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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Healthcare Associated Infections II: Preventive Measures01:22

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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.
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Related Experiment Video

Updated: Apr 27, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
06:48

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

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Multifaceted interventions improve adherence to the surgical checklist.

Luke R Putnam1, Shauna M Levy1, Madiha Sajid2

  • 1Center for Surgical Trials and Evidence-based Practice, University of Texas Medical School at Houston, Houston, TX; Department of Pediatric Surgery, University of Texas Medical School at Houston, Houston, TX; The Children's Memorial Hermann Hospital, Houston, TX.

Surgery
|June 21, 2014
PubMed
Summary

Multifaceted interventions significantly improved surgical safety checklist adherence, increasing complete checklist use from 0% to 61%. Sustained efforts and stakeholder buy-in are crucial for enhancing patient safety culture.

Related Experiment Videos

Last Updated: Apr 27, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
06:48

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

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Area of Science:

  • Perioperative Medicine
  • Patient Safety
  • Healthcare Quality Improvement

Background:

  • Surgical safety checklist adherence is a persistent challenge.
  • Institutions often face difficulties ensuring complete checklist checkpoint compliance.
  • Multifaceted interventions are hypothesized to improve adherence.

Purpose of the Study:

  • To evaluate the impact of stepwise, multifaceted interventions on surgical safety checklist adherence.
  • To assess improvements in the utilization and completion rates of a pre-incision checklist.

Main Methods:

  • Direct observation of checklist adherence over three 1-year periods (2011-2013).
  • Implementation of interventions including safety workshops, checklist customization, and a report card system.
  • Statistical analysis using Chi-square and Kruskal-Wallis tests for 873 surgical cases.

Main Results:

  • Total checkpoint adherence increased significantly from 30% to 96% (P < .001).
  • Cases with 100% checkpoint completion rose from 0% to 61% (P < .001).
  • Median completed checkpoints per case improved from 4 to 14 (P < .001).

Conclusions:

  • A strategic, multifaceted approach effectively enhanced surgical checklist adherence over two years.
  • Tailoring checklist content and processes to local needs is vital for high adherence.
  • Sustained efforts, safety culture change, and stakeholder engagement are key to successful implementation.