13 results found
Russ S, Rout S, Caris J, et al., 2015, Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study, Journal of the American College of Surgeons, Vol: 220, Pages: 1-11.e4, ISSN: 1072-7515
BackgroundFull implementation of safety checklists in surgery has been linked to improved outcomes and team effectiveness; however, reliable and standardized tools for assessing the quality of their use, which is likely to moderate their impact, are required.Study DesignThis was a multicenter prospective study. A standardized observational instrument, the “Checklist Usability Tool” (CUT), was developed to record precise characteristics relating to the use of the WHO's surgical safety checklist (SSC) at “time-out” and “sign-out” in a representative sample of 5 English hospitals. The CUT was used in real-time by trained assessors across general surgery, urology, and orthopaedic cases, including elective and emergency procedures.ResultsWe conducted 565 and 309 observations of the time-out and sign-out, respectively. On average, two-thirds of the items were checked, team members were absent in more than 40% of cases, and they failed to pause or focus on the checks in more than 70% of cases. Information sharing could be improved across the entire operating room (OR) team. Sign-out was not completed in 39% of cases, largely due to uncertainty about when to conduct it. Large variation in checklist use existed between hospitals, but not between surgical specialties or between elective and emergency procedures. Surgical safety checklist performance was better when surgeons led and when all team members were present and paused.ConclusionsWe found large variation in WHO checklist use in a representative sample of English ORs. Measures sensitive to checklist practice quality, like CUT, will help identify areas for improvement in implementation and enable provision of comprehensive feedback to OR teams.
Dowson A, Russ S, Sevdalis N, et al., 2013, Effects of in-situ simulation training in paediatric emergencies on qualified paediatric nurses’ confidence., British Journal of Nursing, Vol: In Press
Jalil R, Lamb B, Russ S, et al., 2013, The cancer multi-disciplinary team from the co-ordinators' perspective: results from a national survey in the UK., BMC Health Services Research, Vol: 13
Ahmed M, Arora S, Russ S, et al., 2013, Operation Debrief: A SHARP improvement in performance feedback in the Operating Room., Annals of Surgery, Vol: Epub ahead of print
Russ S, Rout S, Sevdalis N, et al., 2013, Do Safety Checklists Improve Teamwork and Communication in the Operating Room? A Systematic Review, Annals of Surgery, Vol: In Press
Russ S, Arora S, Wharton R, et al., 2013, Effectiveness and efficiency of teamwork in surgery: Development and validation of a Metric for Evaluating Task Execution in the Operating Room (METEOR)., Journal of the American College of Surgeons, Vol: 216, Pages: 472-481
Russ S, Arora S, Wharton R, et al., 2013, Measuring Safety and Efficiency in the Operating Room: Development and Validation of a Metric for Evaluating Task Execution in the Operating Room, Journal of the American College of Surgeons, Vol: 216, Pages: 472-481, ISSN: 1072-7515
Russ S, Hull L, Rout S, et al., 2012, Observational Teamwork Assessment for Surgery Feasibility of Clinical and NonClinical Assessor Calibration With Short-Term Training, ANNALS OF SURGERY, Vol: 255, Pages: 804-809, ISSN: 0003-4932
Russ S, Hull L, Rout S, et al., 2012, Observational Teamwork Assessment for Surgery. Feasibility of Clinical and Non-clinical Observer Calibration with Short-term Training., Annals of Surgery, Vol: 255, Pages: 804-809
Murray L, Lau P, Creswell C, et al., 2012, Parenting by anxious mothers: effects of disorder subtype, context, and child characteristics., Journal of Child Psychology and Psychiatry, Vol: 53, Pages: 188-196
Flowerdew L, Brown R, Russ S, et al., 2012, Teams under pressure in the emergency department., Emergency Medical Journal
Russ SJ, Herbert J, Cooper P, et al., 2011, Cortisol levels in response to starting school in children at increased risk for social phobia, Psychoneuroendocrinology
Arora S, Russ S, Petrides K, et al., 2011, Emotional Intelligence and Stress in Medical Students., Academic Medicine, Vol: 86, Pages: 1311-1317
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