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

Autor: M.V. García Palacios, R. Eizaga Rebollar, C.M. Márquez Rodríguez, M.C. Fernández Mangas, F.J. Arroyo Fernández, L.M. Torres Morera, A.I. Carnota Martín, J. Morales Guerrero
Rok vydání: 2019
Předmět:
Zdroj: Revista Española de Anestesiología y Reanimación (English Edition). 66:459-466
ISSN: 2341-1929
DOI: 10.1016/j.redare.2019.06.004
Popis: 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.
Databáze: OpenAIRE