Evaluation and Customization of WHO Safety Checklist for Patient Safety in Otorhinolaryngology

Abstract

The WHO has designed a safe surgery checklist to enhance communication and awareness of patient safety during surgery and to minimise complications. WHO recommends that the check-list be evaluated and customised by end users as a tool to promote safe surgery. The aim of present study was to evaluate the impact of WHO safety checklist on patient safety awareness in otorhinolaryngology and to customise it for the speciality. A prospective structured questionnaire based study was done in ENT operating room for duration of 1 month each for cases, before and after implementation of safe surgery checklist. The feedback from respondents (surgeons, nurses and anaesthetists) was used to arrive at a customised checklist for otolaryngology as per WHO guidelines. The checklist significantly improved team member's awareness of patient's identity (from 17 to 86%) and each other's identity and roles (from 46 to 94%) and improved team communication (from 73 to 92%) in operation theatre. There was a significant improvement in preoperative check of equipment and critical events were discussed more frequently. The checklist could be effectively customised to suit otolaryngology needs as per WHO guidelines. The modified checklist needs to be validated by otolaryngology associations. We conclude from our study that the WHO Surgical safety check-list has a favourable impact on patient safety awareness, team-work and communication of operating team and can be customised for otolaryngology setting.

Implementation Strategies and the Uptake of the World Health Organization Surgical Safety Checklist in Low and Middle Income Countries

“…Included studies were conducted in a variety of settings, most commonly in 1 hospital or surgical service, although 5 papers report 3 national-level implementations in Madagascar, Benin, and Thailand 29,40,60,62,63 . Hospitals ranged from large referral hospitals with multiple operating rooms performing over 21,000 procedures per year, 39 to studies limited to a single service such as otorhinolaryngology in a single facility in India 30 …”

“…We screened 1562 citations and included 47 papers reporting 42 unique studies in the final analysis 8,22–67 . Details of the selection process are shown in Figure 1.…”

Lista de chequeo preoperatorio para la cirugía endoscópica de hipófisis

“…En otorrinolaringología se han publicado algunos estudios sobre la aplicación de las listas de chequeo, y sus resultados son prometedores (28). Dabholkar y colaboradores realizaron una adaptación para esta disciplina de una lista de chequeo propuesta por la OMS en un hospital en India, con un volumen quirúrgico alto (29). Sus resultados muestran que el uso de la lista de chequeo mejoró: la consciencia del equipo de trabajo sobre los datos del paciente, la cual pasó de 17 % a 86 % después de aplicarse la lista; el nivel de consciencia sobre el papel de cada participante del equipo, de 46 % al 94 %, y la comunicación en el equipo, la cual pasó de 73 % a 92 %.…”

Penerapan Check List Keselamatan Bedah Who: Literatur Review

“…Penerapan Surgical Safety checklist dapat mencegah kegagalan komunikasi dan mengurangi komplikasi (Santana et al, 2016), Surgical Safety checklist secara signifikan meningkatkan kesadaran anggota tim bedah terkait identitas pasien hingga 86%, peran tim bedah hingga 94%, dan komunikasi antara tim bedah hingga 92% di ruang operasi. Surgical Safety checklist memiliki dampak yang positif baik keselamatan pasien, kerja tim dan komunikasi antara tim bedah (dokter, anestesi dan perawat bedah) (Dabholkar et al, 2018).…”

“…Penggunaan daftar periksa berhasil menggambar perhatian tim bedah terhadap masalah keselamatan pasien. Langka-langkah yang tepat untuk diambil dalam hal ini menganggap sehingga jumlah kelalaian di ruang operasi berkurang secara signifikan (Shankar, 2018, & Dabholkar et al, 2018. Santana (2016) juga menyebutkan, hasil penelitian yang dilaksanakan di beberapa rumah sakit menunjukkan sebagian besar perawat fungsional telah memanfaatkan Surgical Safety Checklist keselamatan bedah sebelum dan sesudah melaksanakan prosedur bedah, perhatian tentang keselamatan pasien dan kepatuhan terhadap standar serta peraturan di ruang bedah meningkat pasca intervensi.…”