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Cohort Study on the Implementation of a Surgical Checklist from the Operating Room to the Postanesthesia Care Unit
Maria López-Parra1, Laura Porcar-Andreu2, Marta Arizu-Puigvert2
1MsU Bioethics and MsU Education and ICT, Centre Quirúrgic Ambulatòri, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Barcelona, Spain.
Purpose:
To provide evidence of a well-structured information transfer that prevents the loss of information relevant to patient care.
Design:
Pre-post cohort study on the implementation of a surgical checklist from the operating room to postanesthesia care unit.
Methods:
Main variable was the transfer of relevant and correct information. The secondary variables include time, interruptions, and satisfaction.
Findings:
In the prechecklist stage, 59 transfers were collected; with an average time of 68.5 seconds, 41.7% of the transfers encountered interruptions, and only 8.5% of the reports were complete with all data. After instituting the checklist, 63 transfers were analyzed with an average time of 96.4 seconds, no interruptions occurred in 71.3% of the transfers, and all the items were transmitted in 92.1% of the cases. Number of interferences decreased. Transfer time increased significantly, but 80.3% of staff found the checklist useful.
Conclusions:
A written and structured checklist minimizes the loss of relevant information, thus improving safety in the process.
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