Back to Search
Start Over
UC Care Check-A Postoperative Neurosurgery Operating Room Checklist: An Interrupted Time Series Study.
- Source :
-
Journal for healthcare quality : official publication of the National Association for Healthcare Quality [J Healthc Qual] 2020 Jul/Aug; Vol. 42 (4), pp. 224-235. - Publication Year :
- 2020
-
Abstract
- Background: The effectiveness of neurosurgical operating room (OR) checklists to improve communication, safety attitudes, and clinical outcomes is uncertain.<br />Purpose: To develop, implement, and evaluate a post-operative neurosurgery operating room checklist.<br />Methods: Four large academic medical centers participated in this study. We developed an evidence-based checklist to be performed at the end of every adult-planned or emergent surgery in which all team members pause to discuss key elements of the case. We used a prospective interrupted time series study design to assess trends in clinical and cost outcomes. Safety attitudes and communication among OR providers were also assessed.<br />Results: There were 11,447 neurosurgical patients in the preintervention and 10,973 in the postintervention periods. After implementation, survey respondents perceived that postoperative checklists were regularly performed, important issues were communicated at the end of each case, and patient safety was consistently reinforced. Observed to expected (O/E) overall mortality rates remained less than one, and 30-day readmission rate, length of stay index, direct cost index, and perioperative venous thromboembolism and hematoma rates remained unchanged as a result of checklist implementation.<br />Conclusion: A neurosurgical checklist can improve OR team communication; however, improvements in safety attitudes, clinical outcomes, and health system costs were not observed.
- Subjects :
- Academic Medical Centers statistics & numerical data
Adult
Aged
Aged, 80 and over
Female
Humans
Interrupted Time Series Analysis
Male
Middle Aged
Patient Readmission statistics & numerical data
Prospective Studies
Surveys and Questionnaires
United States
Academic Medical Centers standards
Checklist standards
Neurosurgery standards
Operating Rooms standards
Patient Readmission standards
Patient Safety standards
Practice Guidelines as Topic
Subjects
Details
- Language :
- English
- ISSN :
- 1945-1474
- Volume :
- 42
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal for healthcare quality : official publication of the National Association for Healthcare Quality
- Publication Type :
- Academic Journal
- Accession number :
- 31977363
- Full Text :
- https://doi.org/10.1097/JHQ.0000000000000246