World Health Organization Surgical Safety Checklist Modification: Do Changes Emphasize Communication and Teamwork?

Solsky, Ian; Berry, William R.; Edmondson, Lizabeth; Lagoo, Janaka; Baugh, Joshua J; Blair, Alex B.; Singer, Sara J.; Haynes, Alex B.

doi:10.1016/j.jss.2018.09.035

Cited by 28 publications

(30 citation statements)

References 24 publications

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“…Modifying the SSC to meet the needs of the local context and procedure is recommended. There exists limited formal guidance, however, for local champions to modify the SSC effectively. Solsky and colleagues reviewed 155 different SSCs to understand how modifications were being made, and found concerning patterns.…”

Section: Discussionmentioning

confidence: 99%

“…There exists limited formal guidance, however, for local champions to modify the SSC effectively. Solsky and colleagues reviewed 155 different SSCs to understand how modifications were being made, and found concerning patterns. Conversational prompts meant to improve team communication were often removed, and alterations in the layout of SSCs frequently made them less intuitive.…”

Section: Discussionmentioning

confidence: 99%

“…Solsky and colleagues reviewed 155 different SSCs to understand how modifications were being made, and found concerning patterns. Conversational prompts meant to improve team communication were often removed, and alterations in the layout of SSCs frequently made them less intuitive. Thus, although SSC modification is encouraged, without appropriate guidance this may lead to a less effective intervention and increase the risk of provider non‐compliance and resistance to implementation.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Variation in global uptake of the Surgical Safety Checklist

Delisle

Pradarelli

Panda

et al. 2020

British Journal of Surgery

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Background The Surgical Safety Checklist (SSC) is a patient safety tool shown to reduce mortality and to improve teamwork and adherence with perioperative safety practices. The results of the original pilot work were published 10 years ago. This study aimed to determine the contemporary prevalence and predictors of SSC use globally. Methods Pooled data from the GlobalSurg and Surgical Outcomes studies were analysed to describe SSC use in 2014–2016. The primary exposure was the Human Development Index (HDI) of the reporting country, and the primary outcome was reported SSC use. A generalized estimating equation, clustering by facility, was used to determine differences in SSC use by patient, facility and national characteristics. Results A total of 85 957 patients from 1464 facilities in 94 countries were included. On average, facilities used the SSC in 75·4 per cent of operations. Compared with very high HDI, SSC use was less in low HDI countries (odds ratio (OR) 0·08, 95 per cent c.i. 0·05 to 0·12). The SSC was used less in urgent compared with elective operations in low HDI countries (OR 0·68, 0·53 to 0·86), but used equally for urgent and elective operations in very high HDI countries (OR 0·96, 0·87 to 1·06). SSC use was lower for obstetrics and gynaecology versus abdominal surgery (OR 0·91, 0·85 to 0·98) and where the common or official language was not one of the WHO official languages (OR 0·30, 0·23 to 0·39). Conclusion Worldwide, SSC use is generally high, but significant variability exists. Implementation and dissemination strategies must be developed to address this variability.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Variation in global uptake of the Surgical Safety Checklist

Delisle

Pradarelli

Panda

et al. 2020

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…As mentioned above, the WHO safety checklist is a more general approach and neither specific to laparoscopic procedures nor gynecological procedures. 6,7 In addition, most of the safety check lists concentrate on surgical equipment and safety concerns that are specific to certain surgical steps. 9,10 A similar study has been undertaken among robotic surgical procedures, which highlights the prolonged nature of these surgeries and specific key steps that need to be followed during robotic surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…5 In order to meet the objectives of patient safety, the WHO has introduced a WHO safety checklist, which has proven effective in reducing surgical morbidity, mortality and improving communication and teamwork. 6,7 However, this check list is a more general approach to all surgeries and not specific to laparoscopy or gynecological laparoscopy.…”

Section: Introductionmentioning

confidence: 99%

Introduction of a safety checklist for gynecological laparoscopy

2020

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This study focuses on the importance of a safety checklist for gynecological laparoscopic surgeries. There is no dedicated safety check list for gynecological laparoscopy although several general safety checklists are used in practice. (e.g. WHO safety check list). The aim was to introduce a safety check list dedicated to gynecological laparoscopy. This check list is based on our experience in performing gynecological laparoscopy in a tertiary care centre with a high workload. This check list is introduced after studying the complications occurring in areas covered by the check list. Present data from 776 cases performed over 4 years at professorial unit in obstetrics and gynecology, university of Sri Jayewardenepura, Colombo South teaching hospital, Kalubowila, Sri Lanka. Mean surgical time and complications associated with patient positioning were assessed. Complications associated with the areas assessed were found to be low. However, it is belief that these can be further reduced by the introduction of a check list specifically designed for gynecological laparoscopy.

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Development of an Enhanced Recovery After Surgery Surgical Safety Checklist Through a Modified Delphi Process

et al. 2023

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ImportanceEnhanced Recovery After Surgery (ERAS) guidelines and the World Health Organization Surgical Safety Checklist (SSC) are 2 well-established tools for optimizing patient outcomes perioperatively.ObjectiveTo integrate the 2 tools to facilitate key perioperative decision-making.Evidence ReviewSnowball sampling recruited international ERAS users from multiple clinical specialties. A 3-round modified Delphi consensus model was used to evaluate 27 colorectal or gynecologic oncology ERAS recommendations for appropriateness to include in an ERAS SSC. Items attaining potential consensus (65%-69% agreement) or consensus (≥70% agreement) were used to develop ERAS-specific SSC prompts. These proposed prompts were evaluated in a second round by the panelists with regard to inclusion, modification, or exclusion. A final round of interactive discussion using quantitative consensus and qualitative comments was used to produce an ERAS-specific SSC. The panel of ERAS experts included surgeons, anesthesiologists, and nurses within diverse practice settings from 19 countries. Final analysis was conducted in May 2022.FindingsRound 1 was completed by 105 experts from 18 countries. Eleven ERAS components met criteria for development into an SSC prompt. Round 2 was completed by 88 experts. There was universal consensus (≥70% agreement) to include all 37 proposed prompts within the 3-part ERAS-specific SSC (used prior to induction of anesthesia, skin incision, and leaving the operating theater). A third round of qualitative comment review and expert discussion was used to produce a final ERAS-specific SSC that expands on the current WHO SSC to include discussion of analgesia strategies, nausea prevention, appropriate fasting, fluid management, anesthetic protocols, appropriate skin preparation, deep vein thrombosis prophylaxis, hypothermia prevention, use of foley catheters, and surgical access. The final products of this work included an ERAS-specific SSC ready for implementation and a set of recommendations to integrate ERAS elements into existing SSCs.Conclusions and RelevanceThe SSC could be modified to align with ERAS recommendations for patients undergoing major surgery within an ERAS protocol. The stakeholder- and expert-generated ERAS SSC could be adopted directly, or the recommendations for modification could be applied to an existing institutional SSC to facilitate implementation.

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World Health Organization Surgical Safety Checklist Modification: Do Changes Emphasize Communication and Teamwork?

Cited by 28 publications

References 24 publications

Variation in global uptake of the Surgical Safety Checklist

Variation in global uptake of the Surgical Safety Checklist

Introduction of a safety checklist for gynecological laparoscopy

Development of an Enhanced Recovery After Surgery Surgical Safety Checklist Through a Modified Delphi Process

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