Checklist Usage Decreases Critical Task Omissions When Training Residents to Separate From Simulated Cardiopulmonary Bypass
| Autor: | Michael P. Hofkamp, Frank J. Villamaria, William C. Culp, Timothy R. Ball, Edward W. Petrik, Hania Wehbe-Janek, Maqsood Elahi, Dennis Ho |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Process (engineering) Delphi method Psychological intervention law.invention Task (project management) Anesthesiology law Cardiopulmonary bypass Humans Medicine computer.programming_language Cardiopulmonary Bypass Medical Errors business.industry Internship and Residency medicine.disease Checklist Patient Simulation Anesthesiology and Pain Medicine Workflow Female Clinical Competence Medical emergency Cardiology and Cardiovascular Medicine business computer Delphi |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 28:1484-1489 |
| ISSN: | 1053-0770 |
| DOI: | 10.1053/j.jvca.2014.05.011 |
| Popis: | Objective Separation from cardiopulmonary bypass (CPB) requires multiple preparatory steps, during which mistakes, omissions, and human errors may occur. Checklists have been used extensively in aviation to improve performance of complex, multistep tasks. The aim of this study was to (1) develop a checklist using a modified Delphi process to identify essential steps necessary to prepare for separation from CPB, and (2) compare the frequency of completed items with and without the use of a checklist in simulation. It was hypothesized that the use of a checklist would reduce the number of omissions. Design High-fidelity simulation study. Setting University-affiliated tertiary care facility. Participants Seven cardiac anesthesiologists created a checklist using a modified Delphi process. Ten residents participated in 4 scenarios separating from CPB in simulation. Interventions Each scenario was performed first without a checklist and then again with a checklist. An observer graded participants’ performance. Measurements and Main Results A pre-separation checklist containing 9 tasks was created using the Delphi process. Without using this checklist, 4 tasks were completed in at least 75% of scenarios, and 8 tasks were completed at least 75% of the time when using the checklist. There was a significant improvement in completion of 5 of the 9 items (p Conclusions A modified Delphi process can be used to create a checklist of steps in preparing to separate from CPB. Using this checklist during simulation resulted in increased frequency of completing designated tasks in comparison to relying on memory alone. Checklists may reduce omission errors during complex periods of anesthesiologists’ perioperative workflow. |
| Databáze: | OpenAIRE |
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