Nikhil Panda1,2, Luca Koritsanszky3,4, Megan Delisle3,5, Theophilus T K Anyomih6, Eesha V Desai3, Yves Sonnay3, George Molina7,3,8, Katayoun Madani9,10,11, Dominique Vervoort9,12, Thomas G Weiser3,4,13, Evan M Benjamin3, Alex B Haynes3,14. 1. Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, GRB-425, Boston, MA, 02114, USA. nikhil.panda@mgh.harvard.edu. 2. Ariadne Labs, Harvard T.H. Chan School of Public Health, Brigham and Women's Hospital, 401 Park Drive, 3rd Floor West, Boston, MA, 02215, USA. nikhil.panda@mgh.harvard.edu. 3. Ariadne Labs, Harvard T.H. Chan School of Public Health, Brigham and Women's Hospital, 401 Park Drive, 3rd Floor West, Boston, MA, 02215, USA. 4. Lifebox Foundation, 48 Charlotte Street, London, W1T 2NS, UK. 5. Department of Surgery, University of Manitoba, 347-825 Sherbrook Street, Winnipeg, MB, R3T 2N2, Canada. 6. Department of Surgery, Tamale Teaching Hospital, P.O. Box TL111, Tamale, Ghana. 7. Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, GRB-425, Boston, MA, 02114, USA. 8. Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02215, USA. 9. International Student Surgical Network (InciSioN), Sint-Truiden, Belgium. 10. Saint George's University School of Medicine, 3500 Sunrise Highway, Great River, New York, 11739, USA. 11. Northwestern Trauma and Surgical Initiative, Arkes Family Pavilion (Suite 650), 676 North Saint Clair, Chicago, IL, 60611, USA. 12. Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD, 21205, USA. 13. Department of Surgery, Stanford Medicine, 300 Pasteur Drive, H3638, Stanford, CA, 94305, USA. 14. Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, 2601 Trinity Street, Building B, Austin, TX, 78712, USA.
Abstract
BACKGROUND: The Surgical Safety Checklist (SSC) has been shown to reduce perioperative complications across global health systems. We sought to assess perceptions of the SSC and suggestions for its improvement among medical students, trainees, and early career providers. METHODS: From July to September 2019, a survey assessing perceptions of the SSC was disseminated through InciSioN, the International Student Surgical Network comprising medical students, trainees, and early career providers pursuing surgery. Individuals with ≥2 years of independent practice after training were excluded. Respondents were categorized according to any clinical versus solely non-clinical SSC exposure. Logistic regression was used to evaluate associations between clinical/non-clinical exposure and promoting future use of the SSC, adjusting for potential confounders/mediators: training level, human development index, and first perceptions of the SSC. Thematic analysis was conducted on suggestions for SSC improvement. RESULTS: Respondent participation rate was 24%. Three hundred and eighteen respondents were included in final analyses; 215 (67%) reported clinical exposure and 190 (60%) were promoters of future SSC use. Clinical exposure was associated with greater odds of promoting future SSC use (aOR 1.81 95% CI [1.03-3.19], p = 0.039). A greater proportion of promoters reported "Improved Operating Room Communication" as a goal of the SSC (0.21 95% CI [0.15-0.27]-vs.-0.12 [0.06-0.17], p = 0.031), while non-promoters reported the SSC goals were "Not Well Understood" (0.08 95% CI [0.03-0.12]-vs.-0.03 [0.01-0.05], p = 0.032). Suggestions for SSC improvement emphasized context-specific adaptability and earlier formal training. CONCLUSIONS: Clinical exposure to the SSC was associated with promoting its future use. Earlier formal clinical training may improve perceptions and future use among medical students, trainees, and early career providers.
BACKGROUND: The Surgical Safety Checklist (SSC) has been shown to reduce perioperative complications across global health systems. We sought to assess perceptions of the SSC and suggestions for its improvement among medical students, trainees, and early career providers. METHODS: From July to September 2019, a survey assessing perceptions of the SSC was disseminated through InciSioN, the International Student Surgical Network comprising medical students, trainees, and early career providers pursuing surgery. Individuals with ≥2 years of independent practice after training were excluded. Respondents were categorized according to any clinical versus solely non-clinical SSC exposure. Logistic regression was used to evaluate associations between clinical/non-clinical exposure and promoting future use of the SSC, adjusting for potential confounders/mediators: training level, human development index, and first perceptions of the SSC. Thematic analysis was conducted on suggestions for SSC improvement. RESULTS: Respondent participation rate was 24%. Three hundred and eighteen respondents were included in final analyses; 215 (67%) reported clinical exposure and 190 (60%) were promoters of future SSC use. Clinical exposure was associated with greater odds of promoting future SSC use (aOR 1.81 95% CI [1.03-3.19], p = 0.039). A greater proportion of promoters reported "Improved Operating Room Communication" as a goal of the SSC (0.21 95% CI [0.15-0.27]-vs.-0.12 [0.06-0.17], p = 0.031), while non-promoters reported the SSC goals were "Not Well Understood" (0.08 95% CI [0.03-0.12]-vs.-0.03 [0.01-0.05], p = 0.032). Suggestions for SSC improvement emphasized context-specific adaptability and earlier formal training. CONCLUSIONS: Clinical exposure to the SSC was associated with promoting its future use. Earlier formal clinical training may improve perceptions and future use among medical students, trainees, and early career providers.
Authors: Ian Solsky; William Berry; Lizabeth Edmondson; Janaka Lagoo; Joshua Baugh; Alex Blair; Sara Singer; Alex B Haynes Journal: J Surg Res Date: 2018-10-24 Impact factor: 2.192
Authors: Megan Delisle; Jason C Pradarelli; Nikhil Panda; Alex B Haynes; Alexander A Hannenberg Journal: BMJ Qual Saf Date: 2019-10-09 Impact factor: 7.035
Authors: M Delisle; J C Pradarelli; N Panda; L Koritsanszky; Y Sonnay; S Lipsitz; R Pearse; E M Harrison; B Biccard; T G Weiser; A B Haynes Journal: Br J Surg Date: 2020-01 Impact factor: 6.939