Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program
| Autor: | Max S. Theis, Scott D. Wood, Julia Neily, Brian T. Carney, Douglas E. Paull, James P. Bagian, Lori D. Robinson, Peter D. Mills, Lisa Mazzia |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Operating Rooms Hospitals Veterans Veterans Health Operating Room Technicians medicine Humans In patient Postoperative Period Program Development Patient Care Team business.industry General surgery Debriefing General Medicine medicine.disease Veterans health Checklist United States Venous thrombosis United States Department of Veterans Affairs Surgical Procedures Operative Preoperative Period Physical therapy Workforce Surgery Medical team Education Medical Continuing Training program business Surgical patients |
| Zdroj: | American journal of surgery. 200(5) |
| ISSN: | 1879-1883 |
| Popis: | 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. Published by Elsevier Inc. |
| Databáze: | OpenAIRE |
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