[Implementation and evaluation of error prevention measures in surgical clinics: Results of a current online survey].
In the autumn of 2014, more than 3,000 surgeons completed an online questionnaire asking for the prevalence and efficiency of instruments to prevent adverse events within surgical departments in Germany. About 90 % of the respondents stated that perioperative checklists, preoperative marking of the surgical site and the documentation of hospital infections had been implemented in their institution; and 75 % of the institutions had introduced critical incident reporting systems (CIRS), morbidity and mortality conferences and identification bracelets for patients. The surgeons were asked to rank the different instruments for the prevention of adverse events. According to the respondents, preoperative marking of the surgical site and the use of checklists were at the top of the efficacy ranking, followed by an introductory course for surgeons starting work in a hospital or when new devices became available. Only 50 % of the responding surgeons perceived CIRS as being efficient. Overall, the answers showed that instruments to increase patient safety were commonly available in surgical departments. On the other hand, there is still room for improvement in daily practice.
Marburg, Deutschland. Electronic address: mailanmr@gmx.de.
Matthias
M
Rothmund
Marburg, Deutschland.
Thomas
T
Kohlmann
Marburg, Deutschland.
Claus-Dieter
CD
Heidecke
Marburg, Deutschland.
Hartmut
H
Siebert
Marburg, Deutschland.
Jörg
J
Ansorg
D001317:Austria; D057189:Checklist; D006284:Health Plan Implementation / Q000458:organization & administration*; D020407:Internet; D019300:Medical Errors / Q000517:prevention & control*; D010043:Outcome and Process Assessment, Health Care; D010355:Patient Identification Systems / Q000458:organization & administration; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012308:Risk Management / Q000458:organization & administration; D013530:Surgical Wound Infection / Q000517:prevention & control; D013531:Surgicenters / Q000458:organization & administration*; D011795:Surveys and Questionnaires
Chirurgie; Methoden; Patient safety; Patientensicherheit; Vorbeugung von Schäden; methods; prevention of adverse events; surgery