2017 HSC Section 2 - Practice Management

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Russ et al Annals of Surgery Volume 258, Number 6, December 2013
TABLE 3.
(Continued
)
Authors
Type of Checklist
Outcome and Tool
Design and Sample
Findings
Limitations
∗
Kearns et al
41
Modified WHO Surgical
Safety Checklist
Outcome: Perceived quality of
OR communication andfamiliarity with team members
Tool: 2 “team” items on a
study-specific questionnaire
Pre/postsurvey studyPre
=
53 respondents
Post
=
46 respondents
Midwives, auxiliaries,
obstetric trainees,anesthesiology residents,anesthetic nurses, attendinganesthesiologists, attendingobstetricians
Significantly more OR staff agreed
that they felt familiar with othersafter checklist implementation
69.6% of staff agreed that the
checklist had improved ORcommunication
Nonmedical staff were significantly
more likely than medical staff tobelieve that the checklist hadimproved communication
Statistical difference between
pre- and postquestionnaireanswers not presented forcommunication item—only forfamiliarity item
Only 2 questionnaire items
related to impact of checkliston teamwork
No mention of origin of
questionnaire items and novalidity/reliability dataavailable
Sewell et al
42
WHO Surgical Safety
Checklist
Outcome: Perceived team
communication and teamwork
Tool: 1 “team”-related item on a
study-specific questionnaire
Pre/postsurvey studyPre
=
100 respondents
Post
=
same 100 respondents
Surgeons, anesthesiologists,
nurses, and allied healthprofessionals
Agreement that the checklist
improves communication andteamwork increased from 47% preto 77% post.
No mention of origin of
questionnaire items and novalidity/reliability dataavailable
Only 1 questionnaire item related
to impact of checklist onteamwork
Statistical significance of findings
not presented
Bohmer et al
43
Modified WHO Surgical
Safety Checklist
Outcome: Perceived
interprofessional coordination,team communication, andfamiliarity with other staffmembers
Tool: Multiple “team” items on a
study-specific questionnaire
Pre/postsurvey study71 respondents altogetherMedical staff and other
personnel involved insurgery
Anesthesiology department:
Physicians reported significantlybetter familiarity with teammembers (team members’names/functions),interprofessional coordination, andcommunication regardingintraoperative complications, afterintroduction of the checklist.
Department of Traumatology:
Physicians reported significantlybetter assignment of tasks withinthe operating room afterintroduction of the checklist.
No mention of origin of
questionnaire items and novalidity/reliability dataavailable
OR indicates operating room; ORBAT, OR Briefing Assessment Tool; ORTAS, OR Teamwork Assessment Scale; RCT, randomized controlled trial; SAQ, Safety Attitudes Questionnaire; WHO, World Health Organization.∗The text not in italics is reported by the author; the text in italic is our critical appraisal.
| C 2013 Lippincott Williams & Wilkins
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