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Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

Publication ,  Journal Article
Weiser, TG; Haynes, AB; Dziekan, G; Berry, WR; Lipsitz, SR; Gawande, AA; Safe Surgery Saves Lives Investigators and Study Group,
Published in: Annals of surgery
May 2010

To assess whether implementation of a 19-item World Health Organization (WHO) Surgical Safety Checklist in urgent surgical cases would improve compliance with basic standards of care and reduce rates of deaths and complications.Use of the WHO Surgical Safety Checklist has been shown to be associated with significant reductions in complications and deaths. Before evaluation of this safety tool, concern was raised about whether its use would be practical or beneficial during urgent surgical procedures.We prospectively collected clinical process and outcome data for 1750 consecutively enrolled patients 16 years of age or older undergoing urgent noncardiac surgery before and after introduction of the WHO Surgical Safety Checklist in 8 diverse hospitals around the world; 842 underwent urgent surgery-defined as an operation required within 24 hours of assessment to be beneficial-before introduction of the checklist and 908 after introduction of the checklist. The primary end point was the rate of complications, including death, during hospitalization up to 30 days following surgery.The complication rate was 18.4% (n=151) at baseline and 11.7% (n=102) after the checklist was introduced (P=0.0001). Death rates dropped from 3.7% to 1.4% following checklist introduction (P=0.0067). Adherence to 6 measured safety steps improved from 18.6% to 50.7% (P<0.0001).Implementation of the checklist was associated with a greater than one-third reduction in complications among adult patients undergoing urgent noncardiac surgery in a diverse group of hospitals. Use of the WHO Surgical Safety Checklist in urgent operations is feasible and should be considered.

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Published In

Annals of surgery

DOI

EISSN

1528-1140

ISSN

0003-4932

Publication Date

May 2010

Volume

251

Issue

5

Start / End Page

976 / 980

Related Subject Headings

  • World Health Organization
  • Surgical Procedures, Operative
  • Surgery
  • Prospective Studies
  • Process Assessment, Health Care
  • Postoperative Complications
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Weiser, T. G., Haynes, A. B., Dziekan, G., Berry, W. R., Lipsitz, S. R., Gawande, A. A., & Safe Surgery Saves Lives Investigators and Study Group, . (2010). Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Annals of Surgery, 251(5), 976–980. https://doi.org/10.1097/sla.0b013e3181d970e3
Weiser, Thomas G., Alex B. Haynes, Gerald Dziekan, William R. Berry, Stuart R. Lipsitz, Atul A. Gawande, and Atul A. Safe Surgery Saves Lives Investigators and Study Group. “Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.Annals of Surgery 251, no. 5 (May 2010): 976–80. https://doi.org/10.1097/sla.0b013e3181d970e3.
Weiser TG, Haynes AB, Dziekan G, Berry WR, Lipsitz SR, Gawande AA, et al. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Annals of surgery. 2010 May;251(5):976–80.
Weiser, Thomas G., et al. “Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.Annals of Surgery, vol. 251, no. 5, May 2010, pp. 976–80. Epmc, doi:10.1097/sla.0b013e3181d970e3.
Weiser TG, Haynes AB, Dziekan G, Berry WR, Lipsitz SR, Gawande AA, Safe Surgery Saves Lives Investigators and Study Group. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Annals of surgery. 2010 May;251(5):976–980.

Published In

Annals of surgery

DOI

EISSN

1528-1140

ISSN

0003-4932

Publication Date

May 2010

Volume

251

Issue

5

Start / End Page

976 / 980

Related Subject Headings

  • World Health Organization
  • Surgical Procedures, Operative
  • Surgery
  • Prospective Studies
  • Process Assessment, Health Care
  • Postoperative Complications
  • Middle Aged
  • Male
  • Logistic Models
  • Humans