Surgery
Conditions
Keywords
Crew Resource Management, Surgical safety checklist, Postoperative complications
Brief summary
This multicenter cluster-randomized trial will evaluate the impact of Crew Resource Management training on the occurrence of postoperative complications and the adherence to a surgical safety checklist, among a large sample of French surgical departments.
Interventions
OTHERDiffusion of a surgical safety checklist
* Assistance by a local caregiver investigator (i.e., surgeon, anaesthetist, nurse,...) responsible for the implementation of surgical safety checklist within the operatory rooms of his department ; * A two-step CRM training of surgical teams (i.e., surgeons, anaesthetists, nurses,...) conducted by advisors from the world of air company using video support: * First month following randomization: a course about the implementation of surgical safety checklist (using online-available WHO short movies and other videos of surgical teams) and core concepts of CRM adapted to the operating room; * Sixth month following randomization: a feedback to surgical teams aiming at identifying and solving barriers related to the checklist implementation and interpersonal communication * Written reminders including the systematic presence of an unfilled surgical safety checklist in the patient's medical report, stickers and wall posters in operatory rooms
Sponsors
Hospices Civils de Lyon
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years old * Hospitalization ≥ 24 hours * Available medical file
Exclusion criteria
* Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurrence of any major postoperative complication during hospitalization | during the two phases of the study : 18 months |
Secondary
| Measure | Time frame |
|---|---|
| Team's adherence to the items of surgical safety checklist | During the two phases of the study : 18 months |
| Occurrence of any postoperative death during hospitalization | During the two phases of the study : 18 months |
| Healthcare workers' attitude regarding the patient safety culture | Twice during the study : the 4th and the 17th month after the beginning of the study |
Countries
France
Outcome results
None listed