Development and validation of a checklist for cardiopulmonary bypass

  • 0Division of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia, Av. Dr. Dante Pazzanese, 500 - Vila Mariana, São Paulo - SP, 04012-909, Brazil.

|

|

Summary

This summary is machine-generated.

A new checklist for cardiopulmonary bypass (CPB) was developed and validated by experts. This tool aims to enhance patient safety by identifying potential failures during CPB procedures, improving overall care quality.

Area Of Science

  • Medical Devices
  • Patient Safety
  • Surgical Procedures

Background

  • Patient care protocols aim to reduce adverse events.
  • Cardiopulmonary bypass (CPB) presents risks like physiological issues and equipment failures.
  • Checklists are essential for identifying potential failures in healthcare.

Purpose Of The Study

  • To develop and validate a checklist specifically for cardiopulmonary bypass procedures.
  • Enhance patient safety during CPB.
  • Improve the quality of CPB procedures.

Main Methods

  • Consensus validation using the Delphi technique with five experienced perfusion experts.
  • Literature review to create an initial questionnaire.
  • Two rounds of expert assessment and feedback.

Main Results

  • An initial 42-item list was refined based on expert input.
  • A second 37-item list achieved expert acceptance (average assessment ≥4, standard deviation ≤1.0).
  • A final 41-element checklist was developed, deemed crucial for analysis.

Conclusions

  • Checklists for CPB are effective strategies for improving procedural safety and quality.
  • Implementation and adoption of the developed checklist are recommended.
  • The checklist aids in identifying and mitigating risks associated with CPB.

Related Concept Videos

Pre-Procedural Guidelines for Assessing Blood Pressure 01:10

518

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...

Assessment of apical radial pulse 01:25

708

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation

Equipment Preparation: Gather all necessary supplies, including a watch with a second hand (for accurate counting), a stethoscope, antiseptic wipes, and a vital signs flow sheet.
Patient Interaction:

• Identification: Confirm the...

Assessment of apical pulse 01:17

804

Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:

• Children younger than two years.
• Cardiac patients.
• Patients before administering specific medications (e.g., cardiac glycosides like digoxin).

Location: The apical pulse is auscultated at the left midclavicular line. It is located at the 5th intercostal space, where the heart's apex is closest to the chest wall.
Preparation:

Gather...

Assessment of the Cardiovascular System III: Palpation 01:27

168

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...

Assessment of Respiration 01:23

1.0K

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...