Articles: checklist.
-
Observational Study
Implementation of an Emergency Department Sign-Out Checklist Improves Transfer of Information at Shift Change.
Transitions of care are ubiquitous in the emergency department (ED) and inevitably introduce the opportunity for errors. Few emergency medicine residency programs provide formal training or a standard process for patient handoffs. Checklists have been shown to be effective quality-improvement measures in inpatient settings and may be a feasible method to improve ED handoffs. ⋯ Implementation of a checklist improved the transfer of information without increasing time to sign-out.
-
To review the overall situation of university teachers' mental health in China systematically. ⋯ The mean level of university teachers' mental health was lower than the norm of China. The overall situation of university teachers' mental health in China was not optimistic. The society and school should take targeted measures to improve university teachers' mental health.
-
La Radiologia medica · Nov 2014
Use of "Time-Out" checklist in interventional radiology procedures as a tool to enhance patient safety.
This study was done to evaluate the feasibility and effectiveness of adopting a safety checklist (SC) in the angiography suite during interventional radiology (IR) procedures to enhance patient safety. ⋯ The use of a checklist in IR, named "Time-Out" in our experience was feasible and effective allowing elimination of adverse events in the first year of use and promoting significant involvement and awareness of patient safety among the health-care team. The level of implementation, completeness and acceptability of the SC within the team increased after adequate training had been provided.
-
Safety checklists in medicine are designed to identify a potential error before it results in harm to a patient. The World Health Organization (WHO) safety checklist was widely implemented in surgical practice in the UK after significant reductions in death, and peri-operative complications were achieved in eight countries worldwide in the 'Safe Surgery Saves Lives' campaign of 2008. Nevertheless, use of the checklist for invasive medical procedures is not yet routine. ⋯ We then developed and implemented a modified WHO checklist for the specific challenges faced in the cardiac catheterisation laboratory. Following a staff education programme, a subsequent audit of 34 cases demonstrated improvement in all sections (performed/documented: sign in 91.2%/82.4%, time out 85.3%/76.5%, sign out 73.5%/64.7%) with no patient safety incidents during the post-intervention audit period. Well-designed, procedural checklists may well prove to be of benefit in other areas of interventional medicine.
-
We present the main findings of the 5th National Audit Project on accidental awareness during general anaesthesia. Incidences were estimated using reports of accidental awareness as the numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence of certain/probable and possible accidental awareness cases was ~1:19 600 anaesthetics (95% CI 1:16 700-23 450). ⋯ The following factors were not risk factors for accidental awareness: ASA physical status; race; and use or omission of nitrous oxide. We recommend that an anaesthetic checklist, to be an integral part of the World Health Organization Safer Surgery checklist, is introduced as an aid to preventing accidental awareness. This paper is a shortened version describing the main findings from 5th National Audit Project - the full report can be found at http://www.nationalauditprojects.org.uk/NAP5_home#pt.