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Am J Surg. 2010 Nov;200(5):620-3. doi: 10.1016/j.amjsurg.2010.07.011.

Briefing guide study: preoperative briefing and postoperative debriefing checklists in the Veterans Health Administration medical team training program.

Author information

  • 1National Center for Patient Safety, Ann Arbor, MI 48106-0486, USA. douglas.paull@va.gov

Abstract

BACKGROUND:

The purpose of this study was to examine the outcomes of checklist-driven preoperative briefings and postoperative debriefings during the Veterans Health Administration (VHA) medical team training program.

METHODS:

A briefing score (1, never started; 2, started then discontinued; 3, maintained on original targeted cases; 4, expanded to other services; 5, briefing all cases, all services) was established at 10.1 ± .3 months after introduction of the checklist. Outcomes included antibiotic and deep venous thrombosis prophylaxis compliance rates before and after use of the checklist.

RESULTS:

Antibiotic (97.0% ± .1% vs 92.1% ± 1.5%; P = .01) and deep venous thrombosis (95.7% ± .8% vs 85.1% ± 4.6%; P = .05) prophylaxis compliance rates were higher after initiation of a surgical checklist.

CONCLUSIONS:

Checklist-driven preoperative briefings and postoperative debriefings are associated with improvements in patient safety for surgical patients.

Published by Elsevier Inc.

PMID:
21056140
[PubMed - indexed for MEDLINE]
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