An overview of the use and implementation of checklists in surgical specialities – A systematic review

Patel, Janki; Ahmed, Kamran; Guru, Khurshid A.; Khan, Fahd; Marsh, Howard; Khan, Mohammed Shamim; Dasgupta, Prokar

doi:10.1016/j.ijsu.2014.10.031

Cited by 69 publications

(56 citation statements)

References 28 publications

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“…However, hospitals that implemented the MSSCL well showed a greater reduction in maternal mortality than hospitals with poor implementation, which supports the argument that outcomes may be dependent on the quality of implementation. [16] To date only Haynes et al [4] have shown significant reductions in mortality, other studies having failed to do so. [2,[5][6][7][8] The overall complication rates in our study were lower than those reported by others.…”

Section: Other Findingsmentioning

confidence: 99%

The impact of a modified World Health Organization surgical safety checklist on maternal outcomes in a South African setting: A stratified cluster-randomised controlled trial

et al. 2017

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Corresponding author: M Naidoo (naidoom@ukzn.ac.za)Background. In South Africa (SA), the Saving Mothers Reports have shown an alarming increase in deaths during or after caesarean delivery. Objective. To improve maternal surgical safety in KwaZulu-Natal Province, SA, by implementing the modified World Health Organization surgical safety checklist for maternity care (MSSCL) in maternity operating theatres. Methods. The study was a stratified cluster-randomised controlled trial conducted from March to November 2013. Study sites were 18 hospitals offering maternal surgical services in the public health sector. Patients requiring maternal surgical intervention at the study sites were included. Pre-intervention surgical outcomes were assessed. Training of healthcare personnel took place over 1 month, after which the MSSCL was implemented. Post-intervention surgical outcomes were assessed and compared with the pre-intervention findings and the control arm. The main outcome measure was the mean incidence rate ratios (IRRs) of adverse incidents associated with surgery. Results. Significant improvements in the adverse incident rate per 1 000 procedures occurred with combined outcomes (IRR 0.805, 95% confidence interval (CI) 0.706 -0.917), postoperative sepsis (IRR 0.619, 95% CI 0.451 -0.849), referral to higher levels of care (IRR 1.409, 95% CI 1.066 -1.862) and unscheduled return to the operating theatre (IRR 0.719, 95% CI 0.574 -0.899) in the intervention arm. Subgroup analysis based on the quality of implementation demonstrated greater reductions in maternal mortality in hospitals that were good implementers of the MSSCL. Conclusions. Incorporation of the MSSCL into routine surgical practice has now been recommended for all public sector hospitals in SA, and emphasis should be placed on improving the quality of implementation.

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Section: Other Findingsmentioning

confidence: 99%

The impact of a modified World Health Organization surgical safety checklist on maternal outcomes in a South African setting: A stratified cluster-randomised controlled trial

et al. 2017

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“…In such a pressurised technological environment, safety is paramount in preventing errors. In addressing these concerns, within the perioperative setting Patel et al (2014) suggested that the World Health Organization Safety Checklist becomes a mandatory tool. In keeping with international best practice Ireland, too is committed to the provision of safe, high quality health services (HSE 2009).…”

Section: Introductionmentioning

confidence: 99%

Exploring nurses' use of the WHO safety checklist in the perioperative setting

2016

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AimTo explore nurses' use of the WHO safety checklist in the perioperative setting BackgroundPromoting quality and safety in health care has received worldwide attention. The WHO surgical safety checklist (2009) is promoted in reducing postoperative morbidity and mortality. The checklist has been introduced in Irish perioperative settings. Method(s)A descriptive, qualitative approach was utilised. A purposeful sample of ten nurses participated in individual, semi-structured interviews. ResultsParticipants were committed to promoting safety in navigating challenges in introducing, complying and accepting the value of the WHO surgical safety checklist in concordance with best practice. Participants moved from task completion to embracing the checklist as an effective surgical safety checking tool. Challenges were identified around roles and responsibilities in overseeing the completion of the check list. Conclusion(s)Management of processes is critical when implementing any safety initiative. This paper highlights the complexity and challenges in implementing the WHO surgical safety checklist, contributing to global discussions around translating policy into practice. Implications for Nursing ManagementEffective implementation of a checklist requires a coordinated management approach in collaboration with team members. These approaches will support learning experiences contributing to a shared understanding of the change being implemented by all team members.

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“…(2)(3)(4)(5)(6) However, in contrast to studies that have found benefits to implementing a checklist, (1)(2)(3)(4)(5)(6) a study carried out in Ontario, Canada (21) on use of a checklist in 130 hospitals in an institutionalized format showed no significant improvement in mortality or surgical complications after three months of implementation. According to the authors, this finding could be partly attributed to the mandatory introduction of a checklist.…”

Section: Discussionmentioning

confidence: 99%

“…It also establishes the following as the program main objective: a set of demographic statistics for surgery that incorporate structural measures and results that track process effort, such as use of a safety checklist in the operating room. (1) The surgical safety checklist is considered a key element for reducing adverse events (1)(2)(3)(4)(5)(6) and aims to guarantee that surgical teams consistently follow critical safety measures to increase surgical procedure safety, reinforce accepted safety practices and promote better communication and work among the surgical team. However, the list proposed by the WHO is only a basic one.…”

Section: Introductionmentioning

confidence: 99%

Validação de checklist cirúrgico para prevenção de infecção de sítio cirúrgico

et al. 2015

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Objective: To design and validate a surgical checklist to improve patient safety and prevent surgical site infection. Methods: This quantitative study was carried out to validate an instrument created and used for surgical safety. Seven experts validated the instrument. For agreement among experts, was used Kendall's concordance coefficient; if their opinions differed significantly, the Cochran's test was adopted. An instrument is validated when concordance among experts is achieved and its clarity is significant. Results: In the first assessment of the instrument, Kendall's concordance coefficients were 0.230 in terms of pertinence and 0.390 for clarity. These results cauded a reformulation in the checklist. After reformulation, an absolute concordance was achieved for pertinence and no significant difference was seen in terms of clarity. After instrument validation, was created an information system to input data collected. Conclusion: The instrument was validated. It can help improve patient safety and prevent surgical site infection. ResumoObjetivo: Construir e validar checklist cirúrgico para segurança do paciente e prevenção de infecção de sítio cirúrgico. Métodos: Pesquisa quantitativa realizada para validar instrumento criado e utilizado em cirurgia segura. O instrumento foi validado por sete peritos. Para concordância entre os juízes utilizou-se o coeficiente de concordância de Kendall e para verificar se a opinião dos juízes diferiu significativamente, o teste de Cochran. O instrumento é validado se houver concordância entre os juízes e a clareza for significante. Resultados: Na primeira avaliação do instrumento, obteve-se Kendall de 0,230 para pertinência e 0,390 para clareza, o que implicou em reformulação do checklist. Após a reformulação, obteve-se concordância absoluta para pertinência e não houve diferença significativa para clareza. Com o instrumento validado, foi criado um sistema informatizado para inserção dos dados coletados. Conclusão: O instrumento criado foi validado e pode auxiliar na segurança do paciente e prevenção de infecção de sítio cirúrgico.

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An overview of the use and implementation of checklists in surgical specialities – A systematic review

Abstract: The recent use of checklists in surgery has shown improvements in patient outcomes post-operatively. A review was conducted to establish the impact of the checklist on different surgical specialities.

Cited by 69 publications

References 28 publications

The impact of a modified World Health Organization surgical safety checklist on maternal outcomes in a South African setting: A stratified cluster-randomised controlled trial

The impact of a modified World Health Organization surgical safety checklist on maternal outcomes in a South African setting: A stratified cluster-randomised controlled trial

Exploring nurses' use of the WHO safety checklist in the perioperative setting

Validação de checklist cirúrgico para prevenção de infecção de sítio cirúrgico

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