Quality improvement in surgery combining lean improvement methods with teamwork training: a controlled before-after study

October 28, 2015

Source:  PLOS ONE 10/9 e0138490

Follow this link for item

Date of publication: September 2015

Publication type:  Journal article

In a nutshell:  This study investigated the effectiveness of combining teamwork training and lean process improvement, two distinct approaches to improving surgical safety. A controlled interrupted time series study was conducted in a specialist UK Orthopaedic hospital incorporating a plastic surgery team (which received the intervention) and an Orthopaedic theatre team acting as a control. The study found that combining teamwork training and systems improvement enhanced both technical and non-technical operating team process measures, and were associated with a trend to better safety outcome measures in a controlled study comparison. The authors suggest that approaches which address both system and culture dimensions of safety may prove valuable in reducing risks to patients.

Length of Publication:  1 web page


Common contra-indications and interactions of drugs in orthopaedic practice

June 24, 2015

Source:  The Bone & Joint Journal 97-B/4 pp. 434-41

Follow this link for abstract

Date of publicationApril 2015

Publication type:  Journal article

In a nutshell: Many medicines for orthopaedic conditions can produce serious adverse reactions if prescribed inappropriately, either alone or in combination with other drugs. Often these hazards are not appreciated. The European Union has issued legislation regarding safety measures which member states must adopt to minimise the risk of errors of medication. A number of initiatives in the UK and the United States have highlighted the importance of informing and educating clinicians. In this article, common drug interactions and contra-indications in orthopaedic practice are discussed.

Length of Publication:  8 pages

Some important notes:  Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library


Safety culture and the 5 steps to safer surgery: an intervention study

April 29, 2015

Source:  British Journal of Anaesthesia pii: aev063. [Epub ahead of print]

Follow this link for abstract

Date of publication:  March 2015

Publication type:  Journal article

In a nutshell:  The 5 Steps to Safer Surgery (5SSS) incorporates pre-list briefings, the three steps of the WHO Surgical Safety Checklist (SSC) and post-list debriefings in one framework. This study aimed to identify any changes in safety culture associated with the introduction of the 5SSS in orthopaedic operating theatres. The authors assessed the safety culture in the elective orthopaedic theatres of a large UK teaching hospital before and after introduction of the 5SSS using a modified version of the Safety Attitude Questionnaire – Operating Room (SAQ-OR). They also analysed changes in responses to two items regarding perioperative briefings. The authors conclude that implementation of the 5SSS was associated with a significant improvement in the safety culture of elective orthopaedic operating theatres.

Length of Publication:  1 web page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library


Project JOINTS: What factors affect bundle adoption in a voluntary quality improvement campaign?

January 28, 2015

Source:  BMJ Quality & Safety 24/1 pp.38-47

Follow this link for abstract

Date of publication:  January 2015

Publication type:  Journal article

In a nutshell:  This article looks at how hospital adherence to quality improvement (QI) methods and hospital engagement with a large-scale QI campaign could facilitate the adoption of an enhanced prevention bundle designed to reduce surgical site infection (SSI) rates after orthopaedic surgery. Project JOINTS (Joining Organizations IN Tackling SSIs) is a QI campaign run by the Institute for Healthcare Improvement (IHI). The campaign encouraged hospitals to implement an enhanced SSI prevention bundle. Adherence to the QI methods and hospital engagement were positively associated with complete bundle adoption.

Length of Publication:  1 web page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library


Patient safety in orthopaedics: State of the art.

January 30, 2013

Source:   Journal of Bone and Joint Surgery Series B Vol/iss  94B/12  pp1595-1597.

Follow this link for abstract.

Date of publication:  December 2012

Publication type: Journal article

In a nutshell: The authors summarise and focus on the safety concerns within the field of trauma and orthopaedic surgery with specific emphasis placed on current controversies and reforms within the National Health Service.

Length of publication: 3 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.