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Reducing Surgical Complication Rates

 

Surgical Complication Rates Dropped 36% on average after introduction of WHO Surgical Safety Checklist

A recent study published in The New England Journal of Medicine, “hypothesized that a program to implement a 19-item surgical safety checklist designed to improve team communication and consistency of care would reduce complications and deaths associated with surgery.

Between October 2007 and September 2008, eight hospitals in eight cities (Toronto, Canada; New Delhi, India; Amman, Jordan; Auckland, New Zealand; Manila, Philippines; Ifakara, Tanzania; London, England; and Seattle, WA) representing a variety of economic circumstances and diverse populations of patients participated in the World Health Organization’s Safe Surgery Saves Lives program.

We prospectively collected data on clinical processes and outcomes from 3733 consecutively enrolled patients 16 years of age or older who were undergoing noncardiac surgery. We subsequently collected data on 3955 consecutively enrolled patients after the introduction of the Surgical Safety Checklist. The primary end point was the rate of complications, including death, during hospitalization within the first 30 days after the operation.

The rate of death was 1.5% before the checklist was introduced and declined to 0.8% afterward (P=0.003). Inpatient complications occurred in 11.0% of patients at baseline and in 7.0% after introduction of the checklist (P<0.001).”

Source: “A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population.” The New England Journal of Medicine, Volume 360:491-499, January 29, 2009 Number 5. http://content.nejm.org/cgi/content/full/NEJMsa0810119

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September 24, 2009 - Posted by | healthcare, quality | , ,

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