[Patient safety in orthopaedics: implementation and first experience with CIRS and team time-out].
OBJECTIVE
The critical incident reporting system (CIRS)and a surgical safety checklist (SSC) are considered to be the most powerful and important means for patient safety and for avoiding surgical errors. Nevertheless, these tools are not yet standard in orthopaedic surgery. We have implemented CIRS and a surgical checklist adapted to the specific conditions in orthopaedic surgery.


METHODS
In this article, we provide a guideline to put CIRS and SSC into practice and report on preliminary results one year after implementation in our department.


RESULTS
A comprehensive statistical analysis of the reduction in surgical errors cannot yet be given. As a first effect after one year, an improvement in interdisciplinary team building, an increased sense of responsibility of each employee and a positive change in failure culture can be observed.


CONCLUSIONS
SSC and reporting near mistakes enables a comprehensive failure analysis helping to avoid future complications and improve medical quality.
Wingenfeld
C
C
Klinik für Orthopädie und Unfallchirurgie, Remigius-Krankenhaus-Opladen, An St. Remigius 26, Leverkusen. wingenfeld.orthopaedie@remigius.de525
Abbara-Czardybon
M
M
Arbab
D
D
Frank
D
D
D000328:Adult; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D008297:Male; D019221:Mandatory Reporting; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000517:prevention & control*; D015995:Prevalence; D012042:Registries / Q000706:statistics & numerical data*; D017751:Safety Management / Q000706:statistics & numerical data*