![]() ![]() In a recent observational study, the interaction between the timeout participants was found to be complete in only half of 200 observed elective surgeries, indicating that important items may be missed. This report found substantial heterogeneity of the available studies on the topic, particularly regarding study design, setting, and surgical specialty. On the other hand, a well-performed meta-analysis found mixed, less encouraging impact of surgical checklists on mortality and complications. ![]() In contemporary practice, over three quarters of hospitals worldwide use surgical checklist timeouts. ![]() Similarly, a large epidemiologic study demonstrated a reduction in mortality by an OR of 0.6. Another review confirmed decreases in complications, mortality and surgical site infections by odds ratios (OR) of 0.59, 0.77, and 0.57, respectively. The adaptability of checklists to the healthcare environment has been critically appraised, particularly because of the complexity of the individual items and their narrative, unreproducible measures of compliance, and variability in outcome.Ī systematic review of 20 published studies found that implementation of a surgical checklist had the potential of decreasing mortality by 47 to 62 percent, and morbidity by around one third. Checklists may be implemented in the form of mnemonics, printed lists, posters, or electronic means. On this basis, surgical safety checklists were created to improve team communication, create a systematic and comprehensive review of critical datapoints, assure the execution of important tasks, and flatten the hierarchy that often characterizes the culture of surgical teams, with an ultimate goal to improve patient safety. They are often used in aerospace environments, where they have been extensively studied shown to improve aviation safety. In our hospital, a standardized team-timeout routine, based on the WHO checklist, is performed before every operation.Ĭhecklists are lists of crucial tasks to be addressed in a specific order so that no important steps are forgotten. Since then, the preoperative timeout procedure has been implemented in most operating rooms, and most pediatric surgery units. In 2008 the World Health Organization (WHO) launched a Surgical Safety Checklist as part of the Global Patient Safety Challenge in an effort to reduce surgical morbidity and mortality worldwide. ![]()
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