A framework to assist with the implementation of surgical debriefing
Date
2013-05-02
Authors
Alcantara, Christine
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Abstract
A surgical checklist is a tool used to increase safety in the operating room. Checklists are often
divided into three parts in order to perform safety checks at different stages of a surgical
procedure. Overall, compliance with the use of checklists varies across organizations including
the specific checklist components that are implemented. Currently there is greater compliance
with the initial parts of the checklist, and dramatically less adherence in the use of the checklist
at the end of the surgical procedure. In particular, adherence to the debriefing process is wanting.
Informed by Jean Watson's Theory, responsive evaluation methodology, principles of utilizationfocused
evaluation, and knowledge developed from a review of the literature on the debriefing
component of surgical safety checklists, this project outlines a framework that organizations
could use to potentially improve the use of surgical safety checklists during the debriefing
process, and highlights the role of an advanced practice nurse as the facilitator of this approach.
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Keywords
surgery, safety, checklist, debriefing, implementation