PMID- 32886940
OWN - NLM
STAT- MEDLINE
DCOM- 20211011
LR  - 20211011
IS  - 1439-4421 (Electronic)
IS  - 0941-3790 (Linking)
VI  - 83
IP  - 10
DP  - 2021 Oct
TI  - [Implementation of the G-BA Quality Management Guideline Regarding Surgical 
      Checklist at a University Maximum Care Hospital - Claim and Reality].
PG  - 829-834
LID - 10.1055/a-1192-4981 [doi]
AB  - Surgical treatment pathways can favor the development of Adverse Events (AE) due 
      to the inherent complexity of their service delivery. The World Health 
      Organization (WHO) Surgical Safety Checklist (SSC) is an instrument that 
      effectively reduces perioperative morbidity and mortality. Against this 
      background, in 2016 the Federal Joint Committee (G-BA) issued a Quality 
      Management Directive (QM-RL) making the use of checklists mandatory for surgical 
      procedures. The aim of this study was to compare the checklist compliance of all 
      ten surgical organizational units of the University Medical Center Mainz in the 
      second half of 2017 and 2018. In addition to the annex of the SSC, the processing 
      of the subitems >>Sign-In<<, >>Team-Time-Out<< and >>Sign-Out<< was evaluated. A 
      comparison of 2017 with 2018 showed an increase in all parameters (>>Creation of 
      checklist<< (94.2 / 96.5%), >>Sign-In<< (81.4 / 84.4%), >>Team-Time-Out<< (56.8 / 
      62.4%) and >>Sign-Out<< (50.7 / 57.9%), without, however, statistical significance 
      (p>0.05). In contrast, there were significant differences between certified and 
      non-certified surgical operating units. The parameters showing significant 
      differences were found to be >>Sign-In<< (87.9 / 71.8%; p=0.034), >>Team-Time-Out<< 
      (68.4 / 39.4%; p=0.029) and >>Sign-Out<< (62.1 / 33.6%; p=0.029) for 2017 and 
      >>Team-Time-Out<< (76.2 / 41.7%); p=0.019) and the >>Sign-Out<< (71.3 / 37.9%; 
      p=0.019) for 2018. From 2017 to 2018, there was increased implementation of the 
      SCC, particularly in certified facilities. Therefore, the external control of 
      prescribed quality features, for instance, as part of a certification procedure, 
      appears to be a suitable tool for increasing checklist compliance.
CI  - Thieme. All rights reserved.
FAU - Weckenbrock, Ralf
AU  - Weckenbrock R
AD  - Zentrales OP-Management, Universitatsmedizin Mainz, Mainz.
LA  - ger
PT  - Journal Article
TT  - Anspruch und Wirklichkeit: Umsetzung der G-BA Qualitatsmanagement-Richtlinie 
      bezuglich der Anwendungspraxis der OP-Checkliste - Status Quo an einem 
      universitaren Maximalversorger.
DEP - 20200904
PL  - Germany
TA  - Gesundheitswesen
JT  - Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes 
      (Germany))
JID - 9204210
SB  - IM
MH  - *Checklist
MH  - Germany
MH  - Guideline Adherence
MH  - Hospitals, University
MH  - Humans
MH  - Operating Rooms
MH  - Patient Safety
MH  - *Surgical Procedures, Operative
MH  - Universities
MH  - World Health Organization
COIS- Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht.
EDAT- 2020/09/05 06:00
MHDA- 2021/10/12 06:00
CRDT- 2020/09/04 20:02
PHST- 2020/09/05 06:00 [pubmed]
PHST- 2021/10/12 06:00 [medline]
PHST- 2020/09/04 20:02 [entrez]
AID - 10.1055/a-1192-4981 [doi]
PST - ppublish
SO  - Gesundheitswesen. 2021 Oct;83(10):829-834. doi: 10.1055/a-1192-4981. Epub 2020 
      Sep 4.