutions, while qualitative data will be analyzed thematically using NVivo. Furthermore, interview data will be analyzed using the Consolidated Framework for Implementation Research and reach, effectiveness, adoption, implementation, maintenance implementation frameworks. Setting The toolkit will be introduced at 3 diverse surgical sites in Alberta, Canada: an urban hospital, university hospital, and small regional hospital. Anticipated impact We anticipate the results of this study will optimize SSC usage at the participating surgical sites, help shape and refine the toolkit, and improve its usability and application at future sites.
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Affiliation(s)
- Nathan Turley
- From the Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary AB, Canada
| | - Karolina Kogut
- From the Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary AB, Canada
| | - Barbara Burian
- NASA, Ames Research Center, Moffett Field, California, USA
| | - Rachel Moyal-Smith
- Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA
| | - James Etheridge
- Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Yves Sonnay
- Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA
| | - William Berry
- Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Alan Merry
- Department of Anaesthesiology, Faculty of Medical and Health Science, University of Auckland, Auckland, New Zealand
- Department of Anaesthesia, Auckland City Hospital, Auckland, New Zealand
| | - Alexander Hannenberg
- Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Alex B. Haynes
- Department of Surgery and Perioperative Care, Dell Medical School, University of Texas Austin, Austin, TX
| | - Roger D. Dias
- STRATUS Center for Medical Simulation, Department of Emergency Medicine, Harvard Medical School, Boston, MA
| | - Kathryn Hagen
- Department of Anaesthesia and Peri-operative Medicine, Te Toka Tumai|Auckland City Hospital, Te Whātua Ora|Health New Zealand, New Zealand
| | - George Molina
- Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA
| | - Lisa Spruce
- Sr. Director, Evidence-based Perioperative Practice at AORN, Denver, CO
| | | | - Mary E. Brindle
- Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA
- Professor of Surgery and Community Health Sciences, Cumming School of Medicine University of Calgary, Pediatric General Surgeon, Alberta Children’s Hospital, Calgary, AB
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Gillespie BM, Ziemba JB. Lost in translation: does measuring 'adherence' to the Surgical Safety Checklist indicate true implementation fidelity? BMJ Qual Saf 2024; 33:209-211. [PMID: 38191563 DOI: 10.1136/bmjqs-2023-016617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/10/2023] [Indexed: 01/10/2024]
Affiliation(s)
- Brigid M Gillespie
- National Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland & School of Nursing & Midwifery, Griffith University, Gold Coast, Queensland, Australia
- Gold Coast University Hospital, Gold Coast Health, Gold Coast, Queensland, Australia
| | - Justin Bradley Ziemba
- Department of Clinical Effectiveness and Quality Improvement, University of Pennsylvania Health System, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
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Browne J, Franklin BD, Thomas EJ, Marang-van de Mheen PJ. Our mission and how we hope to move the field forward: statement from the BMJ Quality & Safety senior editorial team 2023. BMJ Qual Saf 2024; 33:141-144. [PMID: 38124225 DOI: 10.1136/bmjqs-2023-016811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/05/2023] [Indexed: 12/23/2023]
Affiliation(s)
- John Browne
- School of Public Health, University College Cork, Cork, Ireland
| | - Bryony Dean Franklin
- Director, Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust, London, UK
- Department of Practice and Policy, UCL School of Pharmacy, London, UK
| | - Eric J Thomas
- Internal Medicine, University of Texas John P and Katherine G McGovern Medical School, Houston, Texas, USA
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