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Can a structured checklist prevent problems with laparoscopic equipment?

机译：结构化的清单可以防止腹腔镜设备出现问题吗？

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BACKGROUND: A high incidence of problems with the technical equipment is known to occur during routine laparoscopic procedures. Use of a structured checklist of preparatory measures could help to prevent these problems. This study aimed to determine the extent to which a checklist reduced the number of incidents with technical laparoscopic equipment. METHODS: A 28-item checklist was developed based on frequently occurring laparoscopic equipment problems during 30 laparoscopic cholecystectomies (the control group). A further 30 procedures were conducted with the checklist (the checklist group). The number and type of incidents with the technical equipment were compared between the groups. All the procedures were recorded using a special audio-video system (black-box). RESULTS: In the checklist group, the total number of incidents per procedure was 53% lower than in the control group (23/30 versus 49/30). The checklist led to fewer incidents of wrong positioning (9/30 versus 22/30), and wrong settings and connections (7/30 versus 12/30) of the equipment. Defects or malfunctions decreased from 15/30 in the control group to 7/30 in the checklist group. One or more incidents with the equipment occurred in 47% (14/30) of the checklist procedures compared with 87% (26/30) of the control procedures. Median time taken to complete the checklist items was 3.3 min (range 1.0-8.3 min). CONCLUSIONS: Use of a checklist was feasible and helped to reduce problems with the laparoscopic equipment in the operating room. Future research should aim to implement checklists for different procedures and investigate their effects.
机译：背景技术在常规的腹腔镜手术过程中，经常发生技术设备问题。使用准备措施的结构化清单可以帮助预防这些问题。这项研究旨在确定清单在多大程度上减少了腹腔镜技术设备的事故数量。方法：根据30例腹腔镜胆囊切除术（对照组）中经常发生的腹腔镜设备问题，制定了28项清单。对检查清单（检查清单组）进行了另外30个程序。在两组之间比较了使用技术设备的事件的数量和类型。所有过程均使用特殊的音频视频系统（黑匣子）进行记录。结果：在清单组中，每道手术的总发生次数比对照组低53％（23/30比49/30）。该清单减少了设备错误定位（9/30与22/30）以及设备的错误设置和连接（7/30与12/30）的事件。缺陷或故障从对照组的15/30减少到清单组的7/30。在检查清单程序中有47％（14/30）发生了一次或多起设备故障，而在控制程序中则有87％（26/30）。完成检查清单项目所花费的中位数时间是3.3分钟（范围是1.0-8.3分钟）。结论：使用检查清单是可行的，并有助于减少手术室中腹腔镜设备的问题。未来的研究应针对不同程序实施清单并调查其效果。

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