A prospective analysis of clinical detection of defective wrapping by operating room staff

2018 ◽  
Vol 46 (7) ◽  
pp. 837-839 ◽  
Author(s):  
Kyle S. Mobley ◽  
J. Benjamin Jackson
2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jie Tan ◽  
James Reeves Mbori Ngwayi ◽  
Zhaohan Ding ◽  
Yufa Zhou ◽  
Ming Li ◽  
...  

Abstract Background Ten years after the introduction of the Chinese Ministry of Health (MoH) version of Surgical Safety Checklist (SSC) we wished to assess the ongoing influence of the World Health Organisation (WHO) SSC by observing all three checklist components during elective surgical procedures in China, as well as survey operating room staff and surgeons more widely about the WHO SSC. Methods A questionnaire was designed to gain authentic views on the WHO SSC. We also conducted a prospective cross-sectional study at five level 3 hospitals. Local data collectors were trained to document specific item performance. Adverse events which delayed the operation were recorded as well as the individuals leading or participating in the three SSC components. Results A total of 846 operating room staff and surgeons from 138 hospitals representing every mainland province responded to the survey. There was widespread acceptance of the checklist and its value in improving patient safety. 860 operations were observed for SSC compliance. Overall compliance was 79.8%. Compliance in surgeon-dependent items of the ‘time-out’ component reduced when it was nurse-led (p < 0.0001). WHO SSC interventions which are omitted from the MoH SSC continued to be discussed over half the time. Overall adverse events rate was 2.7%. One site had near 100% compliance in association with a circulating inspection team which had power of sanction. Conclusion The WHO SSC remains a powerful tool for surgical patient safety in China. Cultural changes in nursing assertiveness and surgeon-led teamwork and checklist ownership are the key elements for improving compliance. Standardised audits are required to monitor and ensure checklist compliance.


2019 ◽  
Vol 40 (3) ◽  
pp. 281-286
Author(s):  
Tarik D Madni ◽  
Paul A Nakonezny ◽  
Jonathan B Imran ◽  
Evan Barrios ◽  
Paul Rizk ◽  
...  

2017 ◽  
Vol 66 (4) ◽  
pp. e90-e91
Author(s):  
Melissa Kirkwood ◽  
Khalil Chamseddin ◽  
Gary Arbique ◽  
Jeffrey Guild ◽  
David Timaran ◽  
...  

2018 ◽  
Vol 68 (5) ◽  
pp. 1281-1286 ◽  
Author(s):  
Melissa L. Kirkwood ◽  
Khalil Chamseddin ◽  
Gary M. Arbique ◽  
Jeffrey B. Guild ◽  
David Timaran ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Yaira Gutman ◽  
Nili Tabak

Objective. In recent years, more and more delivery rooms have allowed husbands/partners to be present during a Cesarean section Nonetheless, many still oppose the idea. The study is designed to investigate the attitudes of Israeli gynecologists, anesthetists, operating-room nurses, and midwives on this issue.Design. The study's theoretical model comes from Fishbein and Ajzen's theory of reasoned action. A self-administered questionnaire was submitted to convenience sample.Subjects. 96 gynecologists, anesthetists, midwives, and operating-room nurses.Results. Significant differences were found between the occupational subgroups. Most of the findings supported the four hypotheses tested and confirmed earlier studies designed to verify the theoretical model.Conclusions. The main conclusion drawn is that delivery and operating-room staff need to be trained in the skills needed to promote the active participation of the baby's father in delivery and, if necessary, in a Cesarean section.


2005 ◽  
Vol 103 (2) ◽  
pp. 401-405 ◽  
Author(s):  
Paulus M. Torkki ◽  
Riitta A. Marjamaa ◽  
Markus I. Torkki ◽  
Pentti E. Kallio ◽  
Olli A. Kirvelä

Background Mean turnover times and the time spent in the operating room (OR) can be reduced by concurrent induction of anesthesia. Previous studies of anesthesia induction outside the OR have concentrated either on anesthesia-controlled time or turnover time. The goal of this study was to investigate the impact of an induction room model on the whole surgical process, its phases and delays between the phases, and the number of cases performed during the 7-h working day. Methods A prospective analysis of OR times was conducted for 5 weeks with the traditional induction-in-the-OR model followed by 4 weeks with a new model: A team of two nurses and one anesthesiologist was added to one OR to perform parallel anesthesia induction in a separate induction room. The durations of phases of surgical process, number of completed cases between 7:45 am and 3:00 pm, and daily raw utilization of the OR were assessed. Results were compared to those measured before the intervention. Results The mean nonoperative time was reduced by 45.6%, whereas surgery time remained unchanged. The time savings contributed to the concurrent anesthesia induction and the cut down in delays between the phases. The new model allowed one additional case to be performed during the 7-h working day. Conclusions Anesthesia induction outside the OR can increase the number of surgical cases performed during a regular workday.


2019 ◽  
Vol 8 (1) ◽  
pp. 14-20
Author(s):  
maryam Mardani ◽  
Raheleh Sabet Sarvestani ◽  
Ali Khani Jeyhooni ◽  
Azizallah dehghan ◽  
◽  
...  

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