Articles: checklist.
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Various studies have shown that the use of a checklist in the operating room lowers mortality and morbidity related to the act of anaesthesia and surgery. The WHO launched a program in June 2008 to improve the safety of surgical care; the main point is the rational use of a simple tool: the Surgical Safety Checklist. ⋯ This checklist can of course be supplemented by other checklists specific from specialty teams or places but it can never be abridged or altered. The HAS provides for the promotion of the implementation of this checklist, the certification of health facilities with its introduction into the V2010 and accreditation of doctors.
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Worldviews Evid Based Nurs · Sep 2010
Content validity of a process evaluation checklist to measure intervention implementation fidelity of the EPIC intervention.
The Evidence-Based Practice Identification and Change (EPIC) intervention is a complex multifaceted knowledge translation strategy that combines the use of evidence and continuous quality improvement to change health care professional practices. However, there is no measure to evaluate the fidelity (degree to which the intervention was implemented as planned) of the EPIC intervention. ⋯ Content validity of the PEC was established. The PEC will be used to evaluate the implementation fidelity of the EPIC intervention in future trials.
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Research on objective structured clinical examinations (OSCEs) is extensive. However, relatively little has been written on the development of case-specific checklists on history taking and physical examination. Background information on the development of these checklists is a key element of the assessment of their content validity. Usually, expert panels are involved in the development of checklists. The objective of this study is to compare expert-based items on OSCE checklists with evidence-based items identified in the literature. ⋯ Expert-based, case-specific checklist items developed for OSCE stations do not coincide with evidence-based items identified in the literature. Further research is needed to ascertain what this inconsistency means for test validity.
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The 1999 Institute of Medicine (IOM) report estimated that as many as 98,000 medical error related deaths occur each year in the United States; and although some argued the accuracy of the number, few denied the gravity. Medical error produces more fatalities than motor vehicle accidents, or other more publicized nonmedical disasters, and is one of the leading causes of death.
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Awareness of the relative high rate of adverse events in laparoscopic surgery created a need to safeguard quality and safety of performance better. Technological innovations, such as integrated operating room (OR) systems and checklists, have the potential to improve patient safety, OR efficiency, and surgical outcomes. This study was designed to investigate the influence of the integrated OR system and Pro/cheQ, a digital checklist tool, on the number and type of equipment- and instrument-related risk-sensitive events (RSE) during laparoscopic cholecystectomies. ⋯ Using both an integrated OR and Pro/cheQ has a stronger reducing effect on the number of RSE than using an integrated OR alone. The Pro/cheQ tool supported the optimal workflow in a natural way and raised the general safety awareness amongst all members of the surgical team. For tools such as integrated OR systems and checklists to succeed it is pivotal not to underestimate the value of the implementation process. To further improve safety and quality of surgery, a multifaceted approach should be followed, focusing on the performance and competence of the surgical team as a whole.