Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool.

Surgical Endoscopy
Sonja N BuzinkJack J Jakimowicz

Abstract

Awareness of the relative high rate of adverse events in laparoscopic surgery created a need to safeguard quality and safety of performance better. Technological innovations, such as integrated operating room (OR) systems and checklists, have the potential to improve patient safety, OR efficiency, and surgical outcomes. This study was designed to investigate the influence of the integrated OR system and Pro/cheQ, a digital checklist tool, on the number and type of equipment- and instrument-related risk-sensitive events (RSE) during laparoscopic cholecystectomies. Forty-five laparoscopic cholecystectomies were analyzed on the number and type of RSE; 15 procedures were observed in the cart-based OR setting, 15 in an integrated OR setting, and 15 in the integrated OR setting while using Pro/cheQ. In the cart-based OR setting and the integrated OR setting, at least one event occurred in 87% of the procedures, which was reduced to 47% in the integrated OR setting when using Pro/cheQ. During 45 procedures a total of 57 RSE was observed-most were caused by equipment that was not switched on or with the wrong settings. In the integrated OR while using Pro/cheQ the number of RSE was reduced by 65%. Using both an integrated OR and Pro/ch...Continue Reading

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Citations

Dec 26, 2012·Best Practice & Research. Clinical Obstetrics & Gynaecology·Rasiah BharathanAra Darzi
Nov 3, 2012·Neurosurgical Focus·Scott L ZuckermanJ Mocco
Apr 29, 2014·Surgical Endoscopy·Maurits GraaflandMarlies P Schijven
Jul 28, 2012·Gynecological Surgery·Sharon P RodriguesFrank W Jansen
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Aug 28, 2016·The Journal of Surgical Research·Abigail J FongAlexander Langerman
Jan 21, 2018·Surgical Endoscopy·Mathijs D BlikkendaalFrank Willem Jansen
Aug 7, 2013·Circulation·Joyce A WahrUNKNOWN American Heart Association Council on Cardiovascular Surgery and Anesthesia, Council on Cardiovascular and Stroke Nursing, a
Apr 7, 2016·Biomedizinische Technik. Biomedical Engineering·Eva-Maria ZeißigKlaus Radermacher
Jan 8, 2021·Applied Ergonomics·Sara Bayramzadeh, Parsa Aghaei
Mar 10, 2021·Internal and Emergency Medicine·Beatrice Billur KnocheSoeren Sten Lienkamp

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Software Mentioned

Pro
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cheQ

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