Enhancing surgical safety using digital multimedia technology

November 25, 2015

Source: American Journal of Surgery [Epub ahead of print]

Follow this link for abstract

Date of publication: October 2015

Publication type:  Journal article

In a nutshell: The purpose of this study was to examine whether incorporating digital and video multimedia components improved surgical time-out performance of a surgical safety checklist. A prospective pilot study was designed for implementation of a multimedia time-out, including a patient video. The conclusion of the study was that the multimedia time-out allows improved participation by the surgical team and is preferred to a standard time-out process.

Length of Publication: Unspecified

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


Operating theatre teams should review the use of background music, study suggests

August 26, 2015

Source:  University College London, Institute of Education

Follow this link for item

Date of publicationAugust 2015

Publication type:  News item

In a nutshell: An analysis of video footage taken during 20 operations shows that some operating theatre teams are negatively affected by background music during surgery. The study suggests that communication within the theatre team can be impaired when music is playing. The authors recommend that surgical teams hold discussions about playing music during an operation, with particular emphasis on taking into consideration the views of nurses. A good opportunity for this would be during the ‘Time Out’ section of the World Health Organisation (WHO) Surgery Safety Checklist. Based on their broader body of research, the team has developed a training model – Video Supported Simulation for Interactions in the Operating Theatre (ViSIOT) – that aims to improve communication and includes strategies to alleviate problems associated with music.

Length of Publication:  1 web page


Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial

June 24, 2015

Source:  Annals of Surgery 261/5 pp. 821-8

Follow this link for item

Date of publicationMay 2015

Publication type:  Journal article

In a nutshell: There have been reports of reductions of morbidity and mortality after implementation of the World Health Organization’s Surgical Safety Checklist (SSC) in pre-/post designed studies without controls. The authors of this study report a randomized controlled trial of the SSC. They concluded that implementation of the WHO SSC was associated with robust reduction in morbidity and length of in-hospital stay and some reduction in mortality.

Length of Publication:  8 pages


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


The WHO surgical safety checklist: survey of patients’ views

August 27, 2014

Source:  BMJ Quality and Safety 2014 Jul 18. Epub ahead of print

Follow this link for item

Date of publication:  July 2014

Publication type:  Journal article

In a nutshell:  The WHO surgical safety checklist should be implemented across all NHS operating theatres, but it presents a challenge for some teams. This paper assessed patients’ views of the checklist. Patients from surgical wards at two hospitals were shown two professionally produced videos. One video showed a team using the WHO surgical safety checklist and the other showed surgery before the checklist was introduced. Patients were surveyed and they had positive views about the checklist and thought it would improve safety. This may provide further evidence to convince professionals who remain resistant to using it.

Length of Publication:  1 web page


New checklist makes the cardiac catheterisation lab a safer place for patients

July 30, 2014

Source:  The Health Foundation

Follow this link for item

Date of publication:  June 2014

Publication type:  News item

In a nutshell: A Shine-funded project at Royal Brompton and Harefield NHS Foundation Trust set out to develop a safety checklist for the cardiac catheterisation laboratory (CCL) in 2013. The World Health Organisation (WHO) safe surgery checklist was used to create the checklist, but it was specifically modified for use in the CCL. Staff liked using the checklist and said they would like one used if they ever needed an intervention themselves. The team achieved 95% implementation of all stages of the checklist. The checklist created a collaborative atmosphere where team members better understood their roles and had more opportunities to raise concerns. Almost 60% of patients noticed staff implementing the checklist and felt safer knowing that it was being used. The team is exploring the possibility of implementing a checklist in emergency scenarios. The British Cardiovascular Society has encouraged national dialogue by publishing new guidance about the use of safety procedure checklists in the CCL.

Length of Publication:  1 web page


Improving surgical ward care: development and psychometric properties of a global assessment toolkit

June 25, 2014

Source:  Annals of surgery 259/5 pp. 904-9

Follow this link for abstract

Date of publication:  May 2014

Publication type:  Journal article

In a nutshell:  The authors of this study aimed to develop a toolkit to cover the skills required for effective, safe surgical ward care. A comprehensive evidence-based and expert-derived toolkit was developed. It included a novel clinical checklist for ward care (Clinical Skills Assessment for Ward Care: C-SAW-C); a novel team assessment scale for wards rounds (Teamwork Skills Assessment for Ward Care: T-SAW-C); and a revised version of a physician-patient interaction scale (Physician-Patient Interaction Global Rating Scale: PP-GIS). The toolkit can be used to train and debrief residents’ skills and performance.

Length of Publication:  6 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.