Adapting the World Health Organization’s Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol

Objectives:. The proposed study aims to assess users’ perceptions of a surgical safety checklist (SSC) reimplementation toolkit and its impact on SSC attitudes and operating room (OR) culture, meaningful checklist use, measures of surgical safety, and OR efficiency at 3 different hospital sites. Bac...

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Main Authors: Nathan Turley, MA, MBA, Karolina Kogut, BA, Barbara Burian, PhD, Rachel Moyal-Smith, DrPH, PA-C, James Etheridge, MD, MPH, Yves Sonnay, MScPH, William Berry, MD, MPH, Alan Merry, MD, MBChB, Alexander Hannenberg, MD, Alex B. Haynes, MD, MPH, Roger D. Dias, MD, PhD, MBA, Kathryn Hagen, MD, George Molina, MD, MPH, Lisa Spruce, DNP, RN, Carla Williams, RN, MHSM, Mary E. Brindle, MD, MPH, FRCSC
Format: Article
Language:English
Published: Wolters Kluwer Health 2024-06-01
Series:Annals of Surgery Open
Online Access:http://journals.lww.com/10.1097/AS9.0000000000000436
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author Nathan Turley, MA, MBA
Karolina Kogut, BA
Barbara Burian, PhD
Rachel Moyal-Smith, DrPH, PA-C
James Etheridge, MD, MPH
Yves Sonnay, MScPH
William Berry, MD, MPH
Alan Merry, MD, MBChB
Alexander Hannenberg, MD
Alex B. Haynes, MD, MPH
Roger D. Dias, MD, PhD, MBA
Kathryn Hagen, MD
George Molina, MD, MPH
Lisa Spruce, DNP, RN
Carla Williams, RN, MHSM
Mary E. Brindle, MD, MPH, FRCSC
author_facet Nathan Turley, MA, MBA
Karolina Kogut, BA
Barbara Burian, PhD
Rachel Moyal-Smith, DrPH, PA-C
James Etheridge, MD, MPH
Yves Sonnay, MScPH
William Berry, MD, MPH
Alan Merry, MD, MBChB
Alexander Hannenberg, MD
Alex B. Haynes, MD, MPH
Roger D. Dias, MD, PhD, MBA
Kathryn Hagen, MD
George Molina, MD, MPH
Lisa Spruce, DNP, RN
Carla Williams, RN, MHSM
Mary E. Brindle, MD, MPH, FRCSC
author_sort Nathan Turley, MA, MBA
collection DOAJ
description Objectives:. The proposed study aims to assess users’ perceptions of a surgical safety checklist (SSC) reimplementation toolkit and its impact on SSC attitudes and operating room (OR) culture, meaningful checklist use, measures of surgical safety, and OR efficiency at 3 different hospital sites. Background:. The High-Performance Checklist toolkit (toolkit) assists surgical teams in modifying and implementing or reimplementing the World Health Organization’s SSC. Through the explore, prepare, implement, and sustain implementation framework, the toolkit provides a process and set of tools to facilitate surgical teams’ modification, implementation, training on, and evaluation of the SSC. Methods:. A pre–post intervention design will be used to assess the impact of the modified SSC on surgical processes, team culture, patient experience, and safety. This mixed-methods study includes quantitative and qualitative data derived from surveys, semi-structured interviews, patient focus groups, and SSC performance observations. Additionally, patient outcome and OR efficiency data will be collected from the study sites’ health surveillance systems. Data analysis:. Statistical data will be analyzed using Statistical Product and Service Solutions, while qualitative data will be analyzed thematically using NVivo. Furthermore, interview data will be analyzed using the Consolidated Framework for Implementation Research and reach, effectiveness, adoption, implementation, maintenance implementation frameworks. Setting:. The toolkit will be introduced at 3 diverse surgical sites in Alberta, Canada: an urban hospital, university hospital, and small regional hospital. Anticipated impact:. We anticipate the results of this study will optimize SSC usage at the participating surgical sites, help shape and refine the toolkit, and improve its usability and application at future sites.
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spelling doaj-art-36848cca99fa4c47a7d22a7175e7733a2025-01-24T09:18:39ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-06-0152e43610.1097/AS9.0000000000000436202406000-00041Adapting the World Health Organization’s Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial ProtocolNathan Turley, MA, MBA0Karolina Kogut, BA1Barbara Burian, PhD2Rachel Moyal-Smith, DrPH, PA-C3James Etheridge, MD, MPH4Yves Sonnay, MScPH5William Berry, MD, MPH6Alan Merry, MD, MBChB7Alexander Hannenberg, MD8Alex B. Haynes, MD, MPH9Roger D. Dias, MD, PhD, MBA10Kathryn Hagen, MD11George Molina, MD, MPH12Lisa Spruce, DNP, RN13Carla Williams, RN, MHSM14Mary E. Brindle, MD, MPH, FRCSC15From the * Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary AB, CanadaFrom the * Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary AB, Canada† NASA, Ames Research Center, Moffett Field, California, USA‡ Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA‡ Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA‡ Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA§ Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA‖ Department of Anaesthesiology, Faculty of Medical and Health Science, University of Auckland, Auckland, New Zealand‡ Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA# Department of Surgery and Perioperative Care, Dell Medical School, University of Texas Austin, Austin, TX** STRATUS Center for Medical Simulation, Department of Emergency Medicine, Harvard Medical School, Boston, MA†† Department of Anaesthesia and Peri-operative Medicine, Te Toka Tumai|Auckland City Hospital, Te Whātua Ora|Health New Zealand, New Zealand‡ Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MA‡‡ Sr. Director, Evidence-based Perioperative Practice at AORN, Denver, CO§§ Healthcare Excellence Canada, Ottawa, Ontario, Canada‡ Ariadne Labs, Brigham and Women’s Hospital, Harvard T.H. Chan School of Public Health, Boston, MAObjectives:. The proposed study aims to assess users’ perceptions of a surgical safety checklist (SSC) reimplementation toolkit and its impact on SSC attitudes and operating room (OR) culture, meaningful checklist use, measures of surgical safety, and OR efficiency at 3 different hospital sites. Background:. The High-Performance Checklist toolkit (toolkit) assists surgical teams in modifying and implementing or reimplementing the World Health Organization’s SSC. Through the explore, prepare, implement, and sustain implementation framework, the toolkit provides a process and set of tools to facilitate surgical teams’ modification, implementation, training on, and evaluation of the SSC. Methods:. A pre–post intervention design will be used to assess the impact of the modified SSC on surgical processes, team culture, patient experience, and safety. This mixed-methods study includes quantitative and qualitative data derived from surveys, semi-structured interviews, patient focus groups, and SSC performance observations. Additionally, patient outcome and OR efficiency data will be collected from the study sites’ health surveillance systems. Data analysis:. Statistical data will be analyzed using Statistical Product and Service Solutions, while qualitative data will be analyzed thematically using NVivo. Furthermore, interview data will be analyzed using the Consolidated Framework for Implementation Research and reach, effectiveness, adoption, implementation, maintenance implementation frameworks. Setting:. The toolkit will be introduced at 3 diverse surgical sites in Alberta, Canada: an urban hospital, university hospital, and small regional hospital. Anticipated impact:. We anticipate the results of this study will optimize SSC usage at the participating surgical sites, help shape and refine the toolkit, and improve its usability and application at future sites.http://journals.lww.com/10.1097/AS9.0000000000000436
spellingShingle Nathan Turley, MA, MBA
Karolina Kogut, BA
Barbara Burian, PhD
Rachel Moyal-Smith, DrPH, PA-C
James Etheridge, MD, MPH
Yves Sonnay, MScPH
William Berry, MD, MPH
Alan Merry, MD, MBChB
Alexander Hannenberg, MD
Alex B. Haynes, MD, MPH
Roger D. Dias, MD, PhD, MBA
Kathryn Hagen, MD
George Molina, MD, MPH
Lisa Spruce, DNP, RN
Carla Williams, RN, MHSM
Mary E. Brindle, MD, MPH, FRCSC
Adapting the World Health Organization’s Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol
Annals of Surgery Open
title Adapting the World Health Organization’s Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol
title_full Adapting the World Health Organization’s Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol
title_fullStr Adapting the World Health Organization’s Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol
title_full_unstemmed Adapting the World Health Organization’s Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol
title_short Adapting the World Health Organization’s Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol
title_sort adapting the world health organization s surgical safety checklist to high income settings a hybrid effectiveness implementation trial protocol
url http://journals.lww.com/10.1097/AS9.0000000000000436
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