The Impact of Briefings on Sentinel Events and Unexpected Delays in the Operating Room
Respondents included surgeons (34.9%), anesthesiologists (14.0%), and nurses (44.4%). The use of briefings was associated with frontline caregiver assessments of a reduced risk for wrong site surgery and improved collaboration (F (6, 390) = 10.15, p < .001). OR caregiver assessments of briefing and wrong-site surgery issues improved for 5 out of the 6 items, e.g., Surgery and Anesthesia worked together as a well-coordinated team (67.9% agreed pre, 91.5% agreed post). The only item which did not improve significantly was, A team discussion before a surgical procedure is important for patient safety, for which responses were favorable pre and post intervention (94.0% versus 93.3 %, respectively). The use of briefings was associated with fewer unexpected delays, with 30.9% of OR personnel reporting a delay pre-briefings, and only 23.3% reporting delays post-briefings (F (1, 397) = 7.66, p < 0.001). In the post-briefing group, a linear relationship between elements of ORBAT and the assessments of unexpected delays was found, e.g., A preoperative discussion included planning for potential problems (beta=-0.34, p<0.001). OR Briefings significantly reduce perceptions of risk for wrong site surgery and improve perceptions of collaboration among OR personnel. OR Briefings also have the potential to increase OR efficiency by significantly reducing unexpected delays in the operating room.
School Location:USA - Connecticut
Source Type:Master's Thesis
Keywords:medical errors surgical procedures operative sentinel surveillance information dissemination communication safety management preoperative care risk factors operating rooms
Date of Publication:03/25/2008