Key result
WHO Surgical Safety Checklist implementation is linked to ~63% fewer postoperative respiratory complications.
Why the study?
The study was conducted to examine the effectiveness of adherence to the WHO surgical safety checklist.
Does the application of the WHO surgical safety checklist reduce postoperative complications and mortality in patients undergoing surgical interventions?
Cohort (n=6,539)
Yes
Does the application of the WHO surgical safety checklist reduce postoperative complications and mortality in patients undergoing surgical interventions?
Effect estimate: OR 0.372 (95% CI 0.077-1.809)
Absolute Event Rate: 2.2% vs 5.7%
p-value: p=<0.01
Adherence to the WHO surgical safety checklist significantly reduces postoperative complications, mortality, and length of hospital stay.
Checklist use was associated with fewer respiratory complications in this cohort; leaves open confirmation of broader benefits in randomized trials.
The aim of the study was to examine the effectiveness of the adherence to the WHO surgical safety checklist.Material and methods. A comparative analysis of the performance of the surgical departments in two clinics was carried out: in the first clinic the WHO checklist was applied to control the performance of the surgical department; in the second clinic these recommendations were not used. The results of 3012 (first clinic) and 3527 surgical interventions (second clinic) were analyzed. The authors studied the frequency of postoperative complications, the effectiveness when using all the points of the recommendations.Results. The frequency of antibiotic prophylaxis during general surgical operations in clinic I was 89.3%, in clinic II - 63.7%, the frequency of infection in the area of surgical intervention was by 13.2% and up to two times higher in clinic II, mortality rates after surgery were also significantly higher in clinic II; consequently, the duration of inpatient treatment was 8.7 in clinic I versus 16.4 days in clinic II.Conclusion. The adherence to the surgical safety checklist can effectively reduce the number of postoperative complications, mortality, and reduce the time of inpatient treatment.
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Timerbulatov et al. (2021) conducted a cohort in Surgical interventions (n=6,539). WHO Surgical Safety Checklist vs. Standard care (no checklist) was evaluated on Postoperative respiratory complications (OR 0.372, 95% CI 0.077-1.809, p=<0.01). Implementation of the WHO Surgical Safety Checklist reduced the frequency of postoperative respiratory complications to 2.2% compared to 5.7% in the control clinic (OR 0.372).
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