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WHO surgical checklist adoption

Divya Jain, Ridhima Sharma, Seran Reddy
Development of the Safe Surgery Checklist is an initiative taken by the World Health Organization (WHO) with an aim to reduce the complication rates during the surgical process. Despite gross reduction in the infection rate and morbidity following adoption of the checklist, many health-care providers are hesitant in implementing it in their everyday practice. In this article, we would like to highlight the hurdles in adoption of the WHO Surgical Checklist and measures that can be taken to overcome them.
January 2018: Journal of Anaesthesiology, Clinical Pharmacology
Saseem Poudel, Yo Kurashima, Kimitaka Tanaka, Hiroshi Kawase, Yoichi M Ito, Fumitaka Nakamura, Toshiaki Shichinohe, Satoshi Hirano
BACKGROUND: Despite recent developments in surgical education, obstacles including inadequate budget, limited human resources, and a scarcity of time have limited its widespread adoption. To provide systematic training for laparoscopic inguinal hernia repair, we had previously developed and validated a checklist to evaluate the recorded performance of transabdominal preperitoneal (TAPP) repair. We had also developed an educational system that included didactic materials based on the TAPP checklist and incorporated remote evaluation and feedback system...
November 9, 2017: Surgical Endoscopy
Naomi Y Garland, Sokhavatey Kheng, Michael De Leon, Hourt Eap, Jared A Forrester, Janice Hay, Palritha Oum, Socheat Sam Ath, Simon Stock, Samprathna Yem, Gerlinda Lucas, Thomas G Weiser
BACKGROUND: The WHO surgical safety checklist (SSC) is known to prevent postoperative complications; however, strategies for effective implementation are unclear. In addition to cultural and organizational barriers faced by high-income countries, resource-constrained settings face scarcity of durable and consumable goods. We used the SSC to better understand barriers to improvement at a trauma hospital in Battambang, Cambodia. METHODS: We introduced the SSC and trained data collectors to observe surgical staff performing the checklist...
December 2017: World Journal of Surgery
X Yu, Y Huang, Q Guo, Y Wang, H Ma, Y Zhao
BACKGROUND: Although the surgical safety checklist (SSC) has been adopted worldwide, its efficacy can be diminished by poor clinical motivation. Systematic methods for improving implementation are lacking. METHODS: A multicentre prospective study was conducted in 2015 in four academic/teaching hospitals to investigate changes during revision of the SSC for content, staffing and workflow. All modifications were based on feedback from medical staff. Questionnaires were used to monitor dynamic changes in surgeons', nurses' and anaesthetists' perceptions...
March 2017: British Journal of Surgery
Peter McCulloch, Lauren Morgan, Steve New, Ken Catchpole, Eleanor Roberston, Mohammed Hadi, Sharon Pickering, Gary Collins, Damian Griffin
IMPORTANCE: Patient safety improvement interventions usually address either work systems or team culture. We do not know which is more effective, or whether combining approaches is beneficial. OBJECTIVE: To compare improvement in surgical team performance after interventions addressing teamwork culture, work systems, or both. DESIGN: Suite of 5 identical controlled before-after intervention studies, with preplanned analysis of pooled data for indirect comparisons of strategies...
January 2017: Annals of Surgery
Peter McCulloch, Lauren Morgan, Steve New, Ken Catchpole, Eleanor Roberston, Mohammed Hadi, Sharon Pickering, Gary Collins, Damian Griffin
IMPORTANCE: Patient safety improvement interventions usually address either work systems or team culture. We do not know which is more effective, or whether combining approaches is beneficial. OBJECTIVE: To compare improvement in surgical team performance after interventions addressing teamwork culture, work systems, or both. DESIGN: Suite of 5 identical controlled before-after intervention studies, with preplanned analysis of pooled data for indirect comparisons of strategies...
December 22, 2015: Annals of Surgery
Ravinder S Vohra, Jonathan B Cowley, Neeraj Bhasin, Hashem M Barakat, Michael J Gough
BACKGROUND: The Surgical Safety Checklist (SSC) has been shown to reduce perioperative errors and complications and its implementation is recommended by the World Health Organisation (WHO). However, it is unknown how widely this intervention is used. We investigated attitudes and factors associated with use of WHO SSC in frontline medical professionals across the globe using a survey distributed through social networks. METHODS: A survey of usage and opinions regarding the SSC was posted on the Facebook and Twitter pages of a not-for-profit surgical news website for one month (March 2013)...
June 2015: Annals of Medicine and Surgery
Nataliya Biskup, Adrienne D Workman, Emily Kutzner, Oluwaseun A Adetayo, Subhas C Gupta
INTRODUCTION: In October 2007, the World Health Organization (WHO) introduced the Safe Surgery Saves Lives Program, the cornerstone of which was a 19-item safe-surgery checklist (SSC), in 8 selected hospitals around the world. After implementation, death rates decreased significantly from 1.5% to 0.8% (P = 0.003), inpatient complications reduced from 11% to 7% (P < 0.001), as did rates of surgical site infection (P < 0.001) and wrong-sided surgery (P < 0.47), across all sites...
May 2016: Annals of Plastic Surgery
Stefania Rodella
The effectiveness of the World Health Organization's (WHO) surgical safety checklist (SSCL) in decreasing mortality and morbidity of surgical procedures was firstly suggested in 2009; the checklist is now strongly recommended internationally for adoption as a highly effective yet economically simple intervention. However, since 2009 several published studies have reported inconsistent results, besides many issues concerning local implementation. Drawing on the recently published experience carried out in Ontario, a concise overview of the current debate is presented, with some comments on implications for the national healthcare system in Italy...
July 2014: Recenti Progressi in Medicina
Richard Reznick
CONTEXT: The author describes a career in which he combined clinical surgery with the formal study of medical education. In the 1980s, when the author embarked on this career track, it was an uncommon pathway. Over the last 30 years there has been an exponential increase in the number of individuals who have made medical education their principal academic focus. This paper provides examples from the author's personal story and lessons derived from that experience. PROCESS: The author outlines his experience of attaining formal training in education and concludes that this training was a foundational element in his pursuit of a career in health education research...
August 2014: Medical Education
Hiroyuki Sumikura
Surgical Safety Checklist published by WHO (World Health Organization) has been widely accepted and contributed to reduce postoperative mortality and morbidity. However, the implementation of the original checklist for cesarean section has been questioned as most of the patients for cesarean section being awake at the occasion of time out, and some patients requiring emergency cesarean section. From these points of view, modified versions of the checklist for cesarean section have been proposed. Recently, NPSA (National Patient Safety Agency) and RCOG (Royal College of Obstetricians and Gynaecologists) from U...
March 2014: Masui. the Japanese Journal of Anesthesiology
David R Urbach, Anand Govindarajan, Refik Saskin, Andrew S Wilton, Nancy N Baxter
BACKGROUND: Evidence from observational studies that the use of surgical safety checklists results in striking improvements in surgical outcomes led to the rapid adoption of such checklists worldwide. However, the effect of mandatory adoption of surgical safety checklists is unclear. A policy encouraging the universal adoption of checklists by hospitals in Ontario, Canada, provided a natural experiment to assess the effectiveness of checklists in typical practice settings. METHODS: We surveyed all acute care hospitals in Ontario to determine when surgical safety checklists were adopted...
March 13, 2014: New England Journal of Medicine
Akibumi Omi, Yukako Terai, Daisuke Muro
BACKGROUND: The WHO Surgical Safety Checklist was published in 2008 as an attempt to decrease complications and death from surgery. This checklist was implemented and evaluated using questionnaires in an intermediate size general hospital. We attempted to confirm how the WHO checklist has been implemented and assessed as a medical safety system. METHODS: Using questionnaires, we surveyed anesthesiologists, surgeons and operating room nurses at Kosei Chuo General Hospital regarding the effectiveness of the WHO Surgical Safety Checklist on three occasions (immediately following implementation, after half a year, after one year)...
January 2014: Masui. the Japanese Journal of Anesthesiology
Virinder K Bansal, Rahul Raveendran, Mahesh C Misra, Hemanga Bhattacharjee, Karthik Rajan, Asuri Krishna, Pankaj Kumar, Subodh Kumar
INTRODUCTION: Laparoscopic surgery requires certain specific skills. There have been several attempts to minimize the learning curve with training outside the operation room. Although simulators have been well validated as tools to teach technical skills, their integration into comprehensive curricula is lacking. Several randomized controlled trials and systematic reviews have demonstrated that the technical skills learned on these simulators transfer to the operating room. Currently, however, the integration of these simulated models into formal residency training curricula is lacking...
January 2014: Journal of Surgical Education
Harry T Papaconstantinou, Chanhee Jo, Scott I Reznik, W Roy Smythe, Hania Wehbe-Janek
BACKGROUND: The World Health Organization (WHO) surgical safety checklist has been shown to decrease mortality and complications and has been adopted worldwide. However, system flaws and human errors persist. Identifying provider perspectives of patient safety initiatives may identify strategies for improvement. The purpose of this study was to determine provider perspectives of surgical safety checklist implementation in an effort to improve initiatives that enhance surgical patients' safety...
2013: Ochsner Journal
Jonathan R Treadwell, Scott Lucas, Amy Y Tsou
BACKGROUND: Surgical complications represent a significant cause of morbidity and mortality with the rate of major complications after inpatient surgery estimated at 3-17% in industrialised countries. The purpose of this review was to summarise experience with surgical checklist use and efficacy for improving patient safety. METHODS: A search of four databases (MEDLINE, CINAHL, EMBASE and the Cochrane Database of Controlled Trials) was conducted from 1 January 2000 to 26 October 2012...
April 2014: BMJ Quality & Safety
Ruwan A Weerakkody, Nicholas J Cheshire, Celia Riga, Rachael Lear, Mohammed S Hamady, Krishna Moorthy, Ara W Darzi, Charles Vincent, Colin D Bicknell
BACKGROUND: Surgical technology has led to significant improvements in patient outcomes. However, failures in equipment and technology are implicated in surgical errors and adverse events. We aim to determine the proportion and characteristics of equipment-related error in the operating room (OR) to further improve quality of care. METHODS: A systematic review of the published literature yielded 19 362 search results relating to errors and adverse events occurring in the OR, from which 124 quantitative error studies were selected for full-text review and 28 were finally selected...
September 2013: BMJ Quality & Safety
S P Kelly, L R Steeples, R Smith, A Azuara-Blanco
PURPOSE: The World Health Organisation (WHO) identified patient safety in surgery as an important public health matter and advised the adoption of a universal peri-operative surgical checklist. An adapted version of the WHO checklist has been mandatory in the National Health Service since 2010. Wrong intraocular lens (IOL) implantation is a particular safety concern in ophthalmology. The Royal College of Ophthalmologists launched a bespoke checklist for cataract surgery in 2010 to reduce the likelihood of preventable errors...
July 2013: Eye
Daniel K Low, Mark A Reed, Jeremy M Geiduschek, Lynn D Martin
AIMS: We describe our aim to create a zero-error system in our pediatric ambulatory surgery center by employing effective teamwork and aviation-style challenge and response 'flow checklists' at key stages of the patient surgical journey. These are used in addition to the existing World Health Organization Surgical Safety Checklists (Ann Surg, 255, 2012 and 44). BACKGROUND: Bellevue Surgery Center is a freestanding ambulatory surgery center affiliated with Seattle Children's Hospital, WA, USA...
July 2013: Paediatric Anaesthesia
A Busemann, C Busemann, T Traeger, O-A Festge, J Neu, C-D Heidecke
BACKGROUND: Risk reducing measures like the surgical checklist have been proven to reduce effectively adverse events and improve patient safety and teamwork among surgical staff members. Nevertheless, many physicians still refuse to use even simple safety tools like the WHO checklist. A progress in patient safety can only be achieved by changing the operating proceedings and mentality of medical students. This is best performed by teaching patient safety already very early in the medical education...
December 2013: Zentralblatt Für Chirurgie
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