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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

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01-02-2013 | Review Article/Brief Review

Review article: Perioperative checklist methodologies

Authors: Thomas G. Weiser, MD, William R. Berry, MD

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 2/2013

Abstract

Purpose

Checklists are increasingly being used by surgical teams in the perioperative period to improve clinical care and increase patient safety. In this article, we review some of the mechanisms by which checklists work and evaluate evidence supporting their use.

Principal findings

There is a growing body of evidence showing the importance of team-based checklists in clinical care. In multiple complex clinical environments, from the operating room to the intensive care unit, checklists can help ensure adherence to known standards of care and improve communication amongst team members. In addition, the efficacy of checklists is being shown in both developed and developing settings.

Conclusion

Checklists can aid clinicians involved in complex processes and multidisciplinary team interactions to improve the quality and safety of care by prompting dialogue and exchange of information.

Gawande AA, Thomas EJ, Zinner MJ, Brennan TA. The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 1999; 126: 66-75.PubMedCrossRef

Kable AK, Gibberd RW, Spigelman AD. Adverse events in surgical patients in Australia. Int J Qual Health Care 2002; 14: 269-76.PubMedCrossRef

Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg 2007; 204: 533-40.PubMedCrossRef

Birkmeyer JD. Strategies for improving surgical quality–checklists and beyond. N Engl J Med 2010; 363: 1963-5.PubMedCrossRef

Helmreich RL, Wilhelm JA, Klinect JR, et al. Culture, error and crew resource management. In: Salas E, Bowers CA, Edens E (Eds). Improving Teamwork in Organizations: Applications of Resource Management Training. Mahwah, New Jersey: Lawrence Erlbaum Associates, Inc., Publishers; 2001: 302-28.

Gawande A. The Checklist Manifesto: How to Get Things Right. New York: Metropolitan Books, Holt and Company; 2009.

Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ. Reality check for checklists. Lancet 2009; 374: 444-5.PubMedCrossRef

Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Safe Health Care 2010; 22: 365-70.CrossRef

Federal Aviation Administration. Section 12: Aircraft Checklists for 14 CFR Parts 121/135. FAA Order 8900.1 Flight Standards Information Management System (FSIMS). Available from URL: http://fsims.faa.gov/PICResults.aspx?mode=Index&cat=A (accessed September 2012).

10.

Miller GA. The magical number seven plus or minus two: some limits on our capacity for processing information. Psychol Rev 1956; 63: 81-97.PubMedCrossRef

11.

Degani A. On the Typography of Flight-Deck Documentation. NASA Contract Report #177605. Ames Research Center, Contract NCC2-327; December 1992. Available from URL: http://ti.arc.nasa.gov/m/profile/adegani/Flight-Deck_Documentation.pdf (accessed October 2012).

12.

Deming WE. Out of the Crisis. Boston: MIT Press; 1986.

13.

Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006; 355: 2725-32.PubMedCrossRef

14.

Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360: 491-9.PubMedCrossRef

15.

Weiser TG, Haynes AB, Dziekan G, Berry WR, Lipsitz SR, Safe Surgery Saves Lives Investigators and Study Group. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Ann Surg 2010; 251: 976-80.PubMedCrossRef

16.

de Vries EN, Prins HA, Crolla RM, SURPASS Collaborative Group, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med 2010; 363: 1928-37.PubMedCrossRef

17.

van Klei WA, Hoff RG, van Aarnhem EE, et al. Effects of the introduction of the WHO “Surgical Safety Checklist” on in-hospital mortality: a cohort study. Ann Surg 2012; 255: 44-9.PubMedCrossRef

18.

Morris AC, Hay AW, Swann DG, et al. Reducing ventilator-associated pneumonia in intensive care: impact of implementing a care bundle. Crit Care Med 2011; 39: 2218-24.PubMedCrossRef

19.

Spector JM, Agrawal P, Kodkany B, et al. Improving quality of care for maternal and newborn health: prospective pilot study of the WHO safe childbirth checklist Program. PLoS One 2012; 7: e35151.PubMedCrossRef

20.

Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA. Effective surgical safety checklist implementation. J Am Coll Surg 2011; 212: 873-9.PubMedCrossRef

21.

DuBose J, Teixeira PG, Inaba K, et al. Measurable outcomes of quality improvement using a daily quality rounds checklist: one-year analysis in a trauma intensive care unit with sustained ventilator-associated pneumonia reduction. J Trauma 2010; 69: 855-60.PubMedCrossRef

22.

Weiss CH, Moazed F, McEvoy CA, et al. Prompting physicians to address a daily checklist and process of care and clinical outcomes: a single-site study. Am J Respir Crit Care Med 2011; 184: 680-6.PubMedCrossRef

23.

Semel ME, Lipsitz SR, Funk LM, Bader AM, Weiser TG, Gawande AA. Rates and patterns of death after surgery in the United States, 1996 and 2006. Surgery 2012; 151: 171-82.PubMedCrossRef

24.

Weiser TG, Semel ME, Simon AE, et al. In-hospital death following inpatient surgical procedures in the United States, 1996-2006. World J Surg 2011; 35: 1950-6.PubMedCrossRef

25.

Noordzij PG, Poldermans D, Schouten O, Bax JJ, Schreiner FA, Boersma E. Postoperative mortality in The Netherlands: a population-based analysis of surgery-specific risk in adults. Anesthesiology 2010; 112: 1105-15.PubMedCrossRef

26.

Wilson RM, Michel P, Olsen S, WHO Patient Safety EMRO/AFRO Working Group, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. BMJ 2012; 344: e832.PubMedCrossRef

Title: Review article: Perioperative checklist methodologies
Authors: Thomas G. Weiser, MD
William R. Berry, MD
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 2/2013
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-012-9854-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Review article: Perioperative checklist methodologies

Abstract

Purpose

Principal findings

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Principal findings

Conclusion

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