Factors that drive team participation in surgical safety checks: a prospective study

Patient Safety in Surgery
Brigid M GillespieAndrea P Marshall

Abstract

Team-based group communications using checklists are widely advocated to achieve shared understandings and improve patient safety. Despite the positive effect checklists have on collaborations and reduced postoperative complications, their use has not been straightforward. Previous research has described contextual factors that impact on the implementation of checklists, however there is limited understanding of the issues that impede team participation in checklist use in surgery. The aim of this prospective study was to identify and describe factors that drive team participation in safety checks in surgery. We observed ten surgical teams and conducted 33 semi-structured interviews with 70 participants from nursing, surgery and anaesthetics, and the community. Constant comparative methods were used to analyse textual data derived from field notes and interviews. Observational and interview data were collected during 2014-15. Analysis of the textual data generated from the field notes and interviews revealed the extent to which members of the surgical team participated in using the surgical safety checklist during each phase of patient care. These three categories included: 'using the checklist'; 'working independently'; and, '...Continue Reading

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Citations

Jan 18, 2017·Patient Safety in Surgery·Philip F StahelFernando J Kim
Nov 28, 2017·AORN Journal·Brigid M GillespieWendy Chaboyer
Feb 17, 2018·Advances in Simulation·Peter DieckmannRalf Krage

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