Measuring Briefing and Checklist Compliance in Surgery: A Tool for Quality Improvement

作者：Johnston Fabian M; Tergas Ana I; Bennett Jennifer L; Valero Vicente III; Morrissey Candice K; Fader Amanda N; Hobson Deborah B; Weaver Sallie J; Rosen Michael A; Wick Elizabeth C^*

来源：American Journal of Medical Quality, 2014, 29(6): 491-498.

DOI：10.1177/1062860613509402

• preoperative briefing
• audit
• teamwork
• communication
• OR safety

Operating room briefings improve patient outcomes; however, implementation and methods to measure are lacking. A briefing audit tool was developed with 4 domains: briefing logistics, briefing basics, specific briefing content, and briefing participation. The tool evaluated preoperative briefings across surgical services at an academic medical center. Sixty-three preoperative briefings were observed. Introduction by name and role occurred in 15% of cases. There was a wide variation in discussion of the critical goals of the surgical procedure among services D (100%), A (26%), B (19%), and C (0%). Participation in the briefing was variable among stakeholders and between services. Verbal contributions were variable across all roles ranging from 65% (surgeons) to 11% (trainees and surgical technologist). Preoperative briefing compliance is variable. Deficiencies varied between service lines, possibly highlighting the need for service-specific customization of the briefing tool in surgery. This tool is a practical method for the study of briefing implementation.

• 出版日期2014-12