2,957
Views
19
CrossRef citations to date
0
Altmetric
Articles

Looking beyond the checklist: An ethnography of interprofessional operating room safety cultures

, , &
Pages 575-583 | Received 17 Aug 2017, Accepted 28 Mar 2018, Published online: 09 Apr 2018

References

  • Accreditation Canada. (2015). Required organizational practices handbook 2016 (pp. 64). Ottawa: Author.
  • Allen, D. (2004). Ethnomethodological insights into insider-outsider relationships in nursing ethnographies of healthcare settings. Nursing Inquiry, 11(1), 14–24. doi:10.1111/j.1440-1800.2004.00201.x
  • Attree, M. (2001). Patients’ and relatives’ experiences and perspectives of “Good” and “Not so Good” quality care. Journal of Advanced Nursing, 33(4), 456–466. doi:10.1046/j.1365-2648.2001.01689.x
  • Baker, G. R., Norton, P. G., Flintoft, V., Blais, R., Brown, A., Cox, J., … Tamblyn, R. (2004). The Canadian adverse events study: The incidence of adverse events among hospital patients in Canada. Canadian Medical Association Journal, 170(11), 1678–1686. doi:10.1503/cmaj.1040498
  • Bergs, J., Hellings, J., Cleemput, I., Zurel, Ö., De Troyer, V., Van Hiel, M., … Vandijck, D. (2014, March). Systematic review and meta-analysis of the effect of the World Health Organization surgical safety checklist on postoperative complications. British Journal of Surgery, doi:10.1002/bjs.9381
  • Borchard, A., Schwappach, D., Barbir, A., & Bezzola, P. (2012). A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Annals Of Surgery, 256(6), 925–933. doi:10.1097/sla.0b013e3182682f27
  • Bosk, C. L., Dixon-Woods, M., Goeschel, C. A., & Pronovost, P. J. (2009, August). Reality check for checklists. Lancet, doi:10.1016/S0140-6736(09)61440-9
  • Bull, R. M., & Fitzgerald, M. (2004). The invisible nurse: Behind the scenes in an Australian OR. AORN Journal, 79(4), 810, 813–818, 821–823. doi:10.1016/S0001-2092(06)60822-3
  • Carlsen, B., & Aakvik, A. (2006, August). Patient involvement in clinical decision making: The effect of GP attitude on patient satisfaction. Health Expectations, 9, 148–157. doi:10.1111/j.1369-7625.2006.00385.x
  • Collins, S. J., Newhouse, R., Porter, J., & Talsma, A. (2014). Effectiveness of the surgical safety checklist in correcting errors: A literature review applying reason’s Swiss cheese model. AORN Journal, 100(1). doi:10.1016/j.aorn.2013.07.024
  • De Vries, E. N., Hollmann, M. W., Smorenburg, S. M., Gouma, D. J., & Boermeester, M. A. (2009). Development and validation of the surgical patient safety system (SURPASS) checklist. Quality and Safety in Health Care, 18(2), 121–126. doi:10.1136/qshc.2008.027524
  • Dixon-Woods, M. (2010, January). Why is patient safety so hard? A selective review of ethnographic studies. Journal of Health Services Research & Policy, 15(Suppl 1), 11–16. doi:10.1258/jhsrp.2009.009041
  • Fourcade, A., Blache, J.-L., Grenier, C., Bourgain, J.-L., & Minvielle, E. (2012). Barriers to staff adoption of a surgical safety checklist. BMJ Quality & Safety, 21(3), 191–197. doi:10.1136/bmjqs-2011-000094
  • Gillespie, B. M., Chaboyer, W., Longbottom, P., & Wallis, M. (2010). The impact of organisational and individual factors on team communication in surgery: A qualitative study. International Journal of Nursing Studies, 47(6), 732–741. doi:10.1016/j.ijnurstu.2009.11.001
  • Gillespie, B. M., Gwinner, K., Fairweather, N., & Chaboyer, W. (2013). Building shared situational awareness in surgery through distributed dialog. Journal of Multidisciplinary Healthcare, 6, 109–118. doi:10.2147/JMDH.S40710
  • Gillespie, B. M., Marshall, A. P., Gardiner, T., Lavin, J., & Withers, T. K. (2016). Impact of workflow on the use of the surgical safety checklist: A qualitative study. ANZ Journal of Surgery, 86(11), 864–867. doi:10.1111/ans.13433
  • Goodyear-Smith, F., & Buetow, S. (2001). Power issues in the doctor-patient relationship. Health Care Analysis. doi:10.1023/A:1013812802937
  • Green, J. L., & Thorogood, N. (2009). Qualitative methods for health research. Thousand Oaks, CA: Sage Publications.
  • Hayes, C. (2012). Surgical safety checklist: Improved patient safety through effective teamwork. Healthcare Quarterly, 15, 57–62. doi:10.12927/hcq.2012.22840
  • Haynes, A. B., Weiser, T. G., Berry, W. R., Lipsitz, S. R., Breizat, A.-H. S., Dellinger, E. P., … Gawande, A. A. (2009). A surgical safety checklist to reduce morbidity and mortality in a global population. New England Journal of Medicine, 360(5), 491–499. doi:10.1056/NEJMsa0810119
  • Healey, A. N., Undre, S., & Vincent, C. A. (2006). Defining the technical skills of teamwork in surgery. Quality & Safety in Health Care, 15(4), 231–234. doi:10.1136/qshc.2005.017517
  • Health Quality Ontario (HQO). (2016). Hospital patient safety performance: Surgical safety checklist compliance - provincial average for January 01 - June 30, 2016. Retrieved from http://www.hqontario.ca/System-Performance/Hospital-Patient-Safety-Performance?_ga=2.108030858.920034766.1497897421-787466910.1497897421
  • Hepp, S. L., Suter, E., Jackson, K., Deutschlander, S., Makwarimba, E., Jennings, J., & Birmingham, L. (2015). Using an interprofessional competency framework to examine collaborative practice. Journal of Interprofessional Care, 29(2), 131–137. doi:10.3109/13561820.2014.955910
  • Johnston, F. M., Tergas, A. I., Bennett, J. L., Valero, V., Morrissey, C. K., Fader, A. N., … Wick, E. C. (2014). Measuring briefing and checklist compliance in surgery. American Journal of Medical Quality, 29(6), 491–498. doi:10.1177/1062860613509402
  • Jones, R., Brown, C., & Opelka, F. (2005). Surgeon compensation: Pay for performance,” the American College of Surgeons national surgical quality improvement program, the surgical care improvement program, and other considerations. Surgery, 138(5), 829–836. doi:10.1016/j.surg.2005.08.015
  • Kearns, R. J., Uppal, V., Bonner, J., Robertson, J., Daniel, M., & McGrady, E. M. (2011). The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Quality & Safety, 20(9), 818–822. doi:10.1136/bmjqs.2010.050179
  • Kitto, S. (2010). Evidence-based checklists: Intended and unintended consequences for interprofessional care. Journal of Interprofessional Care, 24(6), 609–611. doi:10.3109/13561820.2010.527195
  • Kitto, S., & Grant, R. (2014). Revisiting evidence-based checklists: Interprofessionalism, safety culture and collective competence. Journal of Interprofessional Care, 28(5), 390–392. doi:10.3109/13561820.2014.916089
  • Kitto, S. C., Chesters, J., & Grbich, C. (2008). Quality in qualitative research. Medical Journal of Australia, 188(4), 243–246.
  • Kitto, S. C., Gruen, R. L., & Smith, J. A. (2009). Imagining a continuing interprofessional education program (CIPE) within surgical training. The Journal of Continuing Education in the Health Professions, 29(3), 185–189. doi:10.1002/chp.20034
  • Koppenheffer, M., Aldag, M., & Kelberg, M. (2007). Joint replacement centre of excellence: Creating a market-leading program. Washington, DC: The Advisory Board Company.
  • Kuo, C. C., & Robb, W. J. (2013). Critical roles of orthopaedic surgeon leadership in healthcare systems to improve orthopaedic surgical patient safety. Clinical Orthopaedics and Related Research, 471(6), 1792–1800. doi:10.1007/s11999-012-2719-3
  • Leape, L. L. (2014). The checklist conundrum. New England Journal of Medicine, 370(11), 1063–1064. doi:10.1056/NEJMe1315851
  • Lepänluoma, M., Takala, R., Kotkansalo, A., Rahi, M., & Ikonen, T. S. (2014). Surgical safety checklist is associated with improved operating room safety culture, reduced wound complications, and unplanned readmissions in a pilot study in neurosurgery. Scandinavian Journal of Surgery, 103(1), 66–72. doi:10.1177/1457496913482255
  • Lingard, L., Regehr, G., Orser, B., Reznick, R., Baker, G.R., Doran, D., Espin, S., Bohnen, J., & Whyte, S. (2008). Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Archives Of Surgery, 143(1), 12–17. doi:10.1001/archsurg.2007.21
  • Lingard, L. (2009). What we see and don’t see when we look at competence: Notes on a god term. Advances in Health Sciences Education, 14, 625–628. doi:10.1007/s10459-009-9206-y
  • Marcus, R. E., Zenty, T. F., & Adelman, H. G. (2009). Aligning incentives in orthopaedics. Opportunities and Challenges: The case medical center experience. Clinical Orthopaedics and Related Research, 467(10), 2525–2534. doi:10.1007/s11999-009-0956-x
  • McDowell, D. S., & McComb, S. A. (2014). Safety checklist briefings: A systematic review of the literature. Association of Operating Room Nurses Journal, 99(1), 125–137.e13. doi:10.1016/j.aorn.2013.11.015
  • Mulhall, A. (2003). In the field: Notes on observation in qualitative research. Journal of Advanced Nursing, 41(3), 306–313. doi:10.1046/j.1365-2648.2003.02514.x
  • Olding, M., McMillan, S. E., Reeves, S., Schmitt, M. H., Puntillo, K., & Kitto, S. (2015). Patient and family involvement in adult critical and intensive care setting: A scoping review. Health Expectations, (ii), 1183–1202. doi:10.1111/hex.12402
  • Pape, B., Thiessen, P. S., Jakobsen, F., & Hansen, T. B. (2013). Interprofessional collaboration may pay off: Introducing a collaborative approach in an orthopaedic ward. Journal of Interprofessional Care, 27(6), 496–500. doi:10.3109/13561820.2013.808611
  • Pickering, S. P., Robertson, E. R., Griffin, D., Hadi, M., Morgan, L. J., Catchpole, K. C., … McCulloch, P. (2013). Compliance and use of the world health organization checklist in UK operating theatres. British Journal of Surgery, 100(12), 1664–1670. doi:10.1002/bjs.9305
  • Pope, C. (2005). Conducting ethnography in medical settings. Medical Education. doi:10.1111/j.1365-2929.2005.02330.x
  • Reeves, S., Clark, E., Lawton, S., Ream, M., & Ross, F. (2017). Examining the nature of interprofessional interventions designed to promote patient safety: A narrative review. International Journal for Quality in Health Care, 29(2), 144–150. doi:10.1093/intqhc/mzx008
  • Reeves, S., Goldman, J., Gilbert, J., Tepper, J., Silver, I., Suter, E., & Zwarenstein, M. (2011). A scoping review to improve conceptual clarity of interprofessional interventions. Journal of Interprofessional Care, 25(3), 167–174. doi:10.3109/13561820.2010.529960
  • Rydenfält, C., Ek, Å., & Larsson, P. A. (2014). Safety checklist compliance and a false sense of safety: New directions for research. BMJ Quality & Safety, 23(3), 183–186. doi:10.1136/bmjqs-2013-002168
  • Rydenfält, C., Johansson, G., Odenrick, P., Åkerman, K., & Larsson, P. A. (2013). Compliance with the WHO surgical safety checklist: Deviations and possible improvements. International Journal for Quality in Health Care, 25(2), 182–187. doi:10.1093/intqhc/mzt004
  • Spruce, L. (2014). Back to Basics: Implementing the surgical checklist. AORN Journal, 100(5), 465–476. doi:10.1016/j.aorn.2014.06.020
  • The Joint Commission. (2010). Facts about the universal protocol. Illinois: Author.
  • Tillman, M., Wehbe-Janek, H., Hodges, B., Smythe, W. R., & Papaconstantinou, H. T. (2013). Surgical care improvement project and surgical site infections: Can integration in the surgical safety checklist improve quality performance and clinical outcomes? Journal of Surgical Research, 184(1), 150–156. doi:10.1016/j.jss.2013.03.048
  • Treadwell, J. R., Lucas, S., & Tsou, A. Y. (2014). Surgical checklists: A systematic review of impacts and implementation. BMJ Quality & Safety, 23(4), 299–318. doi:10.1136/bmjqs-2012-001797
  • Urbach, D. R., Govindarajan, A., Saskin, R., Wilton, A. S., & Baxter, N. N. (2014). Introduction of surgical safety checklists in Ontario, Canada. The New England Journal of Medicine, 370(11), 1029–1038. doi:10.1056/NEJMsa1308261
  • van Klei, W., Hoff, R., van Aarnhem, E., Simmermacher, R., Regli, L., Kappen, T., … Peelen, L. (2012). Effects of the Introduction of the WHO “Surgical Safety Checklist” on In-hospital mortality. Annals of Surgery, 255(1), 44–49. doi:10.1097/SLA.0b013e31823779ae
  • Vats, A., Vincent, C., Nagpal, K., Davies, R., Darzi, A., & Moorthy, K. (2010). Practical challenges of introducing WHO surgical checklist: UK pilot experience. BMJ, 340. doi:10.1136/bmj.b5433
  • Weller J., Frengley R., Torrie J., Shulruf B., Jolly B., Hopley L., Hendersdon K., Dzendrowskyj P., Yee B., & Paul A. (2011). Evaluation of an instrument to measure teamwork in multidisciplinary critical care teams. BMJ Quality & Safety, 20(3), 216–222. doi:10.1136/bmjqs.2010.041913
  • Whyte, S., Lingard, L., Espin, S., Baker, G. R., Bohnen, J., Orser, B. A., … Regehr, G. (2008). Paradoxical effects of interprofessional briefings on or team performance. Cognition, Technology and Work, 10(4), 287–294. doi:10.1007/s10111-007-0086-8
  • World Health Organization. (1978). Declaration of Alma-Ata. In International Conference on Primary Health Care, Alma-Ata. Geneva, Switzerland: WHO.
  • World Health Organization. (2005). Health promotion in hospitals: Evidence and quality management. Geneva, Switzerland: WHO.
  • World Health Organization. (2008a). Safe Surgery Saves Lives, 5(3), 21. doi:10.1097/01.JBI.0000393253.18990.c6
  • World Health Organization, (2008b). WHO surgical safety checklist implementation manual. Geneva, Switzerland: First. Spring. 1–28. doi:10.1111/j.1749-4486.2009.02129.x.
  • World Health Organization. (2014). Nationwide roll-out of the WHO surgical safety checklist. Geneva, Switzerland: WHO.
  • Yuan, C. T., Walsh, D., Walsh, J. L., Alpern, R., Shakpeh, J., & Bradley, E. H. (2012). Incorporating the world health organization surgical safety checklist into practice at two hospitals in liberia. Joint Commission Journal on Quality and Patient Safety, 38(6), 254–260. doi:10.1016/S1553-7250(12)38032-X

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.