Department of Surgery, The University of Otago, Dunedin, New Zealand.
Department of Colorectal Surgery, Mayo Clinic, Rochester, Minnesota, USA.
ANZ J Surg. 2021 May;91(5):854-859. doi: 10.1111/ans.16543. Epub 2021 Jan 18.
Checklists have been shown to reduce morbidity and mortality in medicine by improving documentation and reducing errors. In the modern era of care, where patients are the centre of decision-making, this study examines patient perception of care and error prevention with the use of ward round checklist.
We conducted a prospective stepped-wedge cluster randomized controlled checklist intervention study using a standardized questionnaire to investigate patients' perception of ward rounds before and after implementation of a ward round checklist.
A total of 124 patients completed the questionnaire. The overall percentage of items endorsed increased significantly by 5.1% from 64.8% to 70.0% (P = 0.014). Statistically significant improvements were seen in patients knowing their diagnosis (P = 0.027), the day's plan (P = 0.038), observing a medication chart (P < 0.001) and observation chart review (P = 0.008).
Our study indicates that the use of a ward round checklist leads to patient-perceived improvements in aspects of quality of care.
清单已被证明可以通过改善文档记录和减少错误来降低医学中的发病率和死亡率。在以患者为决策中心的现代医疗时代，本研究通过使用查房清单来检查患者对护理和差错预防的感知。
我们使用标准化问卷进行了一项前瞻性的、逐步楔形群随机对照清单干预研究，以调查患者在实施查房清单前后对查房的感知。
共有 124 名患者完成了问卷。总的来说，被认可的项目百分比从 64.8%显著增加到 70.0%（P=0.014），增加了 5.1%。在患者了解其诊断（P=0.027）、当天的计划（P=0.038）、观察用药图表（P<0.001）和观察图表审查（P=0.008）方面，患者感知到了显著的改善。
我们的研究表明，使用查房清单可使患者感知到护理质量方面有所改善。
