Development Validation and Implementation of Customized Checklists For Safe Surge

描述(由申请人提供)：拟议的研究旨在开发、验证和实施手术室紧急情况和特殊手术的定制核对表，以改进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核对表作为手术中的标准做法，从而改善患者的安全性和预后，从而提高对公认的护理过程的依从性。可以合理地预计，广泛采用核对表将显著降低美国每年进行的1亿多次手术中的主要并发症和死亡人数。这项拟议的研究旨在制定、验证和实施手术室紧急情况和特殊手术的定制核对表，以改进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核对表作为手术中的标准做法，从而改善患者的安全性和预后，从而提高对公认的护理过程的依从性。可以合理地预计，广泛采用核对表将显著降低美国每年进行的1亿多次手术中的主要并发症和死亡人数。在模拟器研究之后，核对表将在三个临床地点实施。将在实施后6个月和12个月对清单的持续使用情况进行衡量，方法是记录每个选定专科的50个病例使用清单的百分比。核对表的有效性验证和评估将通过选定专科的外科团队的调查数据在真实的临床场景中进行。调查将评估感知的实用性、易用性、是否适合工作流程以及对患者的感知益处等变量。将根据在选定地点实施核对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.