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Using checklists to improve care in the nonoperating room environment.
Jessica Anne Latzman1, Jim G Castellanos, Diana Anca
1Department of Anesthesiology, Weill Cornell Medicine, New York, New York, USA.
Current Opinion in Anaesthesiology
|July 5, 2022
Summary
Checklists are essential for improving patient and staff safety during anesthesia in nonoperating room settings. Implementing protocols and site-specific checklists enhances care in these increasingly common procedures.
Area of Science:
- Anesthesiology
- Patient Safety
- Healthcare Management
Background:
- Anesthesia in nonoperating room (NOR) settings is increasing.
- NOR anesthesia presents unique challenges, leading to higher morbidity and mortality.
- Critical patients and emergency procedures contribute to NOR risks.
Purpose of the Study:
- To highlight the growing importance of anesthesia in nonoperating room environments.
- To emphasize the need for enhanced safety measures in NOR settings.
- To identify strategies for improving care and safety in NOR anesthesia.
Main Methods:
- Analysis of closed claims data to identify risks in NOR anesthesia.
- Review of current practices and challenges in NOR anesthesia.
- Evaluation of safety protocols and checklists for NOR procedures.
Main Results:
- NOR anesthesia is associated with increased morbidity and mortality.
- Location-specific challenges and patient acuity are key risk factors.
- Protocols and checklists are effective strategies for improving NOR anesthesia safety.
Conclusions:
- Anesthesia in nonoperating room locations represents a growing proportion of all anesthetic cases.
- Establishing protocols and implementing site-specific checklists is crucial for improving care and safety in NOR environments.
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