This multicenter cluster-randomized trial will evaluate the impact of Crew Resource Management training on the occurrence of postoperative complications and the adherence to a surgical safety checklist, among a large sample of French surgical departments.
Study Type
OBSERVATIONAL
Enrollment
23,056
* Assistance by a local caregiver investigator (i.e., surgeon, anaesthetist, nurse,...) responsible for the implementation of surgical safety checklist within the operatory rooms of his department ; * A two-step CRM training of surgical teams (i.e., surgeons, anaesthetists, nurses,...) conducted by advisors from the world of air company using video support: * First month following randomization: a course about the implementation of surgical safety checklist (using online-available WHO short movies and other videos of surgical teams) and core concepts of CRM adapted to the operating room; * Sixth month following randomization: a feedback to surgical teams aiming at identifying and solving barriers related to the checklist implementation and interpersonal communication * Written reminders including the systematic presence of an unfilled surgical safety checklist in the patient's medical report, stickers and wall posters in operatory rooms
Hospices Civils de Lyon
Lyon, France
Occurrence of any major postoperative complication during hospitalization
Time frame: during the two phases of the study : 18 months
Team's adherence to the items of surgical safety checklist
Time frame: During the two phases of the study : 18 months
Occurrence of any postoperative death during hospitalization
Time frame: During the two phases of the study : 18 months
Healthcare workers' attitude regarding the patient safety culture
Time frame: Twice during the study : the 4th and the 17th month after the beginning of the study
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