Does Using a Surgical Safety Checklist Improve Surgical Readiness?
Review TypeNone: Degree-based Submission
Repository Posting Date2019-03-01T20:58:25Z
Author(s)Goodall, Christina A Colombo
Author DetailsChristina A Colombo Goodall, CNOR,FACHE,NEA-BC,MBA,MHA,RN,DNP
Lead Author Sigma AffliationOmega Gamma
TypeDNP Capstone Project
Level of EvidenceLiterature Review
Research ApproachPilot/Exploratory Study
Previous studies supported training multidisciplinary teams using an evidence-based tool such as the Comprehensive Surgical Checklist (CSC) to promote communication, teamwork, and safety. Evidence showed the CSC’s four-phased approach reduced avoidable adverse events that were problematic in the single-phased checklist of the studied organization for completing the TimeOut. The aim of this quality-improvement project was to increase safe surgical readiness by adopting the CSC and creating surgical-team awareness of the Phase I Preprocedure Check-In elements. The population, intervention, comparison, outcome, and time (PICOT) question—In the surgical patient population, how does implementing the CSC influence adverse events related to surgical readiness over an 8-week period?—was formulated to guide the search for evidence and assist in implementation of research into practice. The professional practice model encourages nurses to embrace their responsibility as a caring professional and acknowledge their accountability for practice outcomes through obligation, ownership, oversight, outcomes, and opportunity. A t test measured the difference in the number of adverse events before and after CSC implementation. Because the t value of .743 was not in excess of the critical value of 1.71, the project outcome was not statistically significant. Willingness to use the checklist and report adverse events was a study limitation improved by training. Findings included a positive association between CSC training and surgical team awareness of elements in the Phase I Preprocedure Check-In. Study assumptions reflected nurse-driven actions and outcomes. Findings demonstrated an increase in reporting of adverse events related to safe surgical readiness; safe surgical readiness was important to the organization.
DescriptionThe author retains copyright.
Degree GrantorCapella University
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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