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How We Really WHO: Assessing Completeness, Team Engagement, Distractions and Authority Gradient During 'Time Out' Component of WHO Safer Surgery Checklist.
Aust N Z J Obstet Gynaecol
December 2024
Camden Health Improvement Practice, London, UK.
Background: Anecdotal experience suggests that WHO Safer Surgery Checklist has become a 'tickbox' exercise, resulting in variable team engagement and efficacy.
Aims: To observe the quality and completeness of 'Time Out', together with the level of team engagement during obstetrics and gynaecology procedures.
Materials And Methods: Observational study where the following data were collected during 'Time Out': % of the 19 items correctly responded to after 'challenge'.
Operating room team's perception of procedure shift to cemented hemiarthroplasty.
Dan Med J
October 2024
Department of Clinical Medicine, University of Copenhagen.
Introduction: A procedural change in the treatment of patients with femoral neck fracture from uncemented to cemented hemiarthroplasty was to be implemented to follow new national guidelines. In accordance with implementation science, it is important to understand the team's thoughts and educational needs. The study aimed to explore surgeons', scrub nurses', anaesthesiologists' and anaesthesia nurses' perceptions of barriers and facilitators to foster a safe educational introduction.
View Article and Find Full Text PDFThe Role of WHO Surgical Checklists in Reducing Postoperative Adverse Outcomes: A Systematic Review.
Cureus
October 2024
Rehabilitation Medicine, North Bristol NHS Trust, Bristol, GBR.
Surgical safety remains a critical aspect of modern healthcare, particularly as the number of surgical procedures continues to rise, placing greater demands on resources and increasing the potential for errors. In response to this challenge, various mitigation strategies have been implemented to improve operative outcomes. One such strategy, introduced by the WHO in 2008, is the Surgical Safety Checklist.
View Article and Find Full Text PDFPrimary care need and engagement by people with criminal legal involvement: Descriptive and associational analysis using retrospective data on the entire population ever detained in one southeastern U.S. county jail 2014-2020.
PLoS One
October 2024
Department of Medicine, Duke University School of Medicine, Durham, NC, United States of America.
More than 7 million people are released each year from U.S. jails or prisons, many with chronic diseases that would benefit from primary care in their returning communities.
View Article and Find Full Text PDFThe focus on life-prolonging anticancer treatment hampers shared decision-making in people with advanced cancer: A qualitative embedded multiple-case study.
Palliat Med
December 2024
Department of Primary and Community Care, Radboudumc, Nijmegen, The Netherlands.
Background: Implementing shared decision-making in oncology practice is often limited, particularly integrating the patient's context into decision-making. To improve this, we conducted a quality improvement project, attempts to accomplish this by: (1) Integrating the patient's context into shared decision-making during consultation with the medical oncologist; (2) Actively involving the GP and case manager (a specialized oncology nurse), who often have knowledge about the patient's context, and; (3) Giving the person with advanced cancer a time-out period of up to 2 weeks to consider and discuss treatment options with others, including close family and friends.
Aim: To explore how persons with advanced cancer and their involved professionals experienced shared decision-making after the introduction of .
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