Surgical Safety Checklist Use and Post‐Caesarean Sepsis in the Lake Zone of Tanzania: Results from Safe Surgery 2020

Wurdeman, Taylor; Staffa, Steven J.; Barash, David; Buberwa, Ladislaus; Eliakimu, Eliudi; Maina, Erastus; Maongezi, Sarah; Meara, John G.; Munyonyela, William; Mushi, Rahma; Reynolds, Cheri; Strader, C. Rockelle; Varallo, John; Washington, Leonard; Zurakowski, David; Alidina, Shehnaz; Kapologwe, Ntuli

doi:10.1007/s00268-021-06338-3

Cited by 4 publications

(3 citation statements)

References 25 publications

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“… 12 Maternal sepsis rates were also found to be reduced with the use of the WHO SSC with adherence negatively correlating with sepsis rates. 17 Further, there is evidence that intraoperative blood loss and incidence of postoperative intestinal fistula formation was lower with the SSC. 18 Impact on mortality and SSI has been suggested to be more significant in emergency settings in low and middle income countries.…”

Section: Resultsmentioning

confidence: 99%

“…Research focusing on a variety of surgical subspecialties including general surgery, neurosurgery, plastic surgery, otolaryngology, orthopedics have shown the positive impact of checklists on clinical outcomes. 3,[9][10][11]13,14,[17][18][19][20]33,34,[45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] The evidence for checklist impact overall, however, is quite heterogeneous in terms of outcomes studied and the estimated magnitude of the impact of the checklist. Table 1 attached in the appendix displays the current literature on checklists and shows this variation in existing literature.…”

Section: Discussionmentioning

confidence: 99%

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The Creation of a Pediatric Surgical Checklist for Adult Providers

Rapolti,

Kisa,

Situma

et al. 2023

Preprint

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Purpose: To address the need for a pediatric surgical checklist for adult providers. Background: Pediatric surgery is unique due to the specific needs and many tasks that are employed in the care of adults require accommodations for children. There are some resources for adult surgeons to perform safe pediatric surgery and to assist such surgeons in pediatric emergencies, we created a straightforward checklist based on current literature. We propose a surgical checklist as the value of surgical checklists has been validated through research in a variety of applications, Methods: Literature review on PubMed to gather information on current resources for pediatric surgery, all papers on surgical checklists describing their outcomes as of October 2022 were included to prevent a biased overview of the existing literature. Interviews with multiple pediatric surgeons were conducted for the creation of a checklist that is relevant to the field and has limited bias. Results: 42 papers with 8529061 total participants were included. The positive impact of checklists was highlighted throughout the literature in terms of outcomes, financial cost and team relationship. Certain care checkpoints emerged as vital checklist items: antibiotic administration, anesthetic considerations, intraoperative hemodynamics and postoperative resuscitation. The result was the creation of a checklist that is not substitutive for existing WHO surgery checklists but additive for adult surgeons who must operate on children in emergencies. Conclusion: The outcomes measured throughout the literature are varied and thus provide both a nuanced view of a variety of factors that must be taken into account and are limited in the amount of evidence for each outcome. We hope to implement the checklist developed to create a standard of care for pediatric surgery performed in low resource settings by adult surgeons and further evaluate its impact on emergency pediatric surgery outcomes. Funding: Fulbright Fogarty Fellowship, GHES NIH FIC D43 TW010540

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Creation of a Pediatric Surgical Checklist for Adult Providers

Rapolti,

Kisa,

Situma

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…We included 49 articles in the final analysis. The 49 articles represent 39 studies as 4 studies [32][33][34][35][36][37][38][39] had 2 articles published and 2 studies 40-45 had 3 articles published. These articles reported different aspects or outcomes of the studies, therefore, were included as separate articles.…”

Section: Study Selectionmentioning

confidence: 99%

Improving quality of surgical and anaesthesia care in sub-Saharan Africa: a systematic review of hospital-based quality improvement interventions

Brima

Morhason-Bello

Charles³

et al. 2022

BMJ Open

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ObjectivesTo systematically review existing literature on hospital-based quality improvement studies in sub-Saharan Africa that aim to improve surgical and anaesthesia care, capturing clinical, process and implementation outcomes in order to evaluate the impact of the intervention and implementation learning.DesignWe conducted a systematic literature review and narrative synthesis.SettingLiterature on hospital-based quality improvement studies in sub-Saharan Africa reviewed until 31 December 2021.ParticipantsMEDLINE, EMBASE, Global Health, CINAHL, Web of Science databases and grey literature were searched.InterventionWe extracted data on intervention characteristics and how the intervention was delivered and evaluated.Primary and secondary outcome measuresImportantly, we assessed whether clinical, process and implementation outcomes were collected and separately categorised the outcomes under the Institute of Medicine quality domains. Risk of bias was not assessed.ResultsOf 1573 articles identified, 49 were included from 17/48 sub-Saharan African countries, 16 of which were low-income or lower middle-income countries. Almost two-thirds of the studies took place in East Africa (31/49, 63.2%). The most common intervention focus was reduction of surgical site infection (12/49, 24.5%) and use of a surgical safety checklist (14/49, 28.6%). Use of implementation and quality improvement science methods were rare. Over half the studies measured clinical outcomes (29/49, 59.2%), with the most commonly reported ones being perioperative mortality (13/29, 44.8%) and surgical site infection rate (14/29, 48.3%). Process and implementation outcomes were reported in over two thirds of the studies (34/49, 69.4% and 35, 71.4%, respectively). The most studied quality domain was safety (44/49, 89.8%), with efficiency (4/49, 8.2%) and equitability (2/49, 4.1%) the least studied domains.ConclusionsThere are few hospital-based studies that focus on improving the quality of surgical and anaesthesia care in sub-Saharan Africa. Use of implementation and quality improvement methodologies remain low, and some quality domains are neglected.PROSPERO registration numberCRD42019125570

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Quality Improvement Models and Methods for Maternal Health in Lower-Resource Settings

Ndicunguye¹,

Ayadi

2022

Obstetrics and Gynecology Clinics of North America

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Surgical Safety Checklist Use and Post‐Caesarean Sepsis in the Lake Zone of Tanzania: Results from Safe Surgery 2020

Cited by 4 publications

References 25 publications

The Creation of a Pediatric Surgical Checklist for Adult Providers

The Creation of a Pediatric Surgical Checklist for Adult Providers

Improving quality of surgical and anaesthesia care in sub-Saharan Africa: a systematic review of hospital-based quality improvement interventions

Quality Improvement Models and Methods for Maternal Health in Lower-Resource Settings

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