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This presentation was prepared by RUTAYISIRE François Xavier and ISHIMWE Diane, Medical students in Year 4(Doctorate 2) at University of RWANDA school of medicine and Pharmacy, Department of Medicine and Surgery. we did the work under supervision of Dr Ntakiyiruta Georges,Mmed,FCSECSA
Clinical Otolaryngology
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population2010 •
This study evaluates the adherence and use of patient safety in the Operation Theater/ operating room/surgery. Operation errors are enormous and very frequent in a surgery. Though there is an encouragement to improve patient safety by the use of the safety checklist the study could also establish that these measures cannot satisfy or guarantee a free error environment. Findings indicate that safety protocols are being followed at various phases of surgery but there are a few aspects which are being neglected, the highest complaint was observed in pre-operative phase followed by intra phase then in post-operative phases. The study goes further to show that the post-operative complications are less even when the safety guideline is not being followed completely.
Journal of Gastrointestinal Surgery
Implementation of a Surgical Safety Checklist and Postoperative Outcomes: a Prospective Randomized Controlled Study2015 •
Joint Commission Journal on Quality and Patient Safety Joint Commission Resources
Incorporating the World Health Organization Surgical Safety Checklist into practice at two hospitals in Liberia2012 •
The Israel Medical Association journal : IMAJ
Effect of Surgical Safety checklist implementation on the occurrence of postoperative complications in orthopedic patients2014 •
Surgical adverse events are errors that emerge during perioperative patient care. The World Health Organization recently published "Guidelines for Safe Surgery." To estimate the effect of implementation of a safety checklist in an orthopedic surgical department. We conducted a single-center cross-sectional study to compare the incidence of complications prior to and following implementation of the Guidelines for Safe Surgery checklist. The medical records of all consecutive adult patients admitted to the orthopedics department at Wolfson Medical Center during the period 1 July 2008 to 1 January 2009 (control group) and from 1 January 2009 to 1 July 2009 (study group) were reviewed. The occurrences of all complications were compared between the two groups. The records of 760 patients (380 in each group) hospitalized during this 12 month period were analyzed. Postoperative fever occurred in 5.3% versus 10.6% of patients with and without the checklist respectively (P = 0.008)...
European journal of cardio-thoracic surgery: official journal of the European Association for Cardio-thoracic Surgery
EACTS guidelines for the use of patient safety checklistsThe Safety Checklist concept has been an integral part of many industries that face high-complexity tasks for many decades and in industries such as aviation and engineering checklists have evolved from their very inception. Investigations of the causes of surgical deaths around the world have repeatedly pointed to medical errors that could be prevented as an important cause of death and disability. As a result, the World Health Organisation developed and evaluated a three-stage surgical checklist in 2007 demonstrating that complications were significantly reduced, including surgical infection rates and even mortality. Together with the results from other large cohort studies into the utility of the surgical checklist, many countries have fully implemented the use of surgical checklists into routine practice. A key factor in the successful implementation of a surgical checklist is engagement of the staff implementing the checklist. In surgical specialties such as our own it was quic...
Quality and Safety in Health Care
Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR2005 •
2012 •
Morbidity and mortality due to preventable medical errors are a disastrous reality in medicine. Debriefing, a process that allows individuals to discuss team performance in a constructive, supportive environment, has been linked to improved performance in various medical and surgical fields, including improvements in specific procedures, teamwork and communication, and error identification. However, the neurosurgical literature on this topic is limited. The authors review the debriefing literature in the field of medicine, with a specific emphasis on the operating room, and they report their own institutional experience with a debriefing module, from invention to pilot implementation, at Vanderbilt University Medical Center. The authors share the challenges and lessons learned from their quality improvement project. The field of neurosurgery would undoubtedly benefit from embracing debriefing, as its potential has been established in other medical specialties and can serve as a valu...
Obstetrics and Gynecology Clinics of North America
Practical Solutions to Improve Safety in the Obstetrics/Gynecology Office Setting and in the Operating Room2008 •
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC
Surgical safety checklist in obstetrics and gynaecology2013 •
Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC
Surgical Safety Checklist in Ob/Gyn Singh SS, Mehra N, Hopkins L. Surgical Safety Checklist in Ob/Gyn. J ObstetGynaecol Can 2013;35(1eSuppl B):S1-S5JAMA Surgery
Improving Safety and Quality of Care With Enhanced Teamwork Through Operating Room Briefings2014 •
Archives of Clinical and Experimental Surgery (ACES)
Principles of risk management in surgery departments2015 •
Social Science & Medicine
Uptake of a team briefing in the operating theatre: A Burkean dramatistic analysis2009 •
2020 •
West African Journal of Medicine
A survey on selection and administration of perioperative antibiotics by Anaesthetists2012 •
International Journal of Nursing Studies
The role of documents and documentation in communication failure across the perioperative pathway. A literature review2011 •
AORN Journal
Enhancing Communication in Surgery Through Team Training Interventions: A Systematic Literature Review2010 •
Patient Safety in Surgery
The application of evidence-based measures to reduce surgical site infections during orthopedic surgery - report of a single-center experience in Sweden2012 •
Current problems in surgery
Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery2007 •
Journal of the American College of Surgeons
Development and Pilot Evaluation of a Preoperative Briefing Protocol for Cardiovascular Surgery2009 •
2001 •
Journal of Vascular Nursing
2009 Clinical Practice Guideline for Patients Undergoing Carotid Endarterectomy (CEA)2010 •
World journal of …
Observational Teamwork Assessment for Surgery (OTAS): Refinement and Application in Urological Surgery2007 •
The American Journal of Surgery
Lessons learned from the institution of the Surgical Care Improvement Project at a teaching medical center2009 •
BMJ Quality & Safety
The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice2013 •
IP Innovative Publication Pvt. Ltd.
Checklist: A key to safety2013 •
Annals of Surgery
Do Safety Checklists Improve Teamwork and Communication in the Operating Room? A Systematic Review2013 •
Archives of Surgery
Impact of Preoperative Briefings on Operating Room Delays2008 •
Obstetrics and Gynecology Clinics of North America - OBSTET GYNECOL CLIN N AMER
Understanding Errors During Laparoscopic Surgery2010 •
2012 •
Patient Safety in Surgery
The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited2009 •
2006 •
Cognition, Technology & Work
Crew resource management training for surgeons: feasibility and impact2007 •