Development Validation and Implementation of Customized Checklists For Safe Surge

描述（由申请人提供）：拟定研究旨在开发、验证和实施手术室紧急情况和专业手术的定制检查表，以提高对公认安全流程的遵守并降低严重伤害的可能性。 长期目标是通过建立检查表作为外科手术的标准实践，提高对公认护理过程的依从性，从而提高患者的安全性和结局。在美国每年进行的1亿多例手术中，广泛采用检查表可以合理地预期会显著降低重大并发症和死亡率。拟议的研究旨在为手术室紧急情况和专业操作制定、验证和实施定制的检查表，以提高对公认安全流程的遵守，并降低严重伤害的可能性。长期目标是通过建立检查表作为外科手术的标准实践，提高对公认护理过程的依从性，从而提高患者的安全性和结局。在美国每年进行的1亿多例手术中，广泛采用检查表可以合理地预期会显著降低重大并发症和死亡率。模拟器研究后，将在三个临床研究中心实施检查表。将在实施后6个月和12个月通过记录每个选定专科中50例使用检查表的病例百分比来衡量检查表的持续使用情况。将通过选定专业的手术团队的调查数据，在真实的临床场景中验证和评价检查表的效用。调查将评价感知效用、易用性、工作流程适应性和患者感知受益等变量。将根据在选定地点实施检查表之前和之后对重点安全态度问卷的答复，衡量每个地点安全态度的变化。

DESCRIPTION (provided by applicant): The proposed study aims to develop, validate, and implement customized checklists for operating room emergencies and specialty operations in order to improve adherence to accepted safety processes and to decrease the likelihood of serious harm. The long term objective is to improve adherence to accepted processes of care by establishing checklists as standard practice in surgery, thereby improving patient safety and outcomes. Widespread adoption of checklists could reasonably be expected to significantly lower major complications and death in the more than 100 million operations performed annually in the United States. The proposed study aims to develop, validate, and implement customized checklists for operating room emergencies and specialty operations in order to improve adherence to accepted safety processes and to decrease the likelihood of serious harm. The long term objective is to improve adherence to accepted processes of care by establishing checklists as standard practice in surgery, thereby improving patient safety and outcomes. Widespread adoption of checklists could reasonably be expected to significantly lower major complications and death in the more than 100 million operations performed annually in the United States. Following the simulator study, the checklists will be implemented in three clinical sites. Sustained use of the checklists will be measured at 6 and 12 months post implementation by recording the percentage of cases in which a checklist was used for 50 cases in each of the selected specialties. Validation and evaluation of utility of the checklists will occur in real clinical scenarios via survey data of surgical teams in the selected specialties. Surveys will evaluate the perceived utility, ease of use, fit into workflow, and perceived benefit to patients, among other variables. Changes in safety attitudes at each site will be measured based on responses to the Focused Safety Attitudes Questionnaire before and after implementation of the checklists at the selected sites.