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Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences
BACKGROUND: Checklists have been used extensively as a cognitive aid in aviation; now, they are being introduced in many areas of medicine. Although few would dispute the positive effects of checklists, little is known about the process of introducing this tool into the health care environment. In 2...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3009978/ https://www.ncbi.nlm.nih.gov/pubmed/21171967 http://dx.doi.org/10.1186/1472-6963-10-342 |
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author | Thomassen, Øyvind Brattebø, Guttorm Heltne, Jon-Kenneth Søfteland, Eirik Espeland, Ansgar |
author_facet | Thomassen, Øyvind Brattebø, Guttorm Heltne, Jon-Kenneth Søfteland, Eirik Espeland, Ansgar |
author_sort | Thomassen, Øyvind |
collection | PubMed |
description | BACKGROUND: Checklists have been used extensively as a cognitive aid in aviation; now, they are being introduced in many areas of medicine. Although few would dispute the positive effects of checklists, little is known about the process of introducing this tool into the health care environment. In 2008, a pre-induction checklist was implemented in our anaesthetic department; in this study, we explored the nurses' and physicians' acceptance and experiences with this checklist. METHOD: Focus group interviews were conducted with a purposeful sample of checklist users (nurses and physicians) from the Department of Anaesthesia and Intensive Care in a tertiary teaching hospital. The interviews were analysed qualitatively using systematic text condensation. RESULTS: Users reported that checklist use could divert attention away from the patient and that it influenced workflow and doctor-nurse cooperation. They described senior consultants as both sceptical and supportive; a head physician with a positive attitude was considered crucial for successful implementation. The checklist improved confidence in unfamiliar contexts and was used in some situations for which it was not intended. It also revealed insufficient equipment standardisation. CONCLUSION: Our findings suggest several issues and actions that may be important to consider during checklist use and implementation. |
format | Text |
id | pubmed-3009978 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-30099782010-12-25 Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences Thomassen, Øyvind Brattebø, Guttorm Heltne, Jon-Kenneth Søfteland, Eirik Espeland, Ansgar BMC Health Serv Res Research Article BACKGROUND: Checklists have been used extensively as a cognitive aid in aviation; now, they are being introduced in many areas of medicine. Although few would dispute the positive effects of checklists, little is known about the process of introducing this tool into the health care environment. In 2008, a pre-induction checklist was implemented in our anaesthetic department; in this study, we explored the nurses' and physicians' acceptance and experiences with this checklist. METHOD: Focus group interviews were conducted with a purposeful sample of checklist users (nurses and physicians) from the Department of Anaesthesia and Intensive Care in a tertiary teaching hospital. The interviews were analysed qualitatively using systematic text condensation. RESULTS: Users reported that checklist use could divert attention away from the patient and that it influenced workflow and doctor-nurse cooperation. They described senior consultants as both sceptical and supportive; a head physician with a positive attitude was considered crucial for successful implementation. The checklist improved confidence in unfamiliar contexts and was used in some situations for which it was not intended. It also revealed insufficient equipment standardisation. CONCLUSION: Our findings suggest several issues and actions that may be important to consider during checklist use and implementation. BioMed Central 2010-12-20 /pmc/articles/PMC3009978/ /pubmed/21171967 http://dx.doi.org/10.1186/1472-6963-10-342 Text en Copyright ©2010 Thomassen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Thomassen, Øyvind Brattebø, Guttorm Heltne, Jon-Kenneth Søfteland, Eirik Espeland, Ansgar Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences |
title | Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences |
title_full | Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences |
title_fullStr | Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences |
title_full_unstemmed | Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences |
title_short | Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences |
title_sort | checklists in the operating room: help or hurdle? a qualitative study on health workers' experiences |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3009978/ https://www.ncbi.nlm.nih.gov/pubmed/21171967 http://dx.doi.org/10.1186/1472-6963-10-342 |
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