Use of a Surgical Safety Checklist to Improve Team Communication

作者：Cabral Richard A^*; Eggenberger Terry; Keller Kathryn; Gallison Barry S; Newman David

来源：Aorn Journal, 2016, 104(3): 206-216.

DOI：10.1016/j.aorn.2016.06.019

• communication
• teamwork
• safety
• WHO Surgical Safety Checklist

To improve surgical team communication, a team at Broward Health Imperial Point Hospital, Ft Lauderdale, Florida, implemented a program for process improvement using a locally adapted World Health Organization Surgical Safety Checklist. This program included a standardized, comprehensive time out and a briefing/debriefing process. Postimplementation responses to the Safety Attitudes Questionnaire revealed a significant increase in the surgical team's perception of communication compared with that reported on the pretest (6% improvement resulting in t(79) = -1.72, P < .05, d = 0.39). Perceptions of communication increased significantly for nurses (12% increase, P = .002), although the increase for surgeons and surgical technologists was lower (4% for surgeons, P = .15 and 2.3% for surgical technologists, P = .06). As a result of this program, we have observed improved surgical teamwork behaviors and an enhanced culture of safety in the OR.

• 出版日期2016-9