PDF(Pubmed)
Abstract：
Introduction The World Health Organization (WHO) Safe Surgery Checklist significantly decreases morbidity and mortality in regular operating room cases. However, significant differences in workflow and processes exist between regular operating room cases and cesarean sections performed on the labor and delivery unit. The aim of this study is to adapt the WHO Safe Surgery Checklist for the labor and delivery unit and cesarean sections to improve communication and patient safety. Methods A multidisciplinary team consisting of all major stakeholders reviewed and revised the WHO Safe Surgery Checklist making it more applicable to cesarean section operations. The new Safe Cesarean Section Checklist was tested and then integrated into the electronic medical record and utilized on the labor and delivery unit. A specific cesarean section safety attitudes questionnaire was developed, validated, and administered prior to and one year after implementation. Results Usage of the Safe Cesarean Section Checklist was greater than 95% after initial implementation. Significant improvements were reported by the staff on the cesarean section attitudes questionnaire for several key areas including the feeling that all necessary information was available at the beginning of the procedure, decreases in communication breakdowns and delays, and fewer issues related to not knowing who was in charge during the procedure. Discussion Implementation of the Safe Cesarean Section Checklist was successfully adopted by the staff, and improvements in staff perceptions of several key safety issues on our unit were demonstrated. Additional studies should be undertaken to determine if clinical outcomes from this intervention are comparable to those seen with the use of the WHO Safe Surgery Checklist.
摘要：
简介世界卫生组织（WHO）安全手术检查表显着降低了常规手术室病例的发病率和死亡率。然而,常规手术室病例与在产程和分娩单元进行剖宫产之间的工作流程和流程存在显著差异.这项研究的目的是为分娩和分娩单位以及剖宫产调整WHO安全手术清单，以改善沟通和患者安全。方法由所有主要利益相关者组成的多学科小组审查并修订了WHO安全手术清单，使其更适用于剖宫产手术。对新的安全剖腹产检查表进行了测试，然后将其集成到电子病历中，并在分娩和分娩单位中使用。制定了具体的剖宫产安全态度问卷，已验证，并在实施前和实施后一年进行管理。结果初次实施后，安全剖宫产检查表的使用率大于95％。据报告，工作人员对几个关键领域的剖宫产态度问卷有了显著改善，包括感觉在手术开始时就可以获得所有必要的信息，减少通信中断和延迟，和更少的问题，有关不知道谁是在手术过程中负责。讨论实施安全剖宫产检查表被工作人员成功采用,并证明了员工对我们单位几个关键安全问题的看法有所改善。应进行其他研究，以确定该干预措施的临床结果是否与使用WHO安全手术检查表的结果相当。
