Finch Elizabeth P, Langston Michael, Erickson Deborah, Pereira Katherine
AORN J. 2019 Mar;109(3):336-344. doi: 10.1002/aorn.12616.
Ineffective communication can contribute to perioperative adverse events even when a safety checklist is used. The purpose of this project was to improve the overall debriefing process of the surgical safety checklist. We included coaches and used the International Classification for Patient Safety for categorizing any opportunities for improvement that were identified during the debriefing process. The results of our project showed an increase in both the total number of debriefings completed and the number of items discussed when completing the debriefing checklist in comparison with the preintervention compliance audits. We concluded that by using a coaching strategy and method to categorize perioperative opportunities for improvement during the debriefing process, there was improved compliance with completing the debriefing process in our facility.
即使使用了安全检查表,无效沟通仍可能导致围手术期不良事件。本项目的目的是改进手术安全检查表的整体汇报流程。我们纳入了指导人员,并使用《国际患者安全分类》对汇报过程中发现的任何改进机会进行分类。与干预前的合规性审计相比,我们项目的结果显示,完成的汇报总数以及完成汇报检查表时讨论的项目数量均有所增加。我们得出结论,通过在汇报过程中采用指导策略和方法对围手术期改进机会进行分类,我们机构在完成汇报流程方面的合规性得到了提高。