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Surgical checklist use in Switzerland 2015 – where are we today?: a cross-sectional national survey study

机译：2015年瑞士外科手术清单的使用–今天我们在哪里？：横断面国家调查研究

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Background Although surgical checklist use is not new in Switzerland, compliance and actual use fall short behind expectations taking scientific recommendation as standard. A national media campaign to raise awareness, inform experts, and change professional norms and standards on national level about checklist use was conducted. The aim of this study was to assess current checklist use in Switzerland following a national media campaign. We further analyse possible group differences between attending physicians, hospital staff, and participants of a quality improvement initiative. Methods A cross-sectional online-survey study was conducted by Swiss Patient Safety Foundation in Switzerland in 2015. The survey sample consisted of members of three Swiss professional associations of invasive health care ( N =?1194). The survey assessed use of, knowledge of and attitudes towards the surgical checklist. A MANOVA to test for an overall effect and one-way ANOVAs for each dependent variable were conducted. Results For four out of six variables describing the ease of checklist use, hospital staff and participants of quality improvement initiative were significantly more positive about checklist use than attending physicians. A similar patter emerged for intentions, norms, attitude, acceptance, and perceived behavioural control. On all dimensions, hospital staff and quality improvement participants scored significantly higher than attending physicians. Significant differences especially between attending physicians and hospital staff and attending physicians and participants of the initiative emerged for different variables covering use of, knowledge of and attitudes towards the surgical checklist. However, effect sizes for all variables under study were small. Conclusion The results of the present study suggest that though WHO-surgical checklist use was further established in Switzerland it still needs to be promoted further, especially in outpatient care.
机译：背景技术尽管在瑞士外科手术检查清单的使用并不新鲜，但以科学推荐为标准，其依从性和实际使用情况仍低于预期。开展了一项全国性媒体运动，以提高人们的意识，向专家通报情况并在国家一级改变有关清单使用的专业规范和标准。这项研究的目的是评估在全国性媒体运动之后瑞士目前使用清单的情况。我们进一步分析了主治医师，医院工作人员和质量改进计划参与者之间可能存在的群体差异。方法由瑞士瑞士患者安全基金会于2015年进行了横断面在线调查研究。该调查样本由三个瑞士侵入性医疗保健专业协会的成员组成（N = 1194）。该调查评估了手术清单的使用，知识和态度。进行了MANOVA检验总体效果，并对每个因变量进行了单向方差分析。结果在描述清单使用方便性的六个变量中，有四个变量比起主治医生，医院工作人员和质量改进计划参与者对清单使用的积极性明显更高。意图，规范，态度，接受和感知的行为控制也出现了类似的模式。在所有方面，医院工作人员和质量改进参与者的得分均显着高于主治医生。特别是在主治医师和医院工作人员与主治医师和该计划的参与者之间出现了显着差异，因为这些变量涵盖了手术清单的使用，知识和态度。但是，所研究的所有变量的效应量很小。结论本研究的结果表明，尽管在瑞士进一步建立了WHO手术清单的使用，但仍需进一步推广，特别是在门诊病人中。

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