Surgical safety checklist is associated with improved operating room safety culture, reduced wound complications, and unplanned readmissions in a pilot study in neurosurgery

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
M LepänluomaT S Ikonen

Abstract

The World Health Organization's surgical safety checklist is designed to improve adherence to operating room safety standards, and its use has been shown to reduce complications among surgical patients. The objective of our study was to assess the impact of the implementation of the checklist on safety-related issues in the operating room and on postoperative adverse events in neurosurgery. From structured questionnaires delivered to operating room personnel, answers were analyzed to evaluate communication and safety-related issues during 89 and 73 neurosurgical operations before and after the checklist implementation, respectively. From the analyzed operations, 83 and 67 patients, respectively, were included in a retrospective analysis of electronic patient records to compare the length of hospital stay, reported adverse events, and readmissions. In addition, the consistency of operating room documentation and patient records was assessed. Communication between the surgeon and the anesthesiologist was enhanced, and safety-related issues were better covered when the checklist was used. Unplanned readmissions fell from 25% to 10% after the checklist implementation (p = 0.02). Wound complications decreased from 19% to 8% (p = 0.0...Continue Reading

References

May 2, 2006·Journal of the American College of Surgeons·Martin A MakaryPeter J Pronovost
Nov 11, 2006·Critical Care Medicine·Stéphane HugonnetDidier Pittet
Jan 27, 2007·Journal of the American College of Surgeons·Martin A MakaryPeter J Pronovost
Feb 5, 2008·The Journal of Bone and Joint Surgery. American Volume·Andrew D RosenbergMichele V Bennett
Sep 16, 2008·American Journal of Surgery·Karen MazzoccoEric J Thomas
Oct 2, 2008·Journal of Neurosurgery·Claire LietardBenoist Lejeune
Jan 16, 2009·The New England Journal of Medicine·Alex B HaynesUNKNOWN Safe Surgery Saves Lives Study Group
Oct 6, 2009·Interactive Cardiovascular and Thoracic Surgery·Sotiris C PapaspyrosDavid J O'Regan
Apr 15, 2010·Patient Safety in Surgery·Eefje N de VriesMarja A Boermeester
Apr 17, 2010·Annals of Surgery·Thomas G WeiserUNKNOWN Safe Surgery Saves Lives Investigators and Study Group
May 15, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Mark K Lyons
Jul 22, 2010·Annals of Surgery·Kamal NagpalKrishna Moorthy
Aug 24, 2010·International Orthopaedics·Mathew SewellBrian Levack
Oct 21, 2010·JAMA : the Journal of the American Medical Association·Julia NeilyJames P Bagian
Nov 12, 2010·The New England Journal of Medicine·Eefje N de VriesUNKNOWN SURPASS Collaborative Group
Apr 13, 2011·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·P HelmiöT S Ikonen
Jun 17, 2011·BMJ Quality & Safety·Jon AllardLee Coombes

❮ Previous
Next ❯

Citations

May 24, 2015·BMJ Quality & Safety·Greg D SacksMelinda A Maggard-Gibbons
Jun 21, 2014·World Neurosurgery·Carine ZeeniDhanesh K Gupta
Mar 17, 2015·Neurosurgery Clinics of North America·John E ZiewaczSamuel J Chewning
May 18, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·David J CoteTimothy R Smith
Oct 31, 2015·Journal of Neurosurgery·Edward R LawsAtul Gawande
Jun 18, 2016·World Neurosurgery·Alexandra M G LarsenTimothy R Smith
Apr 10, 2018·Journal of Interprofessional Care·Roxanne ZimanSimon Kitto
Jun 4, 2020·European Journal of Anaesthesiology·Benedikt PreckelJannicke Mellin-Olsen
Jan 10, 2020·Human Resources for Health·Martina Buljac-SamardzicJeroen D H van Wijngaarden
Feb 23, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Promise AriyoSean Berenholtz
May 1, 2021·AORN Journal·M Imelda WrightSaid Abusalem
May 21, 2021·Asian Spine Journal·Arvind Gopalrao KulkarniNavin Mewara

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
P HelmiöT S Ikonen
© 2021 Meta ULC. All rights reserved