Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program - 20/08/11
, Lisa M. Mazzia, M.D. a, Scott D. Wood, Ph.D. a, Max S. Theis, M.P.H. a, Lori D. Robinson, R.N., M.S.N. a, Brian Carney, M.D. b, Julia Neily, R.N., M.S., M.P.H. b, Peter D. Mills, Ph.D. b, James P. Bagian, M.D., P.E. a
Corresponding author: Tel.: +1-734-930-5897; fax: +1-734-930-5899Abstract |
Background |
The purpose of this study was to examine the outcomes of checklist-driven preoperative briefings and postoperative debriefings during the Veterans Health Administration (VHA) medical team training program.
Methods |
A briefing score (1, never started; 2, started then discontinued; 3, maintained on original targeted cases; 4, expanded to other services; 5, briefing all cases, all services) was established at 10.1 ± .3 months after introduction of the checklist. Outcomes included antibiotic and deep venous thrombosis prophylaxis compliance rates before and after use of the checklist.
Results |
Antibiotic (97.0% ± .1% vs 92.1% ± 1.5%; P = .01) and deep venous thrombosis (95.7% ± .8% vs 85.1% ± 4.6%; P = .05) prophylaxis compliance rates were higher after initiation of a surgical checklist.
Conclusions |
Checklist-driven preoperative briefings and postoperative debriefings are associated with improvements in patient safety for surgical patients.
Le texte complet de cet article est disponible en PDF.Keywords : Briefings, Checklists, Communication, Operating room, Teamwork, Training
Plan
Vol 200 - N° 5
P. 620-623 - novembre 2010 Retour au numéro
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