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|Title:||Development and pilot of a Cardiac Catheterisation Laboratory (CCL) specific pre-procedural checklist. (A multiple methods study).|
|Epworth Authors:||Tomy, Anu|
Cardiac Catheterisation Laboratory
Adherence to Guidelines
Epworth/Deakin Centre for Clinical Nursing Research, Epworth Healthcare, Victoria, Australia.
|Conference:||Epworth HealthCare Research Week 2018|
|Conference Location:||Epworth Research Institute, Victoria, Australia|
|Abstract:||Background Interventional cardiology has seen increasing procedural complexity and patient acuity. CCL nurses help protect patient safety. The aims of this project were to: (1) implement a CCL-specific pre-procedural checklist in a regional private hospital; (2) evaluate the checklist usability and feasibility in practice; and, (3) evaluate change in adherence to best practice guidelines post-checklist implementation when conducting the team ‘time-out’. Methods A multiple-methods study design was conducted. Phase 1: baseline pre-implementation staff surveys and silent observation audits; Phase 2: focus group interview, development and implementation of a CCL-specific checklist; Phase 3: post-implementation staff survey and observational audits to compare adherence to pre-procedural ‘sign-in’ and ‘time-out’ processes. CCL nurses (n=5, 56%) and radiographers (n=2 66%) participated. Results Focus groups supported the need for a CCL-specific checklist; key emerging themes included: a generic checklist is not ideal; information about medical history and having effective time-out briefing processes are essential; and CCL nurses have additional responsibilities for patient safety. Baseline audits revealed critical gaps in the ‘sign-in’ phase: patient identification (57%), alert card (29%), and allergy (71%) checking and staff participation during ‘time-out’ processes (28%). Post-implementation results showed improvement during the ‘sign-in’ phase: checking patient identification and procedure matching, alert cards, and patient allergies improved by 43%, 55% and 29%, respectively. All staff participated in the ‘time-out’ phase: checking alert cards (85%) and confirming allergies (100%). Conclusions Introducing a CCL-specific checklist to guide peri-procedure checks resulted in better adherence to practice standards for patient identity confirmation, procedure matching and conducting ‘time-out’ procedures.|
|Affiliated Organisations:||Deakin University Geelong, Australia. School of Nursing and Midwifery, Centre for Quality and Patient Safety Research|
|Type of Clinical Study or Trial:||Observational Study|
|Appears in Collections:||Cardiac Sciences|
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