Puttick Thomas, Speirs Archie, Gibson Matthew, Tadjkarimi James, Ahmad Farhan
Department of Radiology, Royal Berkshire NHS Foundation Trust, Reading, UK.
BJR Case Rep. 2016 May 2;2(2):20150128. doi: 10.1259/bjrcr.20150128. eCollection 2016.
Our aims were to first assess uptake of the modified safety checklist (SC) for interventional radiology (IR), identify obstacles to using the SC, and then apply changes to local policy to reach maximum compliance. Retrospective data collection was performed of all patients who underwent an interventional procedure in the interventional suite at the Royal Berkshire Hospital in February, March and May 2014. Barriers to a SC: a lack of awareness about the SC; lack of training in how to complete the SC; lack of leadership-no team member had been given the role of promoting the SC and collecting and collating the SC; attitude of staff-some team members felt that the SCs were time consuming and further bureaucracy; out-of-hours procedures involved staff from outside departments who were not familiar with the SC; paper copies of the completed SCs were being misplaced. Results: February 2014 = 79%; staff education of the importance of the modified World Health Organization (WHO) checklist disseminated in the interventional suite and at clinical governance; each day a designated 'SC champion' in the interventional suite has the responsibility for overseeing the WHO checklist is completed for each patient; the use of a clipboard for storing checklists, amalgamated and scored at the end of each day. Any checklists not completed are highlighted and discussed with the consultant. March 2014 = 95%; junior nurse involvement in auditing to improve awareness and engagement; out-of-hours interventional radiologist ensuring that the checklist is completed for each patient. May 2014 = 100%.
我们的目标是，首先评估改良后的介入放射学（IR）安全检查表（SC）的使用情况，确定使用该检查表的障碍，然后对当地政策进行调整，以实现最高的合规率。我们对2014年2月、3月和5月在皇家伯克郡医院介入治疗室接受介入手术的所有患者进行了回顾性数据收集。安全检查表存在的障碍包括：对检查表缺乏认识；缺乏关于如何填写检查表的培训；缺乏领导力——没有团队成员被赋予推广检查表以及收集和整理检查表的职责；员工态度——一些团队成员认为检查表耗时且增加了官僚作风；非工作时间的手术涉及不熟悉检查表的外部科室工作人员；已填写的检查表纸质副本被放错地方。结果：2014年2月 = 79%；在介入治疗室和临床管理中传播了关于改良后的世界卫生组织（WHO）检查表重要性的员工教育内容；介入治疗室每天指定一名“检查表负责人”，负责监督为每位患者填写WHO检查表；使用写字板存放检查表，每天结束时进行汇总和评分。任何未完成的检查表都会被标记出来，并与顾问进行讨论。2014年3月 = 95%；初级护士参与审核以提高认识和参与度；非工作时间的介入放射科医生确保为每位患者填写检查表。2014年5月 = 100%。
