Use of a surgical safety checklist alongside team training was associated with the lowest adverse event rate compared with a historical control and team training without a checklist¶
Claim · All claims
Evidence · 1 study · reviewr2·q2
Currency · newest study 2020 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q2 i? The surgical safety checklist group had significantly lower adverse event rates (8.9%) than a historical control group (23.6%) and a team-training-without-checklist group (15.9%). → Costar 2020
Evidence¶
Costar 2020¶
Costar, D. M., & Hall, K. K. (2020). Improving Team Performance and Patient Safety on the Job Through Team Training and Performance Support Tools: A Systematic Review. Journal of Patient Safety. https://doi.org/10.1097/PTS.0000000000000746
q2 · i? · review · r2
The review reports a three-group comparison of adverse event rates: checklist group "8.9%", historical control "23.6%", and team training without checklist "15.9%". The comparison is against a historical control group; no test statistic or effect size is printed.
"Bliss et al9 where they reported that the use of a surgical safety checklist was associated with significantly lower adverse event rates (8.9%) as compared with the performance of a historical control group (23.6%) and a group that had received team training with no checklist (15.9%)."
Discussion¶
Related Claims¶
- Performance support tools (briefings, handoffs, and checklists) introduced in the work setting produced sustained improvements in teamwork processes for 6 to 18 months after implementation
- Participation in the Veterans Affairs medical team training program was associated with a significant 17% decrease in annual surgical morbidity, while non-participating facilities showed a non-significant 6% decrease — related
- Team training in hospitals was associated with improved clinical processes, including guideline compliance, decision accuracy, and reduced delays — a broader claim this one bears on
- Condensed TeamSTEPPS training coupled with simulation exercises reduced weighted adverse outcome scores, whereas training alone did not — related
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