![]() “We have found to be an effective tool by which to improve this quality metric, and we plan to continue to study its use in multiple other facets of our unit’s safety and efficiency.” – by Alex Youngĭisclosures: Healio Gastroenterology and Liver Disease could not confirm the authors’ relevant financial disclosures prior to publication. “TOP compliance in our endoscopy unit was significantly and sustainably increased using and subsequent application of actionable process changes, which could be applied to other endoscopy units,” Sejpal and colleagues wrote. The endoscopy unit maintained the improvement throughout the post-intervention observation period. They audited 12,008 procedures from January 2017 to October 2018 and found that TOP compliance improved to 95.3% (difference from baseline 25.7 95% CI, 22.4%–29.3%). They also designed educational sessions to help enhance patient safety.Īfter implementing these changes, researchers again used video auditing to review TOP compliance. First, was designation of a TOP leader, followed by a visual indication of the TOP and development of an endoscopy-specific safety checklist. To address these issues, Sejpal and colleagues implemented a few actionable items selected to improve adherence to the TOP. There was also inconsistent documentation of the procedure, checklist items irrelevant to endoscopy and an overall lack of focus of patient safety culture. They found that there was a lack of leadership in carrying out the TOP, which led to confusion and, at times, skipping the process entirely. was to explore whether robotic surgery carried out in accordance with safety. In all, investigators audited 692 procedures in which TOP compliance rate was 69.6%. Safe Surgery Saves Lives set about to improve the safety of surgical care. Researchers set up video cameras with offsite monitoring in procedure rooms and reviewed procedures over the course of 2 months to assess adherence to the TOP and identify barriers to its full implementation. Provides student with a consistent and predictable consequence that is structured and always the same procedure. Increases instructional time and decreases time spent dealing with student behaviors. The TOP is a standardized patient and procedure sign-in and verification process that helps the procedure team get on the same page to reduce adverse events and improve overall patient safety. Time outs are an effective method to address behaviors. “Compliance with the has been shown to significantly prevent adverse events and improve patient outcomes, making this an important aspect of patient safety that should be explored further in the endoscopy unit.” “This, formal evaluation of patient safety and methods to improve patient safety in the endoscopy unit has only recently begun to emerge in the endoscopy literature,” they wrote. Sejpal, MD, MHCDS, chief of endoscopy at the Zucker School of Medicine at Hofstra-Northwell, and colleagues wrote in Gastrointestinal Endoscopy that using remote video audit can vastly improve adherence to those safety protocols. Patient safety is a top priority during endoscopic procedures, but inconsistent use of safety check-ins, known as the Time Out Procedure, puts up barriers to that goal.ĭivyesh V. ![]() If you continue to have this issue please contact to Healio
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