Implementing a pediatric surgical safety checklist in the OR and beyond.

Elizabeth K. Norton; Shawn J. Rangel

Commentary

Implementing a pediatric surgical safety checklist in the OR and beyond.

July 14, 2010

Norton EK, Rangel SJ. AORN J. 2010;92(1).

View more articles from the same authors.

This commentary describes how one hospital successfully adapted the WHO surgical safety checklist for use in a pediatric care setting.

Available at

Related Resources From the Same Author(s)

Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution.

March 9, 2016

Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.

January 18, 2012

Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures.

August 11, 2010

A nurse-led approach to developing and implementing a collaborative count policy.

February 22, 2012

Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.

February 6, 2019

Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference.

October 23, 2019

Perceptions of preventable medical errors in Alberta, Canada.

January 30, 2008

Safety of surgical telehealth in the outpatient and inpatient setting.

January 13, 2021

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database.

July 6, 2022

2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database.

May 19, 2021

Evidence-based medicine: a cornerstone for clinical care but not for quality improvement.

May 15, 2019

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database.

May 17, 2023

Why it is so hard to talk about overuse in pediatrics and why it matters.

August 30, 2017

An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program.

February 8, 2006

Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors.

August 19, 2009

Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy.

January 9, 2013

Characterization of prescribing errors in an internal medicine clinic.

May 23, 2007

Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency.

December 17, 2014

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.

July 13, 2022

Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports.

May 24, 2023

Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.

July 16, 2014

Surveillance: a strategy for improving patient safety in acute and critical care units.

April 18, 2012

Association of work environment with missed and rushed care: tasks among care aides in nursing homes.

March 11, 2020

Prescription of teratogenic medications in United States ambulatory practices.

January 4, 2006

Defining speaking up in the healthcare system: a systematic review.

September 20, 2023

Nurse decision making in the prearrest period.

January 6, 2010

Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives.

February 19, 2014

The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice.

June 13, 2012

An educational intervention to enhance nurse leaders' perceptions of patient safety culture.

August 3, 2005

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

April 26, 2006

Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis.

June 10, 2020

Does crew resource management training work? An update, an extension, and some critical needs.

August 30, 2006

Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program.

August 2, 2006

Using simulation-based training to improve patient safety: what does it take?

July 13, 2005

Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories.

November 12, 2008

Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room.

July 2, 2014

Errors with concentrated epinephrine in otolaryngology.

September 3, 2008

From patients to politicians: a cognitive engineering view of patient safety.

March 27, 2005

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

October 14, 2009

Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.

September 16, 2009

The impact of computerized provider order entry on medication errors in a multispecialty group practice.

February 3, 2010

Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania.

July 8, 2020

Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis.

May 24, 2017

A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.

July 11, 2018

Diagnostic errors in primary care pediatrics: Project RedDE.

November 29, 2017

The radiology impact of healthcare errors during shift work.

October 28, 2020

"SWARMing" to improve patient care: a novel approach to root cause analysis.

November 4, 2015

'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.

November 13, 2013

Safety learning system development--incident reporting component for family practice.

June 23, 2010

Safety incidents in family medicine.

September 28, 2011

Medication histories in critically ill patients completed by pharmacy personnel.

August 7, 2019

An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains.

September 23, 2015

Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.

November 1, 2017

Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic.

October 1, 2014

Markers for enhancing team cognition in complex environments: the power of team performance diagnosis.

August 1, 2007

Advancing measurement of patient safety culture.

October 15, 2008

Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care.

October 19, 2022

November 4, 2009

The culture of safety: results of an organization-wide survey in 15 California hospitals.

March 6, 2005

Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions.

March 10, 2010

Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies.

July 24, 2019

The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis.

May 27, 2020

Implementing a perioperative handoff tool to improve postprocedural patient transfers.

March 7, 2012

Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program.

April 11, 2007

Interventions to improve teamwork and communications among healthcare staff.

March 2, 2011

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

August 10, 2011

Residency work-hours reform: a cost analysis including preventable adverse events.

October 12, 2005

An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes.

June 1, 2022

Core competencies for patient safety research: a cornerstone for global capacity strengthening.

February 2, 2011

Measuring to improve medication reconciliation in a large subspecialty outpatient practice.

April 26, 2017

The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations.

February 22, 2017

Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control.

March 1, 2023

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.

August 25, 2021

Inpatients notes: sensemaking—fostering a shared understanding in clinical teams.

August 30, 2017

Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.

April 29, 2009

Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review.

August 31, 2005

Development of a measure of patient safety event learning responses.

September 23, 2009

Long-term risk of overdose or mental health crisis after opioid dose tapering.

July 13, 2022

Medication error prevention by pharmacists.

March 6, 2005

Impact of online education on intern behaviour around Joint Commission national patient safety goals: a randomised trial.

June 27, 2012

Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis.

January 30, 2019

COVID-19: to be or not to be; that is the diagnostic question.

July 8, 2020

Geometric probability distribution for modeling of error risk during prescription dispensing.

June 14, 2006

Family-centered multidisciplinary rounds enhance the team approach in pediatrics.

April 15, 2009

Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee.

May 7, 2008

The relationship between organizational leadership for safety and learning from patient safety events.

April 14, 2010

How to avoid paediatric medication errors: a user's guide to the literature.

July 6, 2005

Defining and classifying medical error: lessons for patient safety reporting systems.

March 6, 2005

Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center.

August 5, 2015

A theoretical framework and competency-based approach to improving handoffs.

May 28, 2008

Radiology errors: are we learning from our mistakes?

October 7, 2009

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

Resident uncertainty in clinical decision making and impact on patient care: a qualitative study.

April 16, 2008

Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review.

December 7, 2016

Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.

February 23, 2011

Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial.

December 12, 2012

Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program.

June 6, 2018

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.

June 29, 2005

Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes.

August 15, 2018

Speaking up about the dangers of the hidden curriculum.

January 22, 2014

Related Resources

From aviation to pediatric surgery.

July 26, 2023

Quality and Safety.

November 2, 2022

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care.

October 5, 2022

Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia.

August 24, 2022

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

WebM&M Cases

Intraosseous Line Extravasation in a Pediatric Trauma Patient

April 27, 2022

Pediatric medication errors and reduction strategies in the perioperative period.

November 24, 2021

WebM&M Cases

The Hidden Danger of Unseen Intravenous Catheters

October 27, 2021

Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery.

September 22, 2021

Reducing surgical specimen errors through multidisciplinary quality improvement.

June 16, 2021

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.

February 3, 2021

Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.

February 3, 2021

Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database.

October 14, 2020

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association.

March 25, 2020

Engaging the patient and family in the surgical safety process utilizing SafeStart.

August 28, 2019

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.

July 31, 2019

Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.

February 6, 2019

WebM&M Cases

Adverse Event During Intrahospital Transport

February 1, 2019

Heartbroken.

December 12, 2018

Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events.

September 26, 2018

Safety stop: a valuable addition to the pediatric universal protocol.

September 5, 2018

Enhancing pediatric perioperative patient safety.

November 29, 2017

Use of a surgical safety checklist to improve team communication.

September 21, 2016

WebM&M Cases

Getting the (Right) Doctor, Right Away

August 21, 2016

Nontechnical skills in pediatric surgery: factors influencing operative performance.

April 13, 2016

Effect of surgical safety checklists on pediatric surgical complications in Ontario.

April 6, 2016

Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution.

March 9, 2016

Improving Pediatric Surgery Quality and Outcomes in the 21st Century.

January 13, 2016

See More About The Topic

Operating Room

Children's Hospitals

Health Care Providers

Quality and Safety Professionals

Pediatric Surgery

Implementing a pediatric surgical safety checklist in the OR and beyond.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Implementing a pediatric surgical safety checklist in the OR and beyond.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site