Safe Surgery Checklist Implementation: Associations of Management Practice and Safety Culture Change

Abstract Background and study aim Checklists prevent errors and have a positive impact on patient morbidity and mortality in surgical settings. Despite increasing use of checklists in gastrointestinal endoscopy units across many countries, a summary of cumulated experience is lacking. The aim of this study was to identify and evaluate the feasibility of successful checklist implementation in gastrointestinal endoscopy units and summarise the evidence of its impact on the commitment in safety culture. Methods A comprehensive literature search was performed identifying the use of a checklist or time-out in endoscopy units from 1978 to January 2020 using OVID MEDLINE, EMBASE, and ISI Web of Knowledge databases, with search terms related to checklist and endoscopy. We summarised overall adherence to checklists from included studies through a narrative synthesis, characterizing barriers and facilitators according to nurse and physician perspectives, while also summarizing safety endpoints. Results The seven studies selected from 673 screened citations were highly heterogeneous in terms of methodology, context, and outcomes. Across five of these, checklist adherence rates post-intervention varied for both nurses (84 % to 96 %) and physicians (66 % to 95 %). Various facilitators (education, continued reassessment) and barriers (lack of safety culture, checklist completion time) were identified. Most studies did not report associations between checklist implementation and clinical outcomes, except for better team communication. Conclusion Implementation of a gastrointestinal endoscopy checklist is feasible, with an understanding of relevant barriers and facilitators. Apart from a significant increase in the perception of team communication, evidence for a measurable impact attributable to gastrointestinal checklist implementation on endoscopic processes and safety outcomes is limited and warrants further study.

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A multi-level analysis of infection control in English hospitals: coerced safety culture change

European Journal of Public Health ◽

10.1093/eurpub/cky212.529 ◽

2018 ◽

Vol 28 (suppl_4) ◽

Author(s):

Y Kyratsis ◽

R Ahmad ◽

M Iwami ◽

E Castro Sanchez ◽

R Atun ◽

...

Keyword(s):

Infection Control ◽

Safety Culture ◽

Culture Change ◽

Multi Level ◽

Level Analysis

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Promoting Safety Culture: Change in Mindset

10.2118/197941-ms ◽

2019 ◽

Author(s):

Sharmose Yaqoob ◽

Salman Khan

Keyword(s):

Safety Culture ◽

Culture Change

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Study on SPMO Management of Contractor Special Process Personnel Qualification Under EPC Mode

Volume 1: Plant Operations, Maintenance, Engineering, Modifications, Life Cycle and Balance of Plant; Nuclear Fuel and Materials; Radiation Protection and Nuclear Technology Applications ◽

10.1115/icone21-16517 ◽

2013 ◽

Author(s):

Hongwei Shen ◽

Zhiyou Sun ◽

Yang Shen

Keyword(s):

Quality Assurance ◽

Process Control ◽

Management Practice ◽

Industrial Safety ◽

Quality Assurance System ◽

Assurance System ◽

Comprehensive Classification ◽

Checklist Implementation ◽

Qualification Management ◽

Special Process

Under the background of Sanmen AP1000 NPP Project, World’s First AP1000 Project, this article looks into SPMO management over contractor special process personnel qualification under EPC mode. The project management mode is briefed and the theory basis of the study is discussed, in terms of nuclear safety regulation ASME NQA-1, HAF003 and industrial safety regulations, as well as quality management theory. Contractor special process personnel qualification is generally unmanageable, mainly resulting in negative chain quality problems, objective of the study aims at solving the problems and managerial dilemmas of contractor special process personnel qualification management on site. Quality assurance system is maintained according to ASME NQA-1, and special process is implemented in compliance with the specification of special process control procedures developed for particular special processes, such as welding, NDE, painting, etc. Personnel training, authorization, certificate, operation experiences and pertinent requirements are specified in personnel qualification procedures. The method and process of special process personnel qualification management is created under SPMO quality assurance system, in the scope of SPMO management, while detailed and comprehensive classification of special process personnel qualification is defined with originality. On the basis of ingenious classification and management practice, the author summarizes a systematic management methodology of contractor special process personnel qualification under EPC mode. Classification management, standardized checklist implementation, and site surveillance are integrated for special process personnel management. Outstanding effect and performance are achieved by demonstrating the systematic management methodology, providing effective experience for follow-up AP1000 project which has significant meaning for enhancing contractor special process control and ensuring AP1000 construction quality.

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