What are the attitudes and perceptions of Surgeons and Scrub Nurses towards Surgical Briefing and Debriefing? Pamela Firth, BSc. Golden Jubilee National.

Slides:

Advertisements

Similar presentations

Surgical Specimen Errors in the Operating Room

Advertisements

Catherine Weeks Laparoscopic Colorectal Practitioner Nottingham University Hospital NHS Trust 2010 LAPAROSCOPIC COLORECTAL PRACTITIONER ALTS CONFERENCE.

Dr. ABDULLAH ABDU ALMIKHLAFY Assistant professor & Head of community medicine department Presented By University of Science & Technology Sana’a – Yemen.

Learning Objectives Define roles and responsibilities of team members

Case Example Management for Quality Services Dr. ENKHTUR Shonkhuuz Director General of the N.Gendenjamts’s Memorial National Center for Maternal and Child.

Safety Basic Science December 22 nd, Safety Attitudes Questionnaire (SAQ) I am encouraged by my colleagues to report any patient safety concerns.

Safe Surgery 2015: South Carolina Presentation [ Insert Implementation Team Member Names] [ Insert Hospital Name] Insert Your Hospital’s Logo Here.

Revised for 2013 Shannon Hein RN, CPN(C).  published in the Canadian Medical Association Journal in May 2004  Found an overall incidence rate of adverse.

Talking to Your Nursing and Surgical Tech Colleagues.

What People are Saying Across the Country: Qualitative Interview Results on Surgical Safety Checklist Implementation Cari Egan.

QSEN Primer Or, “QSEN in a Nutshell” 1.  1999—Institute of Medicine published “To Err is Human”  Determined errors have an effect on both patient satisfaction.

Topic 10 Patient safety and invasive procedures. Learning objective The objective of this topic is to understand the main causes of adverse events in.

Call 2: Background of the WHO Surgical Safety Checklist.

Jill A. Marsteller, PhD,MPP August 10, 2011 CSTS: The Cardiovascular Surgical Translational Study Assessing Culture.

‘WHO is kidding WHO’ Prospective Re-Audit of the implementation Pre-briefing and the WHO Surgical Safety Checklist at FPH August 2011 Department of Surgery.

© Copyright NHS Institute for Innovation and Improvement 2009 The Productive Series.

Amanda Fegan Lead Associate, NHS Institute Hugh Rogers FRCS Consultant Urologist Senior Associate, NHS Institute The Productive Operating Theatre Building.

S.A.F.E Situation Awareness For Everyone

Topic 10 Patient safety and invasive procedures. LEARNING OBJECTIVE The objective of this topic is to understand the main causes of adverse events in.

A Team Members Guide to a Culture of Safety

WHO Surgical Safety Checklist

Safe Surgery 2015: South Carolina Presentation – Circulating Nurses and Surgical Techs [ Insert Implementation Team Member Names] [ Insert Hospital Name]

World Health Organisation WHO Checklist 2011 Jacqui Blackwell.

Malpractice Insurance Incentive for Operating Room Teamwork Training via Simulation Jeffrey B. Cooper, PhD Center for Medical Simulation & Mass. General.

Increasing Post-Surgical Debriefing Completion Rate Quality Improvement Study Ambulatory Surgery Center.

Surgical Complications WHO Surgical Safety Check list Collaborative – LS3 Chair: Simon Phillips Director: Jonathon Gray.

Insert name of presentation on Master Slide Introducing 1000 Lives Plus 4 March 2011 Jan Davies.

Anaesthesia Clinical Services Accreditation Briefing from *Hospital Name*

Title of the Change Project

Measuring teamwork and safety culture (climate) across 3 adult intensive care units of a single hospital cluster in Hong Kong Sammei Tam 18 Oct 2009.

Title of the Change Project

Vanderbilt Healthcare Improvement Group

Fasten your seatbelts: the use of checklists

ACSA review visit briefing from *Hospital Name*

Faculty of Medicine, Islamic University-Gaza

What do they know and what do they do?

DIABETES 10 POINT TRAINING

Pilot Data Over 50% of reports not coded

Improving Patient Safety in the NHS

Developing the evidence-base

Implementation Challenges of Wound Interdisciplinary Teams (WIT): A Community‐Based Pragmatic Randomised Controlled Trial.

Implementation Planning

Introducing 1000 Lives Plus

N. Ruggiero Perrino. , R. Lionetti. ,M. D’Ambra. , S. Dilillo. , D

Adapted WHO Safe Surgical Checklist in Interventional Cardiology

Tools & Strategies Summary

Coole C, Nouri F, Narayanasamy, Drummond A

Paul B S LAI Cluster Coordinator for Surgical Services (NTEC) &

Surgical safety is a serious public health issue

Decontamination Safety Programme

CLICK TO GO BACK TO KIOSK MENU

Morbidity and mortality conference

Surgical safety is a serious public health issue

Five Month Check-In Call

IENE5(Intercultural Education of Nurses in Europe Project 5)

Why is Teamwork Important?

Safety Climate Survey 1.

Programme Board meeting

Patient Safety WalkRounds

THE PRACTICE ENVIRONMENT ANTICIPATING THE FUTURE

Change ideas/Interventions Safety huddles (WS)

Introducing 1000 Lives Plus

The Fit for Work UK Coalition:

Transforming Maternity Services Mini-Collaborative

Overview of the iLIVE Volunteer Project

Restorative Approaches with Families in Elder Abuse Cases

Surgical safety checklist trial

The Effects of Debriefing Following Medical Error

Presentation transcript:

What are the attitudes and perceptions of Surgeons and Scrub Nurses towards Surgical Briefing and Debriefing? Pamela Firth, BSc. Golden Jubilee National Hospital, Thoracic Theatres.

BACKGROUND World Health Organisation (2008) Surgical Safety Checklist Sign in Time out Sign out. National Patient Safety Agency (2009) – Five Steps to safer surgery. Surgical Briefs Surgical Debriefs

Surgical Briefs and Debriefs Scottish Patient Safety Programme (2014) Improves Team and Patient Safety Reduce Morbidity and Mortality Manage Human Error Reduces Avoidable Mistakes Improves Team Communication

Surgical Briefs - Recommendations for Best Practice East Cheshire NHS Trust (2015) Team introductions Review cases Discuss changes, expectations, concerns and issues Anticipated duration Equipment required Patient recovery

Surgical Debrief Requires all team members present What went well and why? Near misses and errors Changes to be made to improve patient care and safety

Research Over half of complications related to surgery are preventable. Atul Gawande (2011) Compliance Structure Information Sharing Communication

Aims and Objectives To explore the perceived efficacy and attitudes that drive the safe performance of a frontline surgical team in theatre. To identify effective/challenging key factors in teamwork, that can have a positive/negative impact on the safety culture in surgery.

METHODS Study Design – One to one interviews Sample Size – Ten participants Ethics Approval Access Pilot Study

RESULTS 100% of participants reported debriefing is very rarely carried out. 90% of participants reported inconsistencies-Structure, Information Sharing. 90% of participants reported a lack of introductions. 90% of participants reported an unsuitable environment.

Limitations One Unit/One Hospital Selecting two Healthcare Professionals Majority of participants were Scrub Nurses

CONCLUSIONS IMPROVEMENTS Implementation of Debriefs Introduction of Structured Briefs Team Communication Suitable Environment

QUESTIONS

References Eastcheshire.nhs.uk. (2015). Five Steps to Safer Surgical Interventions. [online] Available at: http://www.eastcheshire.nhs.uk/About-The- Trust/policies/S/Safer%20Surgical%20Interventions%20ECT2362.pdf [Accessed 19 Mar. 2017]. Gawande, A. (2011). The checklist manifesto: How to get things right. Atul Gawande. London: Profile Books. National Patient Safety Agency. (2009). How to guide to the five steps to safer surgery. [online] Available at: http:http://www.nrls.npsa.nhs.uk/EasySiteWeb/getresource.axd?AssetID=932 86 [Accessed 12 Apr. 2017] Scottish patient safety Programme national conference - driving improvements in patient safety. (2014). [online] Available at: http://www.scottishpatientsafetyprogramme.scot.nhs.uk/Media/Docs/Conferen ceScottish%20Patient%20Safety%20Programme%20Conference%20Highlig hts.pdf [Accessed 6 Feb. 2017]. WHO, (2008). WHO surgical safety checklist and implementation manual. [online] Available at: http://www.who.int/patientsafety/safesurgery/ss_checklist/en/ [Accessed 5 Feb. 2017].