Development Validation and Implementation of Customized Checklists For Safe Surge

项目摘要 拟议的研究旨在开发、验证和实施定制的 手术室紧急情况和专业操作的检查表，以提高 遵守公认的安全流程，并降低严重伤害的可能性。 长期目标是通过以下方式提高对公认护理程序的坚持 建立检查表作为外科手术的标准做法，从而提高患者的安全性 和结果。可以合理地预期，广泛采用检查表， 在超过1亿例手术中显著降低主要并发症和死亡率 每年在美国举行。 拟议的研究旨在开发、验证和实施定制的 手术室紧急情况和专业手术的检查表，以提高 遵守公认的安全流程，并降低严重伤害的可能性。 长期目标是通过以下方式提高对公认护理程序的坚持 建立检查表作为外科手术的标准做法，从而提高患者的安全性 和结果。可以合理地预期，广泛采用检查表， 在超过1亿例手术中显著降低主要并发症和死亡率 每年在美国举行。 在模拟器研究之后，将在三个临床 网站.持续使用检查表将在术后6个月和12个月进行测量， 通过记录使用核对表的案例的百分比， 各选定专科各50例。验证和评价 检查表将通过手术团队的调查数据在真实的临床场景中出现， 精选专业调查将评估感知效用，易用性，适合工作- 流量和对患者的感知益处等变量。安全性变化 每个现场的态度将根据对重点安全 在选定国家执行核对表前后的态度调查表 网站.

Project Summary 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 work- flow, 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.