«Safety First»: Design of an anesthetic checklist in pediatrics.

Autor: Eizaga Rebollar R; Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta de Mar, Cádiz, España. Electronic address: ramonchueizaga@hotmail.com., García Palacios MV; Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Puerta de Mar, Cádiz, España., Fernández Mangas MC; Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta de Mar, Cádiz, España., Arroyo Fernández FJ; Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta de Mar, Cádiz, España., Márquez Rodríguez CM; Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta de Mar, Cádiz, España., Carnota Martín AI; Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta de Mar, Cádiz, España., Morales Guerrero J; Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta de Mar, Cádiz, España., Torres Morera LM; Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta de Mar, Cádiz, España.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim (Engl Ed)] 2019 Nov; Vol. 66 (9), pp. 459-466. Date of Electronic Publication: 2019 Sep 30.
DOI: 10.1016/j.redar.2019.06.007
Abstrakt: Introduction: Quality improvement in health care entails the design of reliable processes which prevent and mitigate medical errors. Checklists are cognitive tools which reduce such errors. The primary objective of this study was to design an anesthetic checklist in Pediatrics to be implemented in our hospital.
Methods: Delphi technique was used, with 3 rounds of questionnaire surveys: a generic questionnaire to obtain dimensions and items; and 2 specific ones to score individual items and obtain an overall rating for the checklist (median), and to measure the level of consensus (relative interquartile range) and internal reliability (Wilcoxon signed-rank test).
Results: Final version of the checklist obtained a high overall score (Med 9) with a very high consensus (RIR 5%). Internal consensus was reached on all items (RIR ≤ 30%). Wilcoxon signed-rank test found no statistically significant differences, demonstrating reliability or consistency of responses between consecutive rounds.
Conclusion: The Anesthetic checklist in Pediatrics has been methodically designed for implementation and use in our hospital.
(Copyright © 2019 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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