Economic Case for Scale-up of the WHO Surgical Safety Checklist at the National Level in Sub-Saharan Africa

White, Michelle; Leather, Andrew J M; Sevdalis, Nick

doi:10.1097/sla.0000000000004498

Cited by 7 publications

(5 citation statements)

References 31 publications

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“… 18 , 34 The SSC incremental cost-effectiveness ratio (ICER) for one year of life loss averted was $31–118 and for every $1 spent on checklist implementation $9–62 was saved. 35 …”

Section: Resultsmentioning

confidence: 99%

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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“… 18 , 34 The SSC incremental cost-effectiveness ratio (ICER) for one year of life loss averted was $31–118 and for every $1 spent on checklist implementation $9–62 was saved. 35 …”

Section: Resultsmentioning

confidence: 99%

The Creation of a Pediatric Surgical Checklist for Adult Providers

Rapolti,

Kisa,

Situma

et al. 2023

Preprint

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“…The World Health Organization (WHO) has introduced the Surgical Safety Checklist (SSC) in 2009 16 , and studies have proved that implementation of the SSC resulted in a significantly lower POMR 17 , 18 . Furthermore, a study in Central SSA concluded that a nationwide scale-up of the SSC is very cost-effective and therefore should be implemented through NSOAP 19 . However, a cross-sectional study in East Africa found that only 25% of the anesthetists interviewed regularly used the SSC 20 .…”

Section: Challenges and Recommendationsmentioning

confidence: 99%

Postoperative mortality in Africa: are there any improvements in the last decade?

Awuah

Nazir

et al. 2023

International Journal of Surgery

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“…[132][133][134] Furthermore, when scale-up of the WHO SSC underwent economic evaluation in three African countries (Benin, Cameroon and Madagascar) it was found to be very costeffective with every USD$1 spent producing a potential return on investment of USD$9-62. 135…”

Section: Antimicrobial Stewardship Programs Clinical Practice Guidelines and Protocolsmentioning

confidence: 99%

Surgical Antibiotic Prophylaxis in an Era of Antibiotic Resistance: Common Resistant Bacteria and Wider Considerations for Practice

Menz¹,

Charani²,

Gordon³

et al. 2021

IDR

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The increasing incidence of antimicrobial resistance (AMR) presents a global crisis to healthcare, with longstanding antimicrobial agents becoming less effective at treating and preventing infection. In the surgical setting, antibiotic prophylaxis has long been established as routine standard of care to prevent surgical site infection (SSI), which remains one of the most common hospital-acquired infections. The growing incidence of AMR increases the risk of SSI complicated with resistant bacteria, resulting in poorer surgical outcomes (prolonged hospitalisation, extended durations of antibiotic therapy, higher rates of surgical revision and mortality). Despite these increasing challenges, more data are required on approaches at the institutional and patient level to optimise surgical antibiotic prophylaxis in the era of antibiotic resistance (AR). This review provides an overview of the common resistant bacteria encountered in the surgical setting and covers wider considerations for practice to optimise surgical antibiotic prophylaxis in the perioperative setting.

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Economic Case for Scale-up of the WHO Surgical Safety Checklist at the National Level in Sub-Saharan Africa

Cited by 7 publications

References 31 publications

The Creation of a Pediatric Surgical Checklist for Adult Providers

The Creation of a Pediatric Surgical Checklist for Adult Providers

Postoperative mortality in Africa: are there any improvements in the last decade?

Surgical Antibiotic Prophylaxis in an Era of Antibiotic Resistance: Common Resistant Bacteria and Wider Considerations for Practice

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