title: Development and implementation results of an interactive computerized surgical checklist for robotic-assisted gynecologic surgery.
abstract: To address surgical complications, the World Health Organization (WHO) developed the Safe Surgery Saves Lives Checklist. With the foundation of the WHO's checklist, a robotic-specific checklist (RORCC) was developed using standardized content and face validity methods. The RORCC was implemented in a high volume gynecological (GYN) specialty group using minimally invasive robotic-assisted surgery. Data were abstracted from patients undergoing GYN procedures from four GYN surgeons at an urban, community hospital during November 16, 2010 to May 15, 2011 (pre-RORCC) n = 89 and from the period May 16, 2011 to November 16 2011 (post-RORCC) n = 121. Thirty-day readmissions pre-checklist and post-checklist were 12 and 5, respectively, which is a significant (p = 0.02) reduction. The duration of surgery was not significantly affected (p = 0.40) with pre-RORCC surgery time at 110.1 (35.7) min versus post-RORCC surgery time at 112.9 (37.4) min. This study demonstrated the feasibility of integrating an electronic, interactive, and robotic-specific checklist for gynecologic robotic-assisted surgery which resulted in a significant reduction in readmissions at the 30-day without significantly impacting operating room times.
authors.affiliation: Department of Obstetrics and Gynecology, Summa Center for Women's Health Research, Summa Health System, 525 East Market Street, Akron, OH, 44304, USA. mccarrollm@summahealth.org.
authors.forename: Michele L
authors.initials: ML
authors.lastname: McCarroll
authors.affiliation: Kent State University, Kent Hall 136C, PO Box 5190, Kent, OH, 44242, USA.
authors.forename: Melissa D
authors.initials: MD
authors.lastname: Zullo
authors.affiliation: Department of Obstetrics and Gynecology, Summa Center for Women's Health Research, Summa Health System, 525 East Market Street, Akron, OH, 44304, USA.
authors.forename: G
authors.initials: G
authors.lastname: Dante Roulette
authors.affiliation: Department of Obstetrics and Gynecology, Summa Center for Women's Health Research, Summa Health System, 525 East Market Street, Akron, OH, 44304, USA.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Mendise
authors.affiliation: Department of Obstetrics and Gynecology, Summa Center for Women's Health Research, Summa Health System, 525 East Market Street, Akron, OH, 44304, USA.
authors.forename: Edward
authors.initials: E
authors.lastname: Ferris
authors.affiliation: Department of Obstetrics and Gynecology, Summa Center for Women's Health Research, Summa Health System, 525 East Market Street, Akron, OH, 44304, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Zolton
authors.affiliation: Department of Obstetrics and Gynecology, Summa Center for Women's Health Research, Summa Health System, 525 East Market Street, Akron, OH, 44304, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Andrews
authors.affiliation: Department of Obstetrics and Gynecology, Summa Center for Women's Health Research, Summa Health System, 525 East Market Street, Akron, OH, 44304, USA.
authors.forename: Vivian E
authors.initials: VE
authors.lastname: von Gruenigen
mesh_terms: D000328:Adult; D057189:Checklist; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D008875:Middle Aged; D061214:Patient Safety / Q000592:standards*; D011446:Prospective Studies; D065287:Robotic Surgical Procedures / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data
keywords: Checklist; Robotic-assisted hysterectomy; Safe surgery; Safety culture