Articles: checklist.
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Int. J. Radiat. Oncol. Biol. Phys. · Nov 2012
Quality control quantification (QCQ): a tool to measure the value of quality control checks in radiation oncology.
To quantify the error-detection effectiveness of commonly used quality control (QC) measures. ⋯ The effectiveness of QC measures in radiation oncology depends sensitively on which checks are used and in which combinations. A small percentage of errors cannot be detected by any of the standard formal QC checks currently in broad use, suggesting that further improvements are needed. These data require confirmation with a broader incident-reporting database.
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Der Urologe. Ausg. A · Nov 2012
[Introduction of operating room checklists as a part of clinical risk management: are there hard facts on complication prevention available?].
For approximately the past 10 years the aspects of quality and risk management have spread widely not only into the realm of hospitals but also into overall general medicine, which is viewed by many physicians as a paradigmatic change. The required use of the WHO operating room (OR) checklist has in the meantime become routine procedure in many hospitals but with varying degrees of acceptance. Current data reaffirm the positive effect of the checklist in lowering complication and mortality rates. This effect can be directly traced to a higher level for safety culture in the OR.
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As part of our plan to decrease infection rates, we instituted a rounding sticker used during daily rounds. This sticker is a checklist that serves as a reminder of interventions known to improve quality of care in the PICU. ⋯ Date was collected on central venous catheter days, foley catheter days, arterial line days, infection rates, GI prophylaxis use, neuromuscular blocker use, and changes in medications before and after institution of the rounding sticker. Following rounding sticker use, there was a 56% reduction in urinary tract infections [4.13/1000 device days vs 1.8/1000 device days; p = 0.027], as well as an increase in GI prophylaxis (1846 vs 2399) and enoxaparin (119 vs 151) use.
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Avoidable adverse events must be subjected to continuous control to be detected at the time and prevent their occurrence. Its knowledge is essential to prevent them and their consequences and any effective action on the matter of risk management and health safety must be taken into account. Surgical checklists fulfil these requirements, making patient care easier and opening the possibility of effective communication with the group and with the patient. ⋯ In the preparation of this checklist, a review was made of other surgical checklists of reference, as well as the recommendations for producing one and the justification of its need in all interventional procedures of risk. A simple checklist has been designed, which is adaptable to the specific characteristics of interventional radiology. Nursing staff are the key professionals on the design and implementation helping to identify those conditions that may threaten the success of the intervention.
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Since the development of the WHO Safe Surgery Saves Lives initiative and Surgical Safety Checklist, numerous hospitals across the globe have adopted the use of a surgical checklist. The UCLA Health System developed its first extended Surgical Safety Checklist in 2008. ⋯ In addition, the surgical team's appreciation of the current time-out has been assessed. Cultural, practice, and human resource challenges are discussed, as are potential future avenues for innovations in the emerging field of the surgical checklist in neurosurgery.