Articles: checklist.
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Nearly half of all surgical complications are considered preventable. Early research regarding preprocedural surgical safety checklist briefings revealed that this process led to improved surgical complication rates. We conducted a literature search to gather evidence regarding compliance in conducting briefings, outcomes of briefings, and surgical team members' perceptions toward the use and efficacy of checklist briefings. ⋯ The studies used a variety of methodologies and outcome measures. Common themes in the studies included enhanced patient safety, improved compliance over time, and increased communication among team members when checklists were used. As research continues on surgical safety checklists and briefings, a great opportunity exists for perioperative nurses to make contributions to the evidence.
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Multicenter Study Comparative Study
Sensitivity, specificity, and sex differences in symptoms reported on the 13-item acute coronary syndrome checklist.
Clinical symptoms are part of the risk stratification approaches used in the emergency department (ED) to evaluate patients with suspected acute coronary syndromes (ACS). The objective of this study was to determine the sensitivity, specificity, and predictive value of 13 symptoms for a discharge diagnosis of ACS in women and men. ⋯ There were more similarities than differences in symptom predictors of ACS for women and men.
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Valid and reliable instruments are needed to measure communication interaction behaviors between nurses and mechanically ventilated intensive care unit patients who are without oral speech. ⋯ Preliminary results suggest that the revised CIBI has good face validity and shows good interrater reliability for many of the behaviors, but further refinement is needed. The use of dual raters with adjudication of discrepancies is the recommended method of administration for the revised CIBI.
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Am J Phys Med Rehabil · Jan 2014
Efficacy of a checklist as part of a physical medicine and rehabilitation clerkship to teach medical students musculoskeletal physical examination skills: a prospective study.
The aim of this study was to evaluate the efficacy of a checklist as part of a physical medicine clerkship to teach medical students physical examination maneuvers. ⋯ Considering the high prevalence of musculoskeletal disorders and the anticipated rise in the future, the authors strongly recommend teaching musculoskeletal physical examination maneuvers in medical school, which can be accomplished via a mandatory physical medicine and rehabilitation rotation. The authors conclude that checklists as part of this rotation can effectively help in teaching physical examination skills to medical students.