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IMPACT OF A SAFE PROCEDURAL CHECKLIST IN THE CARDIAC CATHETERISATION LABORATORY
1979 JACC April 5, 2016 Volume 67, Issue 13
Prevention IMPACT OF A SAFE PROCEDURAL CHECKLIST IN THE CARDIAC CATHETERISATION LABORATORY Poster Contributions Poster Area, South Hall A1 Sunday, April 03, 2016, 3:45 p.m.-4:30 p.m. Session Title: Preventive Cardiology Potpourri Abstract Category: 33. Prevention: Clinical Presentation Number: 1236-371 Authors: Alistair Lindsay, Jeremy Bishop, Katie Harron, Simon Davies, Elizabeth Haxby, Royal Brompton & Harefield NHS Trust, London, United Kingdom Background: The use of a WHO safe surgery checklist has been shown to reduce morbidity and mortality from surgical procedures. However, it has not previously been investigated whether a WHO-style safe procedural checklist could improve safety in the cardiac catheterisation laboratory (CCL).
Methods: Over a one year period, a team brief and adapted WHO Safe Procedure Checklist were introduced to the five CCLs at the Royal Brompton Hospital. In the first three months, weekly PDSA cycles (Plan-Do-Study-Act) were used to optimise the design of the checklist through testing and staff feedback. The impact of the checklist was assessed by analysing in-house procedural data, in addition to data submitted to national procedural databases. Results: Over the course of the year the checklist was used in 70.1% of all CCL procedures. Compared to the previous year, the average monthly dose area product (DAP) was significantly reduced (2433mGy vs. 2164mGy, p=0.042); there was also a significant reduction in major procedural complications (4.28% vs. 1.65%, p<0.001; Figure, EP complications shown). Turnaround times between procedures decreased by an average of 3 minutes 16 seconds (p=0.027). Conclusions: The use of a team brief and WHO-derived safe procedural checklist in the CCL was associated with decreased radiation exposure, fewer procedural complications, and faster turnaround times. The use of team briefings and safe procedural checklists in the CCL appears warranted.
Prevention IMPACT OF A SAFE PROCEDURAL CHECKLIST IN THE CARDIAC CATHETERISATION LABORATORY Poster Contributions Poster Area, South Hall A1 Sunday, April 03, 2016, 3:45 p.m.-4:30 p.m. Session Title: Preventive Cardiology Potpourri Abstract Category: 33. Prevention: Clinical Presentation Number: 1236-371 Authors: Alistair Lindsay, Jeremy Bishop, Katie Harron, Simon Davies, Elizabeth Haxby, Royal Brompton & Harefield NHS Trust, London, United Kingdom Background: The use of a WHO safe surgery checklist has been shown to reduce morbidity and mortality from surgical procedures. However, it has not previously been investigated whether a WHO-style safe procedural checklist could improve safety in the cardiac catheterisation laboratory (CCL).
Methods: Over a one year period, a team brief and adapted WHO Safe Procedure Checklist were introduced to the five CCLs at the Royal Brompton Hospital. In the first three months, weekly PDSA cycles (Plan-Do-Study-Act) were used to optimise the design of the checklist through testing and staff feedback. The impact of the checklist was assessed by analysing in-house procedural data, in addition to data submitted to national procedural databases. Results: Over the course of the year the checklist was used in 70.1% of all CCL procedures. Compared to the previous year, the average monthly dose area product (DAP) was significantly reduced (2433mGy vs. 2164mGy, p=0.042); there was also a significant reduction in major procedural complications (4.28% vs. 1.65%, p<0.001; Figure, EP complications shown). Turnaround times between procedures decreased by an average of 3 minutes 16 seconds (p=0.027). Conclusions: The use of a team brief and WHO-derived safe procedural checklist in the CCL was associated with decreased radiation exposure, fewer procedural complications, and faster turnaround times. The use of team briefings and safe procedural checklists in the CCL appears warranted.