An Observational Study to Improve the Surgical Safety Checklist Viability
Vanessa Estima, Ana Castro, Pedro Gomes, Victor Nunes, Daniel Pereira
2015
Abstract
To improve safety, and to reduce the mortality and complication rates during surgeries, the World Health Organization developed the Surgical Safety Checklist (SSC). The SSC has been recently implemented in Portuguese hospitals and we have performed an observational study where several health professionals were observed during their normal surgical routine and interviewed. The objective of this study was to understand the current use of the SSC, and how it may be improved in terms of usability, taking advantage of current technological advancements. During two days, in a public health center in Portugal, a clinical team (surgeons, anesthesiologists and nurses) was observed in 14 surgeries. Some observations disclose that several health professionals are not familiarized with the SSC guidelines, which demonstrates that it is urgent to change the mindset of health professionals, and that the addition of some features in the SSC may be necessary. With the results of the observational study, we have designed and developed a web application for the SSC with new functionalities to improve and aid the health professionals in its use.
References
- Downey, T. (2010). Soaring ahead - unmanned systems represent a fast-growing boeing business. Frontiers, IX(III):50-53.
- Emerton, M., Panesar, S. S., and Forrest, K. (2009). Safer surgery: how a checklist can make orthopaedic surgery safer. Orthopaedics and Trauma, 23(5):377- 380.
- Gawande, A. A., Thomas, E. J., Zinner, M. J., and Brennan, T. A. (1999). The incidence and nature of surgical adverse events in colorado and utah in 1992. Surgery, 126(1):66-75.
- George, F. (2010). Cirurgia segura salva vidas. Circular Normativa 16/DQS/DQCO, Direcção Geral da Saúde, Alameda D. Afonso Henriques, 45 - 1049-005 Lisboa - Portugal.
- George, F. (2013). Cirurgia segura, salva vidas. Circular Normativa 02/2013, Direcção Geral da Saúde, Alameda D. Afonso Henriques, 45 - 1049-005 Lisboa - Portugal.
- Haynes, A. B., Weiser, T. G., Berry, W. R., Lipsitz, S. R., Breizat, A.-H. S., Dellinger, E. P., Herbosa, T., Joseph, S., Kibatala, P. L., Lapitan, M. C. M., et al. (2009). A surgical safety checklist to reduce morbidity and mortality in a global population. New England Journal of Medicine, 360(5):491-499.
- Kable, A., Gibberd, R., and Spigelman, A. (2002). Adverse events in surgical patients in australia. International Journal for Quality in Health Care, 14(4):269-276.
- Kwaan, M. R., Studdert, D. M., Zinner, M. J., and Gawande, A. A. (2006). Incidence, patterns, and prevention of wrong-site surgery. Archives of surgery, 141(4):353- 358.
- Manfreda, K. L., Batagelj, Z., and Vehovar, V. (2002). Design of web survey questionnaires: Three basic experiments. Journal of Computer-Mediated Communication, 7(3):0-0.
- Schamel, J. (2012). How the pilot's checklist came about. http://www.atchistory.org/History/checklst.htm. Gilbert, James "The Great Planes", 1970; Jablonski, Edward "Flying Fortress", 1965; Jones, Lloyd "U.S. Fighters", 1975.
- Takala, R., PAUNIAHO, S.-L., Kotkansalo, A., Helmiö, P., Blomgren, K., Helminen, M., Kinnunen, M., Takala, A., Aaltonen, R., Katila, A., et al. (2011). A pilot study of the implementation of whosurgical checklist in finland: improvements in activities and communication. Acta anaesthesiologica Scandinavica, 55(10):1206-1214.
- Umbach, P. D. (2004). Web surveys: Best practices. New Directions for Institutional Research, 2004(121):23- 38.
- Valido, S. C. N. (2011). Checklist cirúrgica: contributo para uma intervenção na área da segurança do doente.
Paper Citation
in Harvard Style
Estima V., Castro A., Gomes P., Nunes V. and Pereira D. (2015). An Observational Study to Improve the Surgical Safety Checklist Viability . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2015) ISBN 978-989-758-068-0, pages 390-396. DOI: 10.5220/0005215303900396
in Bibtex Style
@conference{healthinf15,
author={Vanessa Estima and Ana Castro and Pedro Gomes and Victor Nunes and Daniel Pereira},
title={An Observational Study to Improve the Surgical Safety Checklist Viability},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2015)},
year={2015},
pages={390-396},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005215303900396},
isbn={978-989-758-068-0},
}
in EndNote Style
TY - CONF
JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2015)
TI - An Observational Study to Improve the Surgical Safety Checklist Viability
SN - 978-989-758-068-0
AU - Estima V.
AU - Castro A.
AU - Gomes P.
AU - Nunes V.
AU - Pereira D.
PY - 2015
SP - 390
EP - 396
DO - 10.5220/0005215303900396