Impact of a surgical safety checklist on surgical site infections, antimicrobial resistance, antimicrobial consumption, costs and mortality

Almeida, Silvana Maria de; Menezes, FG; Martino, Marinês Dalla Valle; Tachira, C.R.; Toniolo, AR; Fukumoto, Helena Lumi; Edmond, Michael B.; Marra, Alexandre R.

doi:10.1016/j.jhin.2021.05.003

Cited by 3 publications

(6 citation statements)

References 16 publications

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“…Checklists have been shown to reduce postoperative complications, including SSI and mortality. The WHO SSC specifically targets mortality 9 , 10 , SSI 11 , pneumonia 12 , return to the operating room 13 , urinary tract infection, intubation, and sepsis. 14 The WHO SSC has shown positive changes in regards to all of these targets.…”

Section: Resultsmentioning

confidence: 99%

“…Research focusing on a variety of surgical subspecialties including general surgery, neurosurgery, plastic surgery, otolaryngology, orthopedics have shown the positive impact of checklists on clinical outcomes. 3,[9][10][11]13,14,[17][18][19][20]33,34,[45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] The evidence for checklist impact overall, however, is quite heterogeneous in terms of outcomes studied and the estimated magnitude of the impact of the checklist. Table 1 attached in the appendix displays the current literature on checklists and shows this variation in existing literature.…”

Section: Discussionmentioning

confidence: 99%

“…11 Their ndings highlighted the need for a tailored checklist. 11,37 Others found that involving hospital staff in checklist creation helps create a contextually appropriate checklist. 36 Although contextually appropriate checklists are best, this of course has its limits.…”

Section: Checklist Creationmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Creation of a Pediatric Surgical Checklist for Adult Providers

Rapolti,

Kisa,

Situma

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…, 1999). The use of SSC is associated with reduction of surgical site infections (De Almeida et al ., 2021), as well as reduction of the frequency of complications and mortality (Lorkowski et al. , 2021a).…”

Section: Introductionmentioning

confidence: 99%

“…The landmark report, To Err Is Human: Building a Safer Health System, endorsed the use of checklists in healthcare to prevent human error (Kohn et al, 1999). The use of SSC is associated with reduction of surgical site infections (De Almeida et al, 2021), as well as reduction of the frequency of complications and mortality (Lorkowski et al, 2021a). However, several studies have demonstrated that compliance with the SSC can be sub-optimal in healthcare institutions (Haynes et al, 2009;Pickering et al, 2013;De Vries et al, 2010;Reed et al, 2016;Melekie and Getahun, 2015).…”

Section: Introductionmentioning

confidence: 99%

Surgical team perceptions of the surgical safety checklist in a tertiary hospital in Jordan: a descriptive qualitative study

Albsoul

Alshyyab

Odat

et al. 2022

TQM

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PurposeThe purpose of this paper is to explore the perceptions of operating room staff towards the use of the World Health Organization Surgical Safety Checklist in a tertiary hospital in Jordan.Design/methodology/approachThis was a qualitative descriptive study. Semi-structured interviews were conducted with a purposeful sample of 21 healthcare staff employed in the operating room (nurses, residents, surgeons and anaesthesiologists). The interviews were conducted in the period from October to December 2021. Thematic analysis was used to analyse the data.FindingsThree main themes emerged from data analysis namely compliance with the surgical safety checklist, the impact of surgical safety checklist, and barriers and facilitators to the use of the surgical safety checklist. The use of the checklist was seen as enabling staff to communicate effectively and thus to accomplish patient safety and positive outcomes. The perceived barriers to compliance included excessive workload, congestion and lack of training and awareness. Enhanced training and education were thought to improve the utilization of the surgical safety checklist, and help enhance awareness about its importance.Originality/valueWhile steps to utilize the surgical safety checklist by the operation room personnel may seem simple, the quality of its administration is not necessarily robust. There are several challenges for consistent, complete and effective administration of the surgical safety checklist by the surgical team members. Healthcare managers must employ interventions to eliminate barriers to and offer facilitators of adherence to the application of the surgical safety checklist, therefore promoting quality healthcare and patient safety.

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