Point prevalence of surgical checklist use in Europe: relationship with hospital mortality

Jammer, Ib; Ahmad, Tahania; Aldecoa, César; Koulenti, Despoina; Goranović, Tatjana; Grigoraş, Ioana; Mazul-Sunko, B.; Matos, Ricardo; Moreno, Rui P.; Sigurðsson, Gísli H.; Toft, Palle; Walder, Bernhard; Rhodes, Andrew; Pearse, Rupert M

doi:10.1093/bja/aeu460

Cited by 38 publications

(32 citation statements)

References 39 publications

(17 reference statements)

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“…While the surgical population is very large, few countries have any reliable system to monitor the volume of surgical activity or clinical outcomes. Data-driven improvement in quality of perioperative care may be possible even in resource-limited environments, 32 and the need remains for robust audit and public reporting of outcomes after all surgery worldwide. 33 Failure-to-rescue is determined by a variety of hospital structures and processes and has been associated with nurse:patient ratios, training of nursing and medical staff, poor access to radiology services, and emergency operating room availability.…”

Section: Discussionmentioning

confidence: 99%

Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: a 7-day cohort study of elective surgery

Ahmad

Bouwman

Grigoraş

et al. 2017

British Journal of Anaesthesia

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Section: Discussionmentioning

confidence: 99%

Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: a 7-day cohort study of elective surgery

Ahmad

Bouwman

Grigoraş

et al. 2017

British Journal of Anaesthesia

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“…8 Data-driven improvement in the quality of perioperative care might be possible even in resourcelimited environments. 32 A strengths of this study is the large number of consecutive patients enrolled worldwide. Importantly, critical care beds were classified according to a standard definition in participating hospitals.…”

Section: Discussionmentioning

confidence: 99%

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries

2017

British Journal of Anaesthesia

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Background: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. Methods: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. Results: A total of 474 hospitals in 19 high-, 7 middle-and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low-and middle-income compared with high-income countries. Conclusions: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. Study registration: ISRCTN51817007

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“…, Zuiderent‐Jerak and Berg ) combined with rigorous process control adopted from the manufacturing sector (Hales and Pronovost , Jammer et al . , Parry , Pronovost et al . ).…”

Section: Introductionmentioning

confidence: 99%

“…Simple tools such as checklists were argued to provide far better outcomes than any individual pill or the best-trained surgeon (Gawande 2015). The turn to improving care through checklists was further underpinned by strong theoretical framing in systems thinking, behavioural psychology and epidemiology (Waring et al 2016, Zuiderent-Jerak andBerg 2010) combined with rigorous process control adopted from the manufacturing sector (Hales and Pronovost 2006, Jammer et al 2015, Parry 2014. While some research reported mixed messages about its effectiveness (Treadwell et al 2014, Urbach et al 2014, quality improvement in healthcare, with its emphasis on low-tech strategies and mundane artefacts and formal tools to ensure behavioural change (Marshall et al 2013, Parry 2014, Perla et al 2013, provided a fruitful platform for the checklist's rise as a simple yet powerful instrument for standardising clinical practice and improving healthcare outcomes.…”

Section: Introductionmentioning

confidence: 99%

Neither magic bullet nor a mere tool: negotiating multiple logics of the checklist in healthcare quality improvement

Kocman

Stöckelová

Pearse

et al. 2019

Sociology Health & Illness

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Over two decades, the checklist has risen to prominence in healthcare improvement. This paper contributes to the debate between its proponents and critics, making the case for an Science and Technology Studies‐informed understanding of the checklist that demonstrates the limitations of both the “checklist‐as‐panacea” and “checklist‐as‐socially‐determined” positions. Attending to the checklist as a socio‐material object endowed with affordances that call upon clinicians to act (Allen 2012, Hutchby 2001), the study revisits the efforts of a recent improvement initiative, the Enhanced Peri‐Operative Care for High‐risk patients trial. Rather than a singularised simple tool, this study discusses four different and relationally enacted logics of the checklist as a stop and check tool, a clinical prompt, an audit tool and a clinical record. Each logic is associated with specific temporality, beneficiaries, relationship with material forms, and interpellates (Law 2002) clinicians to initiate specific actions which can conflict. The paper seeks to make the case for intervention to improve such tools and consciously account for the consequences of their design and materiality and calls for supporting such settings and arrangements in which incoherences collected in tools can be locally negotiated.

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Point prevalence of surgical checklist use in Europe: relationship with hospital mortality

Abstract: The European Surgical Outcomes Study is registered with ClinicalTrials.gov, number NCT01203605.

Cited by 38 publications

References 39 publications

Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: a 7-day cohort study of elective surgery

Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: a 7-day cohort study of elective surgery

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries

Neither magic bullet nor a mere tool: negotiating multiple logics of the checklist in healthcare quality improvement

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