Related Experiment Videos

Implementation of a standardized procedural checklist in a children's hospital

Jeffrey R Avansino1, Patrick Javid, Cindy Katz

  • 1Department of Surgery, University of Washington, Division of Pediatric Surgery, Seattle Children's Hospital, Seattle, WA, USA. jeffrey.avansino@seattlechildrens.org

American Journal of Surgery
|May 7, 2011
PubMed

Insights

Implementing procedural checklists in pediatric hospitals is sustainable with high compliance. However, off-hours use needs improvement, and staff perceptions of checklist effectiveness vary by role.

Area of Science:

  • Healthcare quality improvement
  • Patient safety protocols
  • Surgical safety checklists

Background:

  • Procedural checklists are crucial for patient safety in healthcare settings.
  • Assessing the practical application and staff views on these tools is essential for optimizing their use.

Purpose of the Study:

  • To evaluate the sustained implementation and compliance of a procedural checklist in a pediatric hospital.
  • To investigate staff and physician perceptions of checklist efficacy across different roles.

Main Methods:

  • A modified World Health Organization procedural checklist was deployed.
  • Compliance rates were tracked over 12 months, with staff surveys assessing perceptions.
  • Statistical analysis explored correlations between demographics and perceptions.

Main Results:

  • Sustained high compliance (92% average monthly) was observed, improving from 88% to 94% over 12 months.
  • Compliance decreased during weekends and holidays.
  • Surgeons reported more positive perceptions than nurses and anesthesiologists, irrespective of experience or gender.

Conclusions:

  • Procedural checklist implementation can be sustained across specialties with high adherence.
  • Challenges remain in ensuring consistent utilization during off-hours.
  • Varying perceptions among operating room staff highlight a need for tailored communication strategies.
Abstract

Related Concept Videos

Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...