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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 International Patient Safety Goals (IPSG) were developed in 2006 by the Joint Commission International (JCI). The goals were adapted from the JCAHO's National Patient Safety Goals. [1] Compliance with IPSG has been monitored in JCI-accredited hospitals since January 2006. [1]
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]
The Agency for Healthcare Research and Quality (AHRQ) is the Federal authority for patient safety and quality of care and has been a leader in pediatric quality and safety. AHRQ has developed Pediatric Quality Indicators (PedQIs) with the goal to highlight areas of quality concern and to target areas for further analysis. [ 122 ]
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.
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A study by 49 academics argued that the dissonance between the 2021 guidelines and the previous guideline was the result of deviating from usual scientific standards of the NICE process. [45] NICE responded that they did follow the standard GRADE approach , and evidence from unblinded trials with subjective outcomes was appropriately downgraded.
OPCS-4, or more formally OPCS Classification of Interventions and Procedures version 4, [1] is the procedural classification used by clinical coders within National Health Service (NHS) hospitals of NHS England, NHS Scotland, NHS Wales and Health and Social Care in Northern Ireland.