Pre-induction checklists and discomfort in patients. An observational study

Nabecker, Sabine; Schwendimann, Désirée; Theiler, Lorenz; Pedersen, Tina; Greif, Robert (2020). Pre-induction checklists and discomfort in patients. An observational study. European journal of anaesthesiology, 37(10), pp. 842-846. Wolters Kluwer 10.1097/EJA.0000000000001138

	Text Nabegger_Preinduction checklists_EJA_2019.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (654kB)
	Text (Pre-induction checklists and discomfort in patients. An observational study) Pre_induction_checklists_and_discomfort_in.3.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (121kB)

BACKGROUND

Since the WHO release of the Safe Surgery Saves Lives Program in 2008, peri-operative checklists minimise errors and improve patient safety worldwide. Anaesthesia professionals are often reluctant to use these checklists in front of patients because they fear causing patients' discomfort before anaesthesia and surgery.

OBJECTIVE

To assess and compare the subjective level of patient discomfort caused by the use of pre-operative checklists with the patient discomfort estimated by anaesthesia providers.

DESIGN

Prospective observational study.

SETTING

The current single-centre trial included 110 anaesthesia providers and 125 nonpremedicated ear, nose and throat or maxillofacial surgery patients in Switzerland from June to August 2016. Inclusion criterion: signed general research consent.

EXCLUSION CRITERIA

received premedication, less than 18 years old, day-care patients, dementia or other mental illnesses.

INTERVENTIONS

Anaesthesia healthcare providers and patients before surgery and on the first postoperative day were asked to rate three statements: MAIN OUTCOME MEASURES: All statements were rated on a 100-mm visual analogue scale, where 0 meant no agreement and 100 meant total agreement.

RESULTS

Patients overwhelmingly agreed that anaesthesia providers should use checklists in front of them. Anaesthesia providers rated the patient discomfort much higher than actually perceived by patients. Both, patients and anaesthesia providers rated the possibility of reducing the risk of errors high.

CONCLUSION

Patients experience far less discomfort observing the use of pre-induction checklists than anaesthesia providers expect. Patients value the potential safety benefit significantly higher than anaesthesia providers. These results further support the implementation of peri-operative checklists in the operating room environment.

TRIAL REGISTRATION

The current observational study had no intervention, therefore, was not registered.

Interest & Impact

Downloads

12 since deposited on 20 Jan 2020
0 in the past 12 months

Citations

5 Citations in Web of Science ®
6 Citations in Scopus

Search

in Google Scholar™

Services

Actions (login required)

Edit item

Actions (login required)

Edit item