Adherence to the cardiac surgery checklist decreased mortality at a teaching hospital: A retrospective cohort study

Mejía, Omar Asdrúbal Vilca; Mendonça, Frederico Carlos Cordeiro de; Sampaio, Lucimar Aparecida Barrense Nogueira; Galas, Filomena Regina Barbosa Gomes; Pontes, Mauricio Franklin; Canêo, Luiz Fernando; Dallan, Luis Roberto P.; Lisboa, Luiz Augusto Ferreira; Ferreira, João Fernando Monteiro; Dallan, Luís Alberto de Oliveira; Jatene, Fábio Biscegli

doi:10.1016/j.clinsp.2022.100048

Cited by 4 publications

(7 citation statements)

References 32 publications

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“…Um estudo semelhante que envolve checklist para a assistência em cirurgia cardíaca, no período de cinco anos, é o Incor Checklist -Cinco passos para uma cirurgia segura. O modelo contempla cinco fases sequenciais: Briefing, Sign In, Time out, Sign out e Debriefing (26) . Ao analisar as fases cirúrgicas, identificamos que na fase Sign in do presente estudo, é observado um maior quantitativo de itens; na segunda fase e terceira fase, Time oute Sign out respectivamente, está associado um menor quantitativo de itens quando comparado ao modelo Incor Checklist.…”

Section: Discussionunclassified

“…Recentemente, foi publicado um relevante estudo feito em sete hospitais holandeses, nos quais a implementação de um checklist para cirurgia cardíaca foi associada a uma redução de 43% na mortalidade até 120 dias no pós-operatório (4) . No Brasil um estudo de coorte retrospectivo possibilitou identificar que um checklist para cirurgia cardíaca foi associado à diminuição de 62% da mortalidade (26) .…”

Section: Discussionunclassified

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Validação de checklist para utilização em cirurgia cardíaca segura

Thomé

Bernardo

Sarmento

et al. 2022

Rev. Gaúcha Enferm.

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RESUMO Objetivo Construir e validar um instrumento no formato checklist para utilização em cirurgia cardíaca segura. Método Pesquisa metodológica realizada nas seguintes etapas: revisão da literatura; construção dos itens e validação de conteúdo por especialistas em duas etapas, a nível regional com 9 e nacional com 14 juízes. Para análise dos dados, aplicou-se a taxa de concordância por item construído. Resultados A construção da versão 1 resultou em 49 itens, a versão 2 apresentou 46 itens, e a versão final 41 itens distribuídos em Sign in (1 a 27), Time out (28 a 32) e Sign out (33 a 41). Na versão final, todos os itens foram validados com concordância superior a 80%. Conclusão O checklist foi construído e validado quanto ao conteúdo, composto por 41 itens,e poderá ser utilizado na área de cirurgia cardíaca para a implementação de assistência segura aos pacientes submetidos a esses procedimentos.

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Section: Discussionunclassified

Validação de checklist para utilização em cirurgia cardíaca segura

Thomé

Bernardo

Sarmento

et al. 2022

Rev. Gaúcha Enferm.

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“…A similar study on a checklist for assistance in cardiac surgery, over a period of five years, is the Incor Checklist -Five steps to safe surgery. The model includes five sequential phases: Briefing, Sign In, Time out, Sign out and Debriefing (26) . Regarding the analysis of the surgical phases, it was found that in the Sign in phase of the present study there is a greater quantity of items; in the second and third phases, Time out and Sign out respectively, a smaller quantity of items is associated when compared to the Incor Checklist model.…”

Section: Discussionmentioning

confidence: 99%

“…A large study carried out in seven Dutch hospitals was recently published, in which the implementation of a checklist for cardiac surgery was associated with a 43% reduction in mortality up to 120 days postoperatively (4) . In Brazil, a retrospective cohort study made it possible to identify that a checklist for cardiac surgery was associated with a 62% decrease in mortality (26) .…”

Section: Discussionmentioning

confidence: 99%

Checklist validation for use in safe heart surgery

Thomé

Bernardo

Sarmento

et al. 2022

Rev. Gaúcha Enferm.

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Objective Build and validate an instrument in checklist format for use in safe cardiac surgery. Method Methodological research carried out in the following stages: literature review; national construction of items and content validation by experts in two stages, at regional level 9 and with 41 judges. For data analysis, the agreement rate per constructed item was determined. Results The construction of version 1 resulted in 49 items, version 2 presented 46 items, and the final version 41 items distributed in Sign in (1 to 27), Time out (28 to 32) and Sign out (33 to 41). All items obtained agreement greater than 80%, considering validated. Conclusion The checklist was built and validated in terms of content, consisting of 41 items, and can be used in the area of cardiac surgery for the implementation of safe care for patients undergoing these procedures.

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“…Surprisingly, an analysis conducted after five years of use of the InCor Checklist showed that this use was associated with a decrease of 58% in surgical mortality at this institution. 19 One point that we must emphasize is that standardization of the surgical process should not be limited to the surgical center itself, given that several studies have demonstrated that the majority of errors or adverse events (53% to 70%) occur outside of the surgical room, either before or after the operation. 20 To address this matter, the Surgical Patient Safety System (SURPASS) collaborative group was created.…”

Section: The Main Cardiothoracic Surgery Associations In the Unitedmentioning

confidence: 99%

Checklists as a central part of surgical safety culture

Mejía

Pêgo-Fernandes

2022

Sao Paulo Med. J.

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The number of surgical procedures performed is increasing worldwide. In 2004, the number of major operations performed reached 281 million, i.e. approximately one operation per year for every 25 individuals. 1 However, the numbers of complications among surgical patients has also been increasing and this has become the greatest cause of death and disability worldwide. 2 A systematic review has demonstrated that one in every 150 hospitalized patients dies as a consequence of complications related to an adverse event and that almost two thirds of these deaths are associated with surgical treatment. 3 Half of these adverse events are considered to be avoidable. 4 In the 1970s, following a series of air accidents, analysis on these events demonstrated that a combination of stress, fatigue, lack of communication and avoidable errors caused up to 80% of them. 5 Through use of safety checklists and continuous training for crews, the incidence of air accidents has continually fallen since then, despite significant increases in the volume of air traffic. These checklists are now used routinely in aviation and other high-complexity industries. 6 Use of checklists offers a singular opportunity to correct any problems before proceeding and provides awareness of situations that are still to come.Faced with such evidence regarding patient safety, in 2002 the World Health Organization (WHO) adopted resolution 5518 (WHA 55.18), which called on its member countries to strengthen the care taken regarding safety, and demanded standardization of norms in order to construct a culture of surgical safety. Soon afterwards, in May 2004, it launched the campaign "WHO Patient Safety", in which leaders of prominent healthcare institutions, political representatives and patient groups around the world came together with the aim of reducing the numbers of adverse events caused by lack of care for patients.

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Adherence to the cardiac surgery checklist decreased mortality at a teaching hospital: A retrospective cohort study

Cited by 4 publications

References 32 publications

Validação de checklist para utilização em cirurgia cardíaca segura

Validação de checklist para utilização em cirurgia cardíaca segura

Checklist validation for use in safe heart surgery

Checklists as a central part of surgical safety culture

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