Optimal Criteria Survey for Preresuscitation Delivery Room Checklists

Abstract

Objective To investigate the optimal format and content of delivery room reminder tools, such as checklists.

Study Design Voluntary, anonymous web-based surveys on checklists and reminder tools for neonatal resuscitation were sent to clinicians at participating hospitals. Summary statistics including the mean and standard deviation of the survey items were calculated. Several key comparisons between groups were completed using Student t-test.

Results Fifteen hospitals were surveyed and 299 responses were collected. Almost all (96%) respondents favored some form of a reminder tool. Specific reminders such as “check and prepare all equipment” (mean 3.69, SD 0.81) were ranked higher than general reminders and personnel reminders such as “introduction and assigning roles” (mean 3.23, SD 1.08). Rankings varied by profession, institution, and deliveries attended per month.

Conclusions Clinicians perceive a benefit of a checklist for neonatal resuscitation in the delivery room. Preparation of equipment was perceived as the most important use for checklists.

Keywords

checklists - neonatal resuscitation - Neonatal Resuscitation Program (NRP)

• References

• 1 Khoshbin A, Lingard L, Wright JG. Evaluation of preoperative and perioperative operating room briefings at the Hospital for Sick Children. Can J Surg 2009; 52 (4) 309-315
• 2 Lingard L, Regehr G, Orser B , et al. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Arch Surg 2008; 143 (1) 12-17 , discussion 18
• 3 Berenholtz SM, Pronovost PJ, Lipsett PA , et al. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med 2004; 32 (10) 2014-2020
• 4 Pronovost P, Needham D, Berenholtz S , et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006; 355 (26) 2725-2732
• 5 Pronovost PJ, Goeschel CA, Colantuoni E , et al. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. BMJ 2010; 340: c309
• 6 Fudickar A, Hörle K, Wiltfang J, Bein B. The effect of the WHO Surgical Safety Checklist on complication rate and communication. Dtsch Arztebl Int 2012; 109 (42) 695-701
• 7 Haynes AB, Weiser TG, Berry WR , et al; Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360 (5) 491-499
• 8 Katheria A, Rich W, Finer N. Development of a strategic process using checklists to facilitate team preparation and improve communication during neonatal resuscitation. Resuscitation 2013; 84 (11) 1552-1557
• 9 DeMauro SB, Douglas E, Karp K , et al. Improving delivery room management for very preterm infants. Pediatrics 2013; 132 (4) e1018-e1025
• 10 American Academy of Pediatrics. Neonatal Resuscitation Textbook NRP [English version]. 6th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2011
• 11 Lee HC, Powers RJ, Bennett MV , et al. Implementation methods for delivery room management: a quality improvement comparison study. Pediatrics 2014; 134 (5) e1378-e1386
• 12 Winters BD, Gurses AP, Lehmann H, Sexton JB, Rampersad CJ, Pronovost PJ. Clinical review: checklists - translating evidence into practice. Crit Care 2009; 13 (6) 210
• 13 Gawande A. The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books; 2009
• 14 Weiser TG, Haynes AB, Lashoher A , et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Health Care 2010; 22 (5) 365-370
• 15 Fuerch JH, Yamada NK, Coelho PR, Lee HC, Halamek LP. Impact of a novel decision support tool on adherence to Neonatal Resuscitation Program algorithm. Resuscitation 2015; 88: 52-56