Use of a Surgical Safety Checklist to Improve Team Communication

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• 作者：Richard A. Cabral ; DNP ; CRNAAuthor Vitae ; Terry Eggenberger ; PhD ; RN ; NEA-BC ; CNE ; CNLAuthor Vitae ; Kathryn Keller ; PhD ; RN ; CNEAuthor Vitae ; Barry S. Gallison ; DNP ; MS ; APRN-BC ; NEA-BC ; CPHQ ; AHN-BCAuthor Vitae ; David Newman ; PhDAuthor Vitae
• 关键词：communication ; teamwork ; safety ; WHO Surgical Safety Checklist
• 刊名：AORN Journal
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：104
• 期：3
• 页码：206-216
• 全文大小：593 K

文摘

To improve surgical team communication, a team at Broward Health Imperial Point Hospital, Ft Lauderdale, Florida, implemented a program for process improvement using a locally adapted World Health Organization Surgical Safety Checklist. This program included a standardized, comprehensive time out and a briefing/debriefing process. Postimplementation responses to the Safety Attitudes Questionnaire revealed a significant increase in the surgical team’s perception of communication compared with that reported on the pretest (6% improvement resulting in t₇₉ = –1.72, P < .05, d = 0.39). Perceptions of communication increased significantly for nurses (12% increase, P = .002), although the increase for surgeons and surgical technologists was lower (4% for surgeons, P = .15 and 2.3% for surgical technologists, P = .06). As a result of this program, we have observed improved surgical teamwork behaviors and an enhanced culture of safety in the OR.