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Search results for "Safety Scientists"
Journal Article > Study
Singer SJ, Molina G, Li Z, et al. J Am Coll Surg. 2016;223:568-580.e2.
Although checklists have been shown to improve safety and surgical mortality, they can be difficult to implement, which limits their effectiveness in clinical practice. This study examined whether perceptions of teamwork predicted checklist performance. Trained observers used standardized tools to rate the extent of checklist completion and quality of teamwork. They found that checklists were implemented as intended in only 3% of cases. Surgical teams with better surgeon buy-in to checklists, clinical leadership, communication, and overall teamwork completed more checklist components. Clinical factors, including older patient age and longer duration of surgery, were also associated with performing more of the checklist. The authors suggest that teamwork is critical to checklist implementation. A PSNet interview discussed the challenges of implementing checklists in health care.
Journal Article > Review
Debono DS, Greenfield D, Travaglia JF, et al. BMC Health Serv Res. 2013;13:175.
Although workarounds may be essential to effective care delivery in some instances, they also pose significant risks to patient safety. This systematic review of nursing workarounds builds upon a similar study. The article includes illustrative examples of both individual and collective workarounds, as well as the potential effects in acute care settings for patients, staff, and organizations. The authors conclude that the research on nursing workarounds has been heterogeneous and "relatively underdeveloped." A previous AHRQ WebM&M perspective discussed workarounds on the front lines of health care.
Journal Article > Commentary
Elliott M, Page K, Worrall-Carter L. Contemp Nurse. 2012;43:22-28.
This commentary discusses how Reason's accident causation model is used to analyze adverse events and identify factors that contribute to error.