Surgical safety checklists: a review

Tang, Reuben; Ranmuthugala, Geetha; Cunningham, Frances

doi:10.1111/ans.12168

Cited by 62 publications

(80 citation statements)

References 28 publications

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“…Ward nurses presenting a summary of the patient's condition and medical history to the surgeon in the OR before surgery. 5. Use of pulse oximetry in the OR and in the recovery ward after surgery, was noted to be valuable but they said they lacked the equipment to do this.…”

Section: Resultsmentioning

confidence: 99%

“…In high income countries it is known that successful implementation requires effective and decisive leadership, encouraging active staff participation and ongoing education [4,5]. Neily and colleagues described teamwork training and use of the checklist which involved 2 months of preparation, 1 day training for operating room teams and 3 monthly coaching interviews over a one year period [6,7].…”

Section: Discussionmentioning

confidence: 99%

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Observational study of three different methods of implementing the WHO surgical safety checklist in Guinea

White¹,

Millimouno²

2016

Glob Anesth Perioper Med

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Objective: The World Health Organisation Surgical Safety Checklist improves surgical outcomes in resource poor settings but the best method of implementing the checklist is unknown. We aimed to evaluate three different methods of training in Guinea and evaluated the outcome at 3-6 months.Methods: A total of 13 individuals (4 surgeons, 7 anaesthetists and 2 nurses) from 6 different hospitals underwent 3 methods of training (hospital team training, hospital individual training and classroom only training). None had previous knowledge the checklist. Effectiveness of training was evaluated by hospital visits and structured interview at 3-6 months. Corroborating evidence was obtained from interviews with the Hospital Directors and other staff. Findings:Team training was the most successful. All the hospitals who received team training reported improvements in teamwork, anaesthesia, and infection control. No hospital managed to implement the checklist in its entirety. Anaesthetists who received individual training were unable to implement any changes in their own hospitals. Conclusion:Team training is more effective than individual training in ensuring more of the key steps of the checklist are followed. Our results question the effectiveness of running a one day classroom training for implementation of the WHO checklist for single groups of professionals such as anaesthetists in the absence of support from other members of the operating team.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Observational study of three different methods of implementing the WHO surgical safety checklist in Guinea

White¹,

Millimouno²

2016

Glob Anesth Perioper Med

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“…10,11 The Royal Australasian College of Surgeons recognized its importance and adopted an amended version for use in Australia and New Zealand. 12 However, the exact mechanism by which SSC improves patient outcomes is poorly understood, with later studies unable to consistently reproduce the marked reduction in mortality and morbidity rates reported in the primary study by WHO. The latest and largest of such studies is the multicenter Canadian study by Urbach et al 11 that assessed 215,000 procedures across 101 hospitals, found that morbidity and mortality only decreased by 0.05% postimplementation.…”

Section: Rationalementioning

confidence: 99%

“…Moreover, are these factors also pertinent in SSCs implemented across Australia and New Zealand? 12 This review aims to assess the implementation of the WHO-adapted SSC within the operating room setting. The primary objective is to compare compliance rates of SSC across specialties and hospitals.…”

Section: Rationalementioning

confidence: 99%

Compliance and Surgical Team Perceptions of WHO Surgical Safety Checklist; Systematic Review

Wangoo

Ray

2016

International Surgery

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This systematic review aimed to assess surgical safety checklist compliance and evaluate surgical team perceptions and attitudes, post-checklist implementation in the operating room. The World Health Organization (WHO) surgical safety checklist (SSC) has decreased complications and mortality. However, it is unclear whether this reduction is influenced by the vicarious enhancement in teamwork, communication, and staff awareness established by SSC implementation. The preferred reporting items for systematic reviews and meta-analyses model of review guided a search across MEDLINE, PubMed, and Embase databases. English-language studies using any adapted form of the WHO-SSC in operating rooms were reviewed by abstract and full text. Twenty-six studies, 13 assessing SSC compliance and 13 investigating surgical team perceptions of SSC, were evaluated. Compliance studies showed a checklist initiation rate of .90%, but actual observed completion rate varied widely across studies. Sign out was the most poorly performed phase of the checklist (,50%) with time out being the best. Verification of patient identity and procedure demonstrated a high degree (.90%) of compliance across studies, but ''verification of team-members'' was significantly less compliant. Studies assessing surgical team perceptions found that SSC improved participants' perception of teamwork, communication, patient safety, and staff awareness of adverse events. However, when stakeholders placed differing degrees of importance on SSC completion, results indicated the SSC might actually antagonize team relationships. SSC compliance varies significantly across studies, being highly dependent on staff perceptions, training, and effective leadership. Surgical teams have positive perceptions

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“…La atención en salud involucra un proceso complejo, en el cual factores de la atención como el trabajo en equipo, la comunicación efectiva y el aprendizaje colectivo juegan un papel determinante para lograr el éxito y aportar beneficios al paciente, o, por el contrario, generar riesgos que aumentan la probabilidad de un daño colateral al mismo 3,4 .…”

Section: Introductionunclassified