RSS-Feed abonnieren
DOI: 10.1055/s-0044-1800917
Enhancing Surgical Outcomes: Evaluating the Impact of Implementing the World Health Organization Surgical Safety Checklist—A Prospective Cross-Sectional Study
Funding None.Abstract
Background Globally, surgical care plays a vital role in health care. Unfortunately, complications arise in approximately 5 to 18% of surgical procedures. However, research has shown that following the surgical safety checklist provided by the World Health Organization (WHO) can significantly reduce these complications and surgery-related fatalities. The objective of this study was to assess the accuracy and completion of the WHO Surgical Safety Checklist.
Materials and Method From October 3, 2022 to February 28, 2023, a comprehensive observational study was conducted involving 300 patients who underwent elective and emergency surgeries. The completion rates for the different stages of surgery, namely sign-in, time-out, and sign-out, were determined using the SPSS 22.0 software.
Result In our research, we specifically examined the completion of the checklist for 300 patients who underwent important procedures within a span of 5 months. For each patient, we ensured that their identities, procedures, and consent were verified with a 100% success rate. Additionally, we thoroughly checked the anesthesia equipment and drugs for safety in every case. Furthermore, all essential images were consistently displayed for each patient, achieving a 100% adherence to this crucial aspect of the process.
Conclusion In general, the level of completeness of the checklist was satisfactory across the sign-in, time-out, and sign-out phases. While this study did not assess the specific outcomes, it is presumed that incomplete data may have exposed patients to potential perioperative complications.
Authors' Contributions
E.G. contributed to the study design, data acquisition, drafting, and critical revision of the article, and provided final approval of the manuscript. M.M. was involved in data acquisition and also approved the manuscript. Both authors have thoroughly reviewed and approved the final version of the manuscript.
Availability of Data and Material
All data generated or analyzed during this study were included in this published article. Although some data that support the findings of this study are available from Ribat University Hospital authority, restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of Ribat University Hospital authority.
Ethical Approval
The ethical approval was obtained from the ethics committee of Ribat University Hospital authority on 11/8/2022 no.111/33. Experimental protocols were approved by Ribat University Hospital authority licensing committee and the study protocol were performed in accordance with the relevant guidelines applied at the hospital.
Patients' Consent
The data used in the study are anonymized and informed consents were obtained from the participants.
Publikationsverlauf
Eingereicht: 12. September 2024
Angenommen: 21. November 2024
Artikel online veröffentlicht:
12. Dezember 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Weiser TG, Haynes AB. Ten years of the surgical safety checklist: ten years of the surgical safety checklist. Br J Surg 2018; 105 (08) 927-929
- 2 Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis. J Am Coll Surg 2021; 233 (06) 794-809.e8
- 3 Ronsmans C, Graham WJ. Lancet Maternal Survival Series steering group. Maternal mortality: who, when, where, and why. Lancet 2006; 368 (9542) 1189-1200
- 4 Cohen TN, Gewertz BL, Shouhed D. A human factors approach to surgical patient safety. Surg Clin North Am 2021; 101 (01) 1-13
- 5 Ambulkar R, Ranganathan P, Salunke K, Savarkar S. The World Health Organization Surgical Safety Checklist: An audit of quality of implementation at a tertiary care high volume cancer institution. J Anaesthesiol Clin Pharmacol 2018; 34 (03) 392-398
- 6 Melekie TB, Getahun GM. Compliance with surgical safety checklist completion in the operating room of university of gondar hospital, northwest Ethiopia. BMC Res Notes 2015; 8 (01) 361
- 7 Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis. J Am Coll Surg 2021; 233 (06) 794-809.e8
- 8 Panda N, Haynes AB. Effective implementation and utilization of checklists in surgical patient safety. Surg Clin North Am 2021; 101 (01) 37-48
- 9 Schwendimann R, Blatter C, Lüthy M. et al. Adherence to the WHO surgical safety checklist: an observational study in a Swiss academic center. Patient Saf Surg 2019; 13 (01) 14
- 10 Harris K, Søfteland E, Moi AL. et al. Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study. BMC Health Serv Res 2020; 20 (01) 43
- 11 Kawaguchi AL, Kao LS. Teamwork and surgical team-based training. Surg Clin North Am 2021; 101 (01) 15-27
- 12 Rosen CB, Kelz RR. Processes to create a culture of surgical patient safety. Surg Clin North Am 2021; 101 (01) 29-36
- 13 Tostes MFDP, Galvão CM. Surgical safety checklist: benefits, facilitators, and barriers in the nurses' perspective [in Portuguese]. Rev Gaúcha Enferm 2019; 40 (spe): e20180180
- 14 Tully PA, Ng B, McGagh D. et al. Improving the WHO Surgical Safety Checklist sign-out. BJS Open 2021; 5 (03) zrab028
- 15 Haugen AS, Wæhle HV, Almeland SK. et al. Causal analysis of World Health Organization's Surgical Safety Checklist implementation quality and impact on care processes and patient outcomes: secondary analysis from a large stepped wedge cluster randomized controlled trial in Norway. Ann Surg 2019; 269 (02) 283-290
- 16 Westman M, Takala R, Rahi M, Ikonen TS. The need for surgical safety checklists in neurosurgery now and in the future-a systematic review. World Neurosurg 2020; 134: 614-628.e3
- 17 Manamela LM, Rasweswe MM, Mooa RS. Factors contributing to non-adherence of the peri-operative surgical team to WHO surgical safety checklist in the Kingdom of Saudi Arabia. Perioper Care Oper Room Manag 2022; 29: 100292
- 18 Krupic F, Svantesson E, Seffo N, Westin O, Hamrin Senorski E. Use of the World Health Organization Checklist-Swedish Health Care Professionals' Experience: a mixed-method study. J Perianesth Nurs 2020; 35 (03) 288-293
- 19 de Santana Lemos C, de Brito Poveda V. Evaluation of nursing actions in anesthesia guided by the Patient Safety Checklist: Nursing in Anesthetic Procedure (PSC/NAP): a cross-sectional study. J Perianesth Nurs 2020; 35 (06) 635-641
- 20 Agha R, Abdall-Razak A, Crossley E, Dowlut N, Iosifidis C, Mathew G. STROCSS Group. STROCSS 2019 Guideline: strengthening the reporting of cohort studies in surgery. Int J Surg 2019; 72: 156-165
- 21 Borchard A, Schwappach DLB, Barbir A, Bezzola P. A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Ann Surg 2012; 256 (06) 925-933
- 22 Kasatpibal N, Senaratana W, Chitreecheur J, Chotirosniramit N, Pakvipas P, Junthasopeepun P. Implementation of the World Health Organization surgical safety checklist at a university hospital in Thailand. Surg Infect (Larchmt) 2012; 13 (01) 50-56
- 23 Lingard L, Espin S, Rubin B. et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Qual Saf Health Care 2005; 14 (05) 340-346
- 24 Bashford T, Reshamwalla S, McAuley J, Allen NH, McNatt Z, Gebremedhen YD. Implementation of the WHO surgical safety checklist in an Ethiopian referral hospital. Patient Saf Surg 2014; 8 (01) 16
- 25 Epstein RH, Dexter F, Maga JM, Marian AA. Evaluation of the start of surgical closure as a milestone for forecasting the time remaining to exit the operating room: a retrospective, observational cohort study. Perioper Care Oper Room Manag 2022; 29: 100280
- 26 Domingo L, Sala M, Miret C. et al. Perceptions from nurses, surgeons, and anesthetists about the use and benefits of the surgical checklist in a teaching hospital. J Healthc Qual Res 2022; 37 (01) 52-59
- 27 Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes?. Br J Anaesth 2012; 109 (01) 47-54