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Trial registered on ANZCTR
Registration number
ACTRN12612000135819
Ethics application status
Approved
Date submitted
26/01/2012
Date registered
31/01/2012
Date last updated
29/03/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparison of compliance and quality in administration of the WHO Surgical Safety Checklist in two Auckland hospitals.
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Scientific title
An audit at two Auckland hospitals of the compliance and quality of WHO Surgical Safety Checklist administration
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Secondary ID [1]
279800
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Administration of, and compliance with, the WHO Surgical Safety Checklist
285681
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Condition category
Condition code
Surgery
285867
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0
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Other surgery
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Anaesthesiology
285868
285868
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0
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Other anaesthesiology
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Public Health
285899
285899
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0
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Health service research
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Observational audit only - no intervention in this study. We will observe a random selection of operations at both hospitals from November 2011 until 200 cases have been observed (estimated 2 months from actual study start). Observers will rate compliance with, and operating room team engagement during administration of the Checklist. A sample of 100 operative procedures at each hospital will be observed. Data will be collected using a standardised assessement tool developed for this use.
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Intervention code [1]
284125
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Not applicable
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Comparator / control treatment
Comparison of compliance and quality of WHO Surgical Safety Checklist use between two Auckland Hospitals
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Compliance with the administration of the checklist domains.
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Assessment method [1]
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Timepoint [1]
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At the end of data collection (N=200)
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Secondary outcome [1]
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Timing of the checklist administration
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Assessment method [1]
295691
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Timepoint [1]
295691
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At the end of data collection (N=200)
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Secondary outcome [2]
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Engagement of operating teams during checklist administration
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Assessment method [2]
295692
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Timepoint [2]
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At the end of data collection (N=200)
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Eligibility
Key inclusion criteria
All cases that involve all three operating room teams (1. Nursing, 2. Aneasthesia, 3. Surgery) will be eligible.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
N/A. We are not auditing patients / participants; only the operating team as a whole.
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Random sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/11/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4085
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New Zealand
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State/province [1]
4085
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Auckland
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Address [1]
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L12 Auckland City Hospital
2 Park Road
Grafton
Auckland 1023
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Country [1]
284577
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New Zealand
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Primary sponsor type
University
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Name
Dept of Anaesthiology, University of Auckland
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Address
L12 Auckland City Hospital
2 Park Road
Grafton
Auckland 1023
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
283494
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Country [1]
283494
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New Zealand
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Other collaborator category [1]
260477
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University
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Name [1]
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Dept of Surgery, University of Auckland
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Address [1]
260477
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L12 Auckland City Hospital
2 Park Road
Grafton
Auckland 1023
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Country [1]
260477
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern Y Regional Ethics Committe
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Ethics committee address [1]
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C/o Ministry of Health PO Box 1031 Hamilton 3240
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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14/09/2011
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Approval date [1]
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31/10/2011
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Ethics approval number [1]
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NTY/11/EXP/075
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Summary
Brief summary
The World Health Organisation (WHO) has developed an airline cockpit-style checklist to make surgery safer by reducing errors and improving team work in the operating room. A study from eight centres world-wide showed that the Checklist reduced patient harm and actually saved lives. In 2010 a tool was developed to allow an independant observer to record compliance and quality in administration of the checklist during an episode of surgery. We received expedited ethics approval to use this tool to audit 100 surgical cases at a large Auckland hospital. Compliance proved to be good in administering some items of the checklist, and poor with respect to others. It was also determined that there was considerable potential to improve engagement by theatre teams during the process of administration. Anecdotally (observations by surgeons who work at other large Auckland hospitals) there may be better compliance and engagement associated with different methods of administration. Therefore we propose to observe a random selection of operations at two large hospitals using exactly the same methodology as our previous study. Agreement will be obtained from all relevant clinical teams. 100 operative procedures will be audited at each hospital. This study will inform a process of continuous quality improvement aimed at enhancing safety in the operating room. No information that will identifies any staff or patients from the audited surgical cases will be gathered.
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Trial website
N/A
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Trial related presentations / publications
N Z Med J. 2011 Sep 9;124(1342):48-58."Compliance and quality in administration of a Surgical Safety Checklist in a tertiary New Zealand hospital." Vogts N, Hannam JA, Merry AF, Mitchell SJ.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
33685
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Email
33685
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Contact person for public queries
Name
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Jacqui Hannam
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Address
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Dept of Anaesthesiology
University of Auckland
L12 Auckland City Hospital
Auckland 1023
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Country
16932
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New Zealand
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Phone
16932
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+64 9 3737 599 ext 81143
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jacqui Hannam
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Address
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Dept of Anaesthesiology
University of Auckland
L12 Auckland City Hospital
Auckland 1023
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Country
7860
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New Zealand
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Phone
7860
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+64 9 3737 599 ext 81143
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Fax
7860
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Email
7860
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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