Tímarit hjúkrunarfræðinga - 2022, Page 81

To err is human, but as the nature of mistakes are
diverse their consequences are not equally critical.
Research shows that about 50% of mistakes in
anesthesia and surgery are preventable. Extensive
research has been conducted to analyze how
mistakes in this field can best be prevented,
where use of checklists in crisis situations in other
fields are used as models. The literature about
implementation of checklists in operating rooms
emphasizes the importance of staff awareness
regarding the purpose and benefit of their use.
The aim of this study was to explore the attitude
of nurses and consultant physicians working in
the operating rooms of Akureyri hospital, towards
using checklists in their work and whether there
was a difference in attitudes before and after the
presentation of checklists for crisis situations.
A quantitative, prospective, descriptive, and
comparative research. The study population was
nurses and consultant physicians working in
Akureyri Hospital operating rooms at the time of
the study, 47 in total, and the study sample was the
population. Fifteen checklists for crisis situations
already translated to Icelandic and implemented
in Landspitali, were adjusted for use in Akureyri
Hospital. The implementation relied on the first
two steps out of four in an implementation protocol
and introduction of the checklists was electronic. A
questionnaire was answered two times, before and
after presentation of the crisis checklists.
The results suggest that participants see purpose in
using the new checklists in crisis situations. Positive
attitude also gives a reason to expect further
effective implementation of the new checklists in
Akureyri Hospital´s operating rooms.
Aim Results
ENGLISH SUMMARY
Implementation of checklists for
crisis situations in operating rooms
in Akureyri Hospital: A survey and
summary of the implementation process.
Method
crisis checklists; emergency manuals; anesthesia
crisis management; WHO surgical safety checklist;
implementation science.
Correspondent:
eyrunbth@sak.is
Conclusion
Keywords
Implementation of checklists for crisis situations in operating rooms in Akureyri Hospital
Thorfinnsdottir, E.B., Sigurdardottir, A.K., Sigurdsson, M.I.
The response rate was 87% before the presentation
and 67% after. Participants´ attitude towards using
checklists in surgical rooms was generally positive
and most said that checklists can be of use, both in
routine work and in crisis situations. Nevertheless,
majority of participants answered that they feel
confident in performing their work, without use
of checklists. A paired t-test revealed that after
the introduction of the new checklists, fewer staff
members felt confident performing their work in
crisis situations without using checklists as before
(t(27)=-2,521; p=0,02).