Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements

Rydenfält, Christofer; Johansson, Gerd; Odenrick, Per; Åkerman, Kristina; Larsson, Per Anders

doi:10.1093/intqhc/mzt004

Cited by 113 publications

(126 citation statements)

References 19 publications

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“…diretamente relacionados com o risco de morte, tais como "alergias" (item 5), "via aérea difícil" (item 6) e "risco de perda sanguínea" (item 7). Estudos apontam que os itens interpretados como mais importantes ou de maior risco ao paciente tendem a ter melhor adesão pelo profissional responsável pela sua verificação 16,17 .…”

Section: Discussionunclassified

Avaliação da adesão ao checklist de cirurgia segura da OMS em cirurgias urológicas e ginecológicas, em dois hospitais de ensino de Natal, Rio Grande do Norte, Brasil

et al. 2014

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O checklist de cirurgia segura da Organização Mundial da Saúde é uma ferramenta útil para diminuir eventos adversos em hospitais, porém sua implantação efetiva ainda é um desafio. Este estudo objetiva avaliar a adesão ao checklist em cirurgias urológicas e ginecológicas de dois hospitais de ensino em Natal, Rio Grande do Norte, Brasil. O desenho foi observacional transversal; selecionaram-se cirurgias eletivas, e a coleta se deu por meio de revisão de prontuários. Descreveu-se a adesão mediante a existência e qualidade do preenchimento do checklist, e analisou-se a associação de fatores estruturais e socioprofissionais valendo-se de análise de regressão múltipla. Das 375 cirurgias revisadas, 61% tinham checklist, e 4% estavam totalmente preenchidos. A existência do checklist se associou às cirurgias ginecológicas (maternidade) (OR = 130,18) e à maior duração da cirurgia (OR = 2,13), enquanto a qualidade do preenchimento se relacionou com as cirurgias urológicas (hospital geral) (β = 26,36). A adesão ao checklist precisa ser aprimorada, e as diferenças sugerem a influência das distintas estratégias de implantação utilizadas em cada instituição.

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Section: Discussionunclassified

Avaliação da adesão ao checklist de cirurgia segura da OMS em cirurgias urológicas e ginecológicas, em dois hospitais de ensino de Natal, Rio Grande do Norte, Brasil

et al. 2014

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“…Ten studies used direct independent observation in evaluating team member completion of SSC 18,[19][20][21][22][23][24][25] ; two of these had trained medical student observers while the remaining studies involved nurses and other trained medical staff. Retrospective chart reviews were used to determine rate of compliance in 2 studies, 26,27 1 adding data from a concurrent observational study.…”

Section: Compliance and Adherence Studiesmentioning

confidence: 99%

“…Three were undertaken in the United States, 20,22,23 2 in New Zealand, 21,24 and 2 in the United Kingdom 18,25 ; the remaining originated from France, Spain, Sweden, Thailand, Switzerland, and Canada. 16,19,[26][27][28]31 Even though these studies used similar methodologies, they measured a myriad of parameters, resulting in a wide heterogeneity of results. To fulfill the aims of this review, 5 common parameters were applied to demonstrate the significant findings from each these study ( Fig.…”

Section: Compliance and Adherence Studiesmentioning

confidence: 99%

“…The results indicated that in 8 out of the 13 studies, 16 checklist rates of initiation were .90%, 16,19,[21][22][23][24][25][26] indicating a significant rate of compliance (.90%), based on assessment of previous studies and standards executed by the WHO in SSC administration. 29,30 Vogt et al 21 noted an initiation rate of 100%.…”

Section: Compliance and Adherence Studiesmentioning

confidence: 99%

“…16,18,19,[22][23][24]26,27,31 Completion rates ranged from 28.4% in the study by Saturno et al 27 to 85% for Sparks et al, 22 not accounting for accuracy of completion. In the study by Sparks et al, 22 a high completion rate (85%) was negated by a low accuracy rate of 54%, associated with direct observation.…”

mentioning

confidence: 94%

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Compliance and Surgical Team Perceptions of WHO Surgical Safety Checklist; Systematic Review

Wangoo

Ray

2016

International Surgery

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This systematic review aimed to assess surgical safety checklist compliance and evaluate surgical team perceptions and attitudes, post-checklist implementation in the operating room. The World Health Organization (WHO) surgical safety checklist (SSC) has decreased complications and mortality. However, it is unclear whether this reduction is influenced by the vicarious enhancement in teamwork, communication, and staff awareness established by SSC implementation. The preferred reporting items for systematic reviews and meta-analyses model of review guided a search across MEDLINE, PubMed, and Embase databases. English-language studies using any adapted form of the WHO-SSC in operating rooms were reviewed by abstract and full text. Twenty-six studies, 13 assessing SSC compliance and 13 investigating surgical team perceptions of SSC, were evaluated. Compliance studies showed a checklist initiation rate of .90%, but actual observed completion rate varied widely across studies. Sign out was the most poorly performed phase of the checklist (,50%) with time out being the best. Verification of patient identity and procedure demonstrated a high degree (.90%) of compliance across studies, but ''verification of team-members'' was significantly less compliant. Studies assessing surgical team perceptions found that SSC improved participants' perception of teamwork, communication, patient safety, and staff awareness of adverse events. However, when stakeholders placed differing degrees of importance on SSC completion, results indicated the SSC might actually antagonize team relationships. SSC compliance varies significantly across studies, being highly dependent on staff perceptions, training, and effective leadership. Surgical teams have positive perceptions

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Legal perspectives on black box recording devices in the operating environment

Dalen

Legemaate

Schlack

et al. 2019

British Journal of Surgery

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Background A video and medical data recorder in the operating theatre is possible, but concerns over privacy, data use and litigation have limited widespread implementation. The literature on legal considerations and challenges to overcome, and guidelines related to use of data recording in the surgical environment, are presented in this narrative review. Methods A review of PubMed and Embase databases and Cochrane Library was undertaken. International jurisprudence on the topic was searched. Practice recommendations and legal perspectives were acquired based on experience with implementation and use of a video and medical data recorder in the operating theatre. Results After removing duplicates, 116 citations were retrieved and abstracts screened; 31 articles were assessed for eligibility and 20 papers were finally included. According to the European General Data Protection Regulation and US Health Insurance Portability and Accountability Act, researchers are required to make sure that personal data collected from patients and healthcare professionals are used fairly and lawfully, for limited and specifically stated purposes, in an adequate and relevant manner, kept safe and secure, and stored for no longer than is absolutely necessary. Data collected for the sole purpose of healthcare quality improvement are not required to be added to the patient's medical record. Conclusion Transparency on the use and purpose of recorded data should be ensured to both staff and patients. The recorded video data do not need to be used as evidence in court if patient medical records are well maintained. Clear legislation on data responsibility is needed to use the medical recorder optimally for quality improvement initiatives.

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Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements

Cited by 113 publications

References 19 publications

Avaliação da adesão ao checklist de cirurgia segura da OMS em cirurgias urológicas e ginecológicas, em dois hospitais de ensino de Natal, Rio Grande do Norte, Brasil

Avaliação da adesão ao checklist de cirurgia segura da OMS em cirurgias urológicas e ginecológicas, em dois hospitais de ensino de Natal, Rio Grande do Norte, Brasil

Compliance and Surgical Team Perceptions of WHO Surgical Safety Checklist; Systematic Review

Legal perspectives on black box recording devices in the operating environment

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