TY  - JOUR
PY  - 2019//
TI  - Using standardized checklists increase the completion rate of critical actions in an evacuation from the operating room: a randomized controlled simulation study
JO  - Prehospital and disaster medicine
A1  - Acar, Yahya A.
A1  - Mehta, Neil
A1  - Rich, Mary-Ann
A1  - Yilmaz, Banu Karakus
A1  - Careskey, Matthew
A1  - Generoso, Jose
A1  - Fidler, Richard
A1  - Hirsch, Jan
SP  - 393
EP  - 400
VL  - 34
IS  - 4
N2  - INTRODUCTION: Hospital evacuations of patients with special needs are extremely challenging, and it is difficult to train hospital workers for this rare event.    Hypothesis/Problem:Researchers developed an in-situ simulation study investigating the effect of standardized checklists on the evacuation of a patient under general anesthesia from the operating room (OR) and hypothesized that checklists would improve the completion rate of critical actions and decrease evacuation time. <br><br>METHODS: A vertical evacuation of the high-fidelity manikin (SimMan3G; Laerdal Inc.; Norway) was performed and participants were asked to lead the team and evacuate the manikin to the ground floor after a mock fire alarm. Participants were randomized to two groups: one was given an evacuation checklist (checklist group [CG]) and the other was not (non-checklist group [NCG]). A total of 19 scenarios were run with 28 participants. <br><br>RESULTS: Mean scenario time, preparation phase of evacuation, and time to transport the manikin down the stairs did not differ significantly between groups (P = .369,.462, and.935, respectively). The CG group showed significantly better performance of critical actions, including securing the airway, taking additional drug supplies, and taking additional equipment supplies (P = .047,.001, and.001, respectively). In the post-evacuation surveys, 27 out of 28 participants agreed that checklists would improve the evacuation process in a real event. <br><br>CONCLUSION: Standardized checklists increase the completion rate of pre-defined critical actions in evacuations out of the OR, which likely improves patient safety. Checklist use did not have a significant effect on total evacuation time.<p />  <p>Language: en</p>
LA  - en
SN  - 1049-023X
UR  - http://dx.doi.org/10.1017/S1049023X19004576
ID  - ref1
ER  -