The Effect of the WHO Surgical Safety Checklist on Complication Rate and Communication

Fudickar, Axel; Hörle, Kim; Wiltfang, Jörg; Bein, Berthold

doi:10.3238/arztebl.2012.0695

Cited by 110 publications

(146 citation statements)

References 39 publications

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“…A landmark study published in 2009 illustrated that the implementation of the WHO SSC in varied socioeconomic settings worldwide was associated with marked improvements in surgical outcomes, including significant reductions in morbidity and mortality. 6 Numerous studies published since then have shown similar results, [7][8][9][10] and consequently the SSC has seen rapid and widespread adoption. 11 Many of these studies have shown compliance to be the most important factor for improved mortality and morbidity.…”

mentioning

confidence: 69%

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

Dharampal

Cameron

Dixon

et al. 2016

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Background: Following a landmark study showing decreased morbidity and mortality after implementation of the surgical safety checklist (SSC), it has been widely adopted into perioperative policy. We explored the impact of attitudes and beliefs surrounding the SSC on its uptake in Calgary. Methods:We used qualitative methodology to examine factors influencing SSC use. We performed semistructured interviews based on Rogers' theory of diffusion of innovation. Purposive and snowball sampling were used to identify surgeons, anesthesiologists and operating room nurses from hospitals in Calgary. Data collection and analysis were based on grounded theory. Two individuals jointly analyzed data and achieved consensus on emerging themes.Results: Generated themes included 1) the SSC has brought organization to previous informal perioperative checks, 2) the SSC is most helpful when it is simple, and 3) the 3 current components of the checklist are redundant. The briefing was considered the most important aspect and the debriefing the least important. Initially the SSC was difficult to implement owing to a shift in time management and perioperative culture; however, it has now assimilated into perioperative routine. Finally, though most participants agreed that the SSC might avoid some delays and complications, only a few believe there have been observable improvements to morbidity and mortality. Conclusion:Although the SSC has been integrated into perioperative practice in Calgary, participants believe that previous informal checkpoints were able to circumvent most perioperative issues. Although the SSC may help with flow and equipment, participants believe it fails to show a subjective, clinically important improvement.Contexte : Après une étude charnière ayant montré une baisse de la morbidité et de la mortalité après la mise en oeuvre de la liste de contrôle de la sécurité chirurgicale, cette dernière a été largement intégrée aux politiques périopératoires. Nous avons examiné l'effet des attitudes et des croyances entourant la liste sur son adoption à Calgary.Méthodes : À l'aide d'une méthode qualitative, nous nous sommes penchés sur les facteurs influençant l'utilisation de la liste. Pour ce faire, nous avons effectué des entrevues semi-dirigées fondées sur la théorie de la diffusion de l'innovation de Rogers. Nous avons utilisé l'échantillonnage dirigé et le sondage en boule de neige pour cibler des chirurgiens, des anesthésiologistes et des membres du personnel infirmier de salle d'opération des hôpitaux de Calgary. La collecte et l'analyse des données étaient fondées sur la théorie ancrée. Deux personnes ont analysé ensemble les données et se sont entendues sur les thèmes émergents.Résultats : Voici les principales conclusions dégagées : 1) la liste a permis de structurer les contrôles périopératoires non officiels du passé, 2) la liste est surtout utile quand elle est simple et 3) les 3 composantes actuelles de la liste de contrôle sont redondantes. Le breffage était considéré comme étant l'aspect le plus important e...

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confidence: 69%

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

Dharampal

Cameron

Dixon

et al. 2016

cjs

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“…Fudickar A, et al 19 The beneficial effect of WHO safe surgery checklist showed a significant improvement in reducing the mortality and morbidity complication rate. He benefited in changing culture bringing positive effect and discussion of critical incidents, providing a reduction in the frequency of events.…”

Section: Resultsmentioning

confidence: 99%

“…One of the requirements to provide quality care and safe is to have an open communication culture, allowing teams an equal relationship where hierarchical rivalries become irrelevant. 19,20, In this sense, evidence communication as relevant factors to patient safety culture in health institutions is critical to the development of the work. The use of surgical safety checklist provides an opportunity for effective communication, allowing members of the surgical team to share expectations and clear and correct information reducing threats and complications.…”

Section: Vivekanantham S Et Al 26mentioning

confidence: 99%

“…[18][19][20][21][22][23][24][25][26] It was observed real reduction of adverse events or near misses. The presence of events compromises security and causes poor results in surgical care.…”

mentioning

confidence: 99%

“…The checklist involves the team, helping to improve the results, allowing for greater preparation, anticipation and intercepting unwanted damage to the surgical patient. 19,20, The communication failure was identified as the main contributory factor to the incident which results in harm to the patient because of the large amount of information. With the implementation and use of the checklist, it is clear the benefit of discussion incidents with changing the culture of security, making the chances of critical risks decrease.…”

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confidence: 99%

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Surgical safety checklist: An integrative review of the benefits and importance / Lista de verificação de segurança cirúrgica: Uma revisão integrativa sobre benefícios e sua importância

Mafra

Rodrigues

2018

R. pesq. cuid. fundam. online

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Objetivo: Analisar, com base na literatura, os benefícios da implantação da lista de verificação de segurança cirúrgica. Método: revisão integrativa norteada pela questão: “Quais os benefícios da utilização da lista de verificação de segurança cirúrgica segura para a melhoria na qualidade em serviços de saúde?”. O levantamento dos artigos foi realizado em base de dados Medline via Pub Med, Lilacs, Bdenf via Biblioteca Virtual em Saúde, publicados no período de 2010 a 2014. Resultados: Mediante os achados emergiram o agrupamento por similaridade de resultados “benefícios da utilização da lista de verificação de segurança cirúrgica” e “importância da lista de verificação de segurança cirúrgica na redução da morbidade iatrogênica causando desfechos indesejáveis”. Conclusão: A análise permitiu evidenciar que a implementação da lista de verificação da cirurgia segura está associada a melhores resultados e estabelece processos seguros na assistência cirúrgica. Descritores: Lista de checagem, Segurança do paciente, Salas cirúrgicas.

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Implementation strategies for health systems in low-income countries: an overview of systematic reviews

Pantoja

Opiyo

Lewin

et al. 2017

Cochrane Database of Systematic Reviews

140

106

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BackgroundA key function of health systems is implementing interventions to improve health, but coverage of essential health interventions remains low in low-income countries. Implementing interventions can be challenging, particularly if it entails complex changes in clinical routines; in collaborative patterns among different healthcare providers and disciplines; in the behaviour of providers, patients or other stakeholders; or in the organisation of care. Decision-makers may use a range of strategies to implement health interventions, and these choices should be based on evidence of the strategies' effectiveness.ObjectivesTo provide an overview of the available evidence from up-to-date systematic reviews about the effects of implementation strategies for health systems in low-income countries. Secondary objectives include identifying needs and priorities for future evaluations and systematic reviews on alternative implementation strategies and informing refinements of the framework for implementation strategies presented in the overview.MethodsWe searched Health Systems Evidence in November 2010 and PDQ-Evidence up to December 2016 for systematic reviews. We did not apply any date, language or publication status limitations in the searches. We included well-conducted systematic reviews of studies that assessed the effects of implementation strategies on professional practice and patient outcomes and that were published after April 2005. We excluded reviews with limitations important enough to compromise the reliability of the review findings. Two overview authors independently screened reviews, extracted data and assessed the certainty of evidence using GRADE. We prepared SUPPORT Summaries for eligible reviews, including key messages, 'Summary of findings' tables (using GRADE to assess the certainty of the evidence) and assessments of the relevance of findings to low-income countries.Main resultsWe identified 7272 systematic reviews and included 39 of them in this overview. An additional four reviews provided supplementary information. Of the 39 reviews, 32 had only minor limitations and 7 had important methodological limitations. Most studies in the reviews were from high-income countries. There were no studies from low-income countries in eight reviews.Implementation strategies addressed in the reviews were grouped into four categories – strategies targeting:1. healthcare organisations (e.g. strategies to change organisational culture; 1 review);2. healthcare workers by type of intervention (e.g. printed educational materials; 14 reviews);3. healthcare workers to address a specific problem (e.g. unnecessary antibiotic prescription; 9 reviews);4. healthcare recipients (e.g. medication adherence; 15 reviews).Overall, we found the following interventions to have desirable effects on at least one outcome with moderate- or high-certainty evidence and no moderate- or high-certainty evidence of undesirable effects.1.Strategies targeted at healthcare workers: educational meetings, nutrition training of health worker...

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The Effect of the WHO Surgical Safety Checklist on Complication Rate and Communication

Cited by 110 publications

References 39 publications

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

Attitudes and beliefs about the surgical safety checklist: Just another tick box?

Surgical safety checklist: An integrative review of the benefits and importance / Lista de verificação de segurança cirúrgica: Uma revisão integrativa sobre benefícios e sua importância

Implementation strategies for health systems in low-income countries: an overview of systematic reviews

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