چالشهاي موجود در اجراي مؤثر چک لیست جراحی ایمن و ارایه راهکارهاي اجرایی: مرور کیفی سیستماتیک
Background & Aim: The success of the surgical safety checklist in reducing surgical mortality and morbidity largely depends on the degree of compliance with the checklist and correct implementation of its components by the staff. The aim of this review is to determine the challenges of effective imp...
| Published in: | Hayat / Ḥayāt Vol. 25; no. 3; pp. 252 - 277 |
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| Main Authors: | , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Tehran University of Medical Sciences
2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140816000&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140816000 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17352215 1FTR jtl: Hayat / Ḥayāt issn: 17352215 maglogo: N pubinfo: dt: 2019 vid: 25 iid: 3 pid: 21783 pub: Tehran University of Medical Sciences artinfo: ui: 140816000 140816000 140816000 140816000 ppf: 252 ppct: 25 formats: fmt: @attributes: type: P tig: atl: چالشهاي موجود در اجراي مؤثر چک لیست جراحی ایمن و ارایه راهکارهاي اجرایی: مرور کیفی سیستماتیک aug: au: زهرا سیدقلعه مرضیه پازکیان affil: گروه آموزشی پرستاري داخلی جراحی دانشکده پرستاري و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران؛ کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران sug: subj: Program Implementation Psychosocial Factors Patient Safety Operating Rooms Administration Surgery, Operative Mortality Mortality Prevention and Control Human Systematic Review Checklists Medline PubMed Cochrane Library Collaboration Operating Room Personnel Intraprofessional Relations Patient Compliance Consumer Participation Leadership World Health Organization Implementation Science ab: Background & Aim: The success of the surgical safety checklist in reducing surgical mortality and morbidity largely depends on the degree of compliance with the checklist and correct implementation of its components by the staff. The aim of this review is to determine the challenges of effective implementation of the surgical safety checklist and to provide solutions for its more effective implementation. Methods & Materials: In the present systematic review, all the relevant qualitative papers published from 2010 to October 2018, were examined. A literature search was done in databases SID, Iran Medex, Iran doc, Magiran, Science Direct, Medline/PubMed, Web of Science, Scopus, ProQuest, Google Scholar, Cochran Library with keywords patient safety, surgical procedures, operative, checklist, World Health Organization, implementation science, qualitative research and their equivalent terms in Persian. Inclusion criteria were articles written in English or Persian, qualitative studies and relevant to the objectives of the study. Exclusion criteria were review articles, posters, presentations, letters to editor and quantitative studies. Results: The findings of the review of 14 qualitative studies showed that the most important challenges in effective implementation of the surgical safety checklist were unpredictable priorities, lack of collaboration and coordination of the surgical team members, mismatch between the checklist and hospital setting, lack of patient’s cooperation and lack of a planned approach towards implementing the checklist. The strategies to improve the implementation of the surgical safety checklist included checklist localization, improving the collaboration and coordination of all the team members, training and practicing, patient participation, and active organizational leadership. Conclusion: The introduction of the surgical safety checklist to the health care setting is a permanent challenge and requires ongoing evaluations and its integration into the workflow in the hospital, active and effective leadership, explanation of why and how to use it by managers and receiving support from the organization. Continuous education, performance evaluation and the participation of all the surgical team members in the implementation of the checklist are key factors for effective implementation of the surgical safety checklist. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: Persian refInfo: holdings: @attributes: islocal: N |
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