Reduction of Surgical Complications in Dogs and Cats by the Use of a Surgical Safety Checklist

Bergström, Annika; Dimopoulou, Maria; Eldh, Mikaela

doi:10.1111/vsu.12482

Cited by 53 publications

(57 citation statements)

References 32 publications

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“…Checklists have shown great promise in reducing HAIs for activities such as surgery (Bergström et al . ). Checklists targeting specific surfaces commonly missed during cleaning and disinfection may be an effective way to respond to deficiencies identified during cleaning surveillance.…”

Section: Discussionmentioning

confidence: 97%

Fluorescent tagging for environmental surface cleaning surveillance in a veterinary hospital

Langdon

Hoet

Stull

2019

J of Small Animal Practice

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Objectives: To evaluate the use of fluorescent tagging for environmental surface cleaning surveillance in a small animal veterinary hospital and identify factors associated with tag removal.Materials and MethOds: Over 5.5 weeks, a commercial fluorescent dye (Glo Germ) was used to tag (mark)surfaces in a small animal veterinary teaching hospital. Twenty-four hours after tagging, cleaning was assessed with a black light (UV-A source). Surfaces were recorded as cleaned based on complete removal of fluorescent tagging at assessment. Proportions cleaned were calculated overall and by predictors (i.e. surface location/type, primary nature of surface contact -animal/human, week of study).results: A total of 4984 surfaces were tagged and assessed. Overall cleaning was 50%. Cleaning varied by surface/object (range: 2 to 100%) and hospital location (4 to 78%). Surfaces designated as having primarily animal contact were cleaned more frequently than those with primarily human contact (75%, 42%; P<0.001). Cleaning varied over the study period (range by week: 45 to 54%;); a significant trend was not identified.clinical significance: Key surfaces in the small animal veterinary practice environment are unlikely to be adequately cleaned, posing a concern for animal and human health. Commercial products can be effectively used to asses environmental cleaning with findings used to target clinic-specific barriers to improve cleaning and reduce hospital-associated infections.

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Section: Discussionmentioning

confidence: 97%

Fluorescent tagging for environmental surface cleaning surveillance in a veterinary hospital

Langdon

Hoet

Stull

2019

J of Small Animal Practice

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“…Sample size was calculated with a 2‐sided z ‐test on the basis of results reported in the Bergstrom at al study, with a decrease in overall complications from 17% to 7%. A sample size of 220 cases per group would be required to achieve 90% power and detect a 10% difference in the overall complications between groups.…”

Section: Methodsmentioning

confidence: 99%

“…Complications were classified into 1 of 14 categories on the basis of both the WHO surgical checklist evaluation and those proposed in the evaluation described by Bergstrom et al These categories and their corresponding complications are summarized in Appendix A. The definition of SSI used in this study is that of the Centers for Disease Control (CDC), which defines SSI as an infection that occurs after surgery in the part of the body where the surgery took place, including superficial infections involving the skin only .…”

Section: Methodsmentioning

confidence: 99%

“…In a study by Bergstrom et al, surgical site infections (SSI) and wound healing complications were more common in animals operated on without a surgical safety checklist. In the Bergstrom et al study, postoperative complications included the requirement for a blood transfusion, unplanned reoperation, SSI, wound healing, respiratory, circulatory, urogenital, gastrointestinal, neurologic, systemic inflammatory response syndrome (SIRS) or multiple organ dysfunction syndrome (MODS), and death. In‐hospital outcomes were prospectively recorded and complications within 6 weeks were retrospectively recorded by reviewing medical records and by telephone communication with owners .…”

Section: Introductionmentioning

confidence: 99%

“…In the Bergstrom et al study, postoperative complications included the requirement for a blood transfusion, unplanned reoperation, SSI, wound healing, respiratory, circulatory, urogenital, gastrointestinal, neurologic, systemic inflammatory response syndrome (SIRS) or multiple organ dysfunction syndrome (MODS), and death. In‐hospital outcomes were prospectively recorded and complications within 6 weeks were retrospectively recorded by reviewing medical records and by telephone communication with owners . Because of the limited evidence in veterinary medicine, more research is required to evaluate the purported benefits of SSC in veterinary medicine.…”

Section: Introductionmentioning

confidence: 99%

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Effect of implementation of a surgical safety checklist on perioperative and postoperative complications at an academic institution in North America

et al. 2018

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Objective To evaluate the efficacy of a surgical safety checklist (SSC) in reducing perioperative and postoperative complications. Study design Before‐and‐after intervention study. Animals Client‐owned dogs (n = 633) and cats (n = 44). Methods Consecutive surgeries were enrolled in the study. The “before” phase consisted of 267 surgeries performed without an SSC (SSC−) followed by 75 SSC− surgeries in which a trained observer was in the operating room to detect possible complications. An SSC was then implemented in the operating rooms during 1 week. The “after” phase consisted of 58 surgeries in which a safety checklist (SSC+) and an observer were used and 277 SSC+ surgeries without an observer. Complications were prospectively recorded when witnessed by the observer, and all other perioperative complications were retrospectively recorded from veterinary records and client telephone communication. Results There were more perioperative and postoperative complications when surgeries were performed without an SSC (140/342 [40.9%; 95% CI, 35.7%‐46.4%]) than there were when surgeries were performed with an SSC (98/335 [29.3%; 95% CI, 24.4%‐34.4%]; P = .002). Surgical checklist use, presence of an observer, American Society of Anesthesiologists score, and anesthesia time were all independently associated with the odds of complications. Conclusion Implementation of an SSC in an academic teaching hospital decreased the odds of perioperative and postoperative surgical complications. Clinical significance This study supports the use of an SSC to prevent surgical complications in veterinary teaching hospitals.

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Anesthesia of Foals with Colic

Trim

2017

The Equine Acute Abdomen

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Reduction of Surgical Complications in Dogs and Cats by the Use of a Surgical Safety Checklist

Abstract: The frequency and severity of postoperative complications was significantly decreased after introduction of a surgical checklist. All veterinary hospitals should consider using a surgical checklist. Compliance with implementation of the checklist is important for success.

Cited by 53 publications

References 32 publications

Fluorescent tagging for environmental surface cleaning surveillance in a veterinary hospital

Fluorescent tagging for environmental surface cleaning surveillance in a veterinary hospital

Effect of implementation of a surgical safety checklist on perioperative and postoperative complications at an academic institution in North America

Anesthesia of Foals with Colic

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