naa a22 4500 510742920 CHVBK 20180411083034.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12630-013-9916-8 doi (NATIONALLICENCE)springer-10.1007/s12630-013-9916-8 Surgical safety checklist: implementation in an ambulatory surgical facility [Elektronische Daten] [Pamela Morgan, Lisa Cunningham, Sohini Mitra, Natalie Wong, Wei Wu, Victoria Noguera, Mary Li, John Semple] La liste de contrôle de la sécurité chirurgicaleet sa mise en œuvre dans un centre de chirurgie ambulatoire Purpose: In 2007, the World Health Organization created a Surgical Safety Checklist (SSC) that encompassed a simple set of surgical safety standards. The threefold purpose of this study was to add ambulatory-specific items to the SSC, to introduce the items into an ambulatory surgical facility, and to determine if patient outcomes regarding postoperative pain and nausea/vomiting improved following implementation. In addition, safety attitudes, antibiotic timing, regional anesthesia/nerve blocks, preemptive pain medications, prophylactic antiemetics, length of stay, and hospital admission were also assessed. Methods: After Research Ethics Board approval, staff complete a Safety Attitudes Questionnaire. Seven items were added to the SSC. Data were then collected on 180 surgical cases before SSC implementation and 195 cases following implementation. Compliance with each section of the SSC was assessed. Results: On postoperative day one, the median (97.5% confidence interval [CI]) difference between pre- and post-implementation pain scores was 0.5 (97.5% CI, 0 to 1; P=0.13), and the median difference in the rate of post-discharge nausea/vomiting was −8.4% (97.5% CI, −17.9 to 1.1; P=0.06). There was no improvement in safety attitudes or any of the secondary outcomes, with the exception of the use of preemptive pain medications. Compliance with the three sections of the checklist, i.e., BRIEFING, TIME OUT, and DEBRIEFING was 99.49%, 97.95%, and 96.92%, respectively. There was low compliance in verbalization of the added "ambulatory-specific items”. Conclusion: Potential reasons for lack of uptake and integration include poor "user” buy-in, an overly lengthy checklist, and lack of prioritization of ambulatory-specific items. A shortened SSC was developed based on the results of this study. This trial was registered at ClinicalTrials.gov ID: NCT00934310. Canadian Anesthesiologists' Society, 2013 Morgan Pamela Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut Cunningham Lisa Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut Mitra Sohini Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut Wong Natalie Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut Wu Wei Women's College Research Institute, University of Toronto, Toronto, ON, Canada aut Noguera Victoria Department of Nursing, Women's College Hospital, University of Toronto, Toronto, ON, Canada aut Li Mary Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut Semple John Department of Surgery, Women's College Hospital, University of Toronto, Toronto, ON, Canada aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/6(2013-06-01), 528-538 0832-610X 60:6<528 2013 60 12630 https://doi.org/10.1007/s12630-013-9916-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-013-9916-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Morgan Pamela Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Cunningham Lisa Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Mitra Sohini Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Wong Natalie Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Wu Wei Women's College Research Institute, University of Toronto, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Noguera Victoria Department of Nursing, Women's College Hospital, University of Toronto, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Li Mary Department of Anesthesia, Women's College Hospital, University of Toronto, 76 Grenville St., M5S 1B2, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Semple John Department of Surgery, Women's College Hospital, University of Toronto, Toronto, ON, Canada aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/6(2013-06-01), 528-538 0832-610X 60:6<528 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer