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The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
The organization promotes the use of checklists before medical surgeries. [8] [9] Use of the checklists reduces surgical mortality and complications.[8]Lifebox organized hospitals to pool their purchasing power to reduce the cost of pulse oximeters from US$2,000 to $250, [8] and distributed 22,000 hospital-grade pulse oximeters.
The checklists are used to screen patients for potential risk factors that can lead to surgical complications, in order to provide appropriate interventions to ensure better surgical outcomes. The checklists target four areas which are known to be highly-influential determinants of surgical outcomes: Nutrition, Glycemic Control, Medication ...
Patient safety factors were suggested to play an important role, with use of the WHO Surgical Safety Checklist associated with reduced mortality at 30 days. Mortality directly related to anesthetic management is less common, and may include such causes as pulmonary aspiration of gastric contents, [19] asphyxiation [20] and anaphylaxis. [21]
An example is the Surgical Safety Checklist developed for the World Health Organization by Dr. Atul Gawande. [7] According to a meta-analysis after introduction of the checklist mortality dropped by 23% and all complications by 40%, but further high-quality studies are required to make the meta-analysis more robust. [8]
In his first few years on the faculty at Johns Hopkins, Makary researched and wrote articles on the prevention of surgical complications. [12] He published on frailty [13] as a medical condition, and on safety and teamwork culture in medicine. Makary is the first author of the original scientific publications describing "The Surgery Checklist ...
The simulation integrates the WHO's surgical safety checklist to reinforce the importance of following the checklist to improve patient outcomes. The Safe Surgery 2020 hospitals received in-person and tele-mentoring training, and education on the Touch Surgery app as well as practical tools such as tablets in each facility for continuous learning.
The Surgical Care and Outcomes Assessment Program (SCOAP) is a clinician-led, performance benchmarking and quality improvement (QI) registry for surgical and interventional procedures. [ 1 ] SCOAP was established in 2005 through a grassroots effort of Washington State's surgical community led by David Flum, MD, MPH, and the state chapter of the ...
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