Development Validation and Implementation of Customized Checklists For Safe Surge

项目摘要 建议的研究旨在开发、验证和实施定制 手术室紧急情况和特殊手术的检查表，以改进 遵守公认的安全流程，减少严重伤害的可能性。 长期目标是通过以下方式改善对公认护理过程的遵守 建立核对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。核对表的广泛采用可以合理地预期 显著降低了1亿多例手术的主要并发症和死亡率 在美国每年演出一次。 建议的研究旨在开发、验证和实施定制 手术室紧急情况和特殊手术的检查表，以改进 遵守公认的安全流程，减少严重伤害的可能性。 长期目标是通过以下方式改善对公认护理过程的遵守 建立核对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。核对表的广泛采用可以合理地预期 显著降低了1亿多例手术的主要并发症和死亡率 在美国每年演出一次。 在模拟器研究之后，检查表将在三个临床试验中实施 网站。核对表的持续使用将在6个月和12个月后进行衡量 通过记录使用核对表的案例百分比来实施 在每个选定的专科中都有50个病例。验证和评估系统的效用 核对表将通过手术团队的调查数据在真实的临床场景中进行 精选专业。调查将评估感知的实用性、易用性、是否适合工作- 流量，以及对患者的感知利益，以及其他变量。安全方面的变化 将根据对重点安全的反应来衡量每个站点的态度 在选定的调查地点实施检查表前后的态度问卷 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.