Kilbane H, Oxtoby C, Tivers M S
Bristol Veterinary School, University of Bristol, Langford House, Langford, Bristol, BS40 5DU, UK.
The Veterinary Defence Society, 4 Haig Court, Parkgate Industrial Estate, Knutsford, Cheshire, WA168XZ, UK.
J Small Anim Pract. 2020 Jun;61(6):332-337. doi: 10.1111/jsap.13131. Epub 2020 Mar 16.
To investigate staff attitudes to the use of a surgical safety checklist in a small animal operating room and to gain insight into barriers to use.
A questionnaire was designed and used to assess attitudes of 36 operating room personnel to the checklist. The checklist was retrospectively audited on 984 patients over an 8-month period to investigate compliance.
Responses were obtained from 100% of operating room personnel. Attitudes to the checklist were positive, with 83.4% agreeing that it improved teamwork and 100% agreed that the checklist improved patient safety, reduced error and was best practice. Most personnel (94%) believed that a completed checklist was used for every procedure. Several barriers were highlighted, including issues of hierarchy and team-working and lack of training. 984 checklists were used during the study period with 83 (8.4%) being fully completed.
Surgical safety checklists have potential to improve patient safety in veterinary operating rooms. However, appropriate design and implementation are critical and surgeons should endeavour to support checklist use.
调查小动物手术室工作人员对使用手术安全检查表的态度，并深入了解使用过程中的障碍。
设计一份问卷，用于评估36名手术室工作人员对检查表的态度。在8个月的时间里，对984例患者的检查表进行回顾性审核，以调查其依从性。
获得了100%手术室工作人员的回复。对检查表的态度是积极的，83.4%的人认为它改善了团队协作，100%的人认为检查表提高了患者安全性、减少了错误且是最佳实践。大多数工作人员（94%）认为每个手术程序都使用了填写完整的检查表。突出了几个障碍，包括等级制度和团队协作问题以及缺乏培训。在研究期间使用了984份检查表，其中83份（8.4%）填写完整。
手术安全检查表有潜力提高兽医手术室的患者安全性。然而，恰当的设计和实施至关重要，外科医生应努力支持检查表的使用。
