Application Of Surgical Safety Checklist (WHO) at Al-Yarmouk Teaching hospital
DOI:
https://doi.org/10.61841/aqc2gd45Keywords:
Application Of Surgical Safety Checklist (WHO) at Al-Yarmouk Teaching hospitalAbstract
Surgery-related complications are quite common and often avoidable. We aimed to verify the usefulness of a 19-item Surgical Safety Checklist, based on WHO guidelines, to reduce the rate of complications and deaths associated with non-cardiac surgery.Over a one-year period, a total of 162 patients scheduled for various non-cardiac surgical operations were included in the study. Patients were followed up for up to 30 days after surgical intervention.Using the 19-item surgical safety checklist, the risk of surgical site infection (SSI), respiratory complications, missed gauze, and blood loss requiring transfusion were comparable to UIC results of the World Health Organization (3.7%, 2.4%, 0.69 and 1.85%, respectively). Pulse oximeter was used in 92.5% and site marking in 65.4%. Antibiotic prophylaxis was used in 61.7% of patients in which just 3.7% developed SSI, while the extended regimen used in 38.3% of patients resulted in SSI rate of 9.8%. No mortality was reported during the period of the study.The Surgical Safety Checklist is a simple cheap and effective method to reduce surgical complications in daily clinical practice. We recommend the use of the Surgical Checklist in all operations with modifications made for different surgical specialties.
Downloads
References
1. Weiser TG, Regenbogen SE, Thompson KD, et al. An estimation of the global volume of surgery: modelling strategy based on available data. Lancet 2008;372:139-44.
2. Washington, DC: Population Reference Bureau, 2006. http: / / www. prb. org / world population data sheet, 2006, p. 65
3. Gawande AA, Thomas EJ, Zinner MJ et al. The incidence and nature of surgical adverse events in Colorado and Utah in 1992 Surgery 1999;126: 66-75.
4. World Health Organization. WHO guidelines for safe surgery. Geneva: WHO, 2009 http://whqlibdoc.who.int/publications/2009/9789241598552_eng.pdf
5. World Alliance for Patient Safety. WHO Safe Surgery Saves Lives Guidelines. Geneva: World Health Organization, 2008. http://www.who.int/patientsafety/safesurgery/knowledge_base/WHO_Guidelines_Safe_Surgery_finalJun08.pdf
6. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AHS, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491–9. https://doi.org/10.1056/NEJMsa0810119.
7. Weiser TG, Haynes AB. Ten years of the Surgical Safety Checklist. Br J Surg 2018; 105: 927–929.
8. Latif M. Shinawa, Factors influencing wound infections in abdominal surgery at Al-Yarmouk Teaching Hospital. Iraqi board for medical specialties. Surgery. 2008. Board thesis. p. 23.
9. Dale W. et al., Clinical practice guidelines for antimicrobial prophylaxis in surgery, American Journal of Health-System Pharmacy, Vol 70, Issue 3, 1 Feb 2013: 195–283, https://doi.org/10.2146/ajhp120568.
10. Sukhmeet S. Panesar, The WHO checklist: a global tool to prevent errors in surgery. PSS Journal, 2009.3: 9. http://www.pssjournal.com/content/3/1/9.
11. Seiden SC, Barach P: Wrong side/ wrong - site, wrong procedure, and wrong patient adverse events. Are they preventable? Arch Surg 2006, 141 (9): 931-9.
12. Taylor JA, Brownstein D, Christakis DA, et al.: Use of incident reports by physicians and nurses to document medical errors in pediatric patients. Pediatrics 2004, 114:729-35.
13. Jawaid M, Masood Z, Iqbal SA. Postoperative complications in a general surgical ward of a teaching hospital.
14. Pak J Med Sci 2006; 22: 171-175.
15. Gawande AA, Studdert DM, Orav EJ, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med 2003;348:229–235.
16. Gonazales-Ojeda A, Rodrigues-Alcantar DA, Arenas-Marquez H, et al. Retained foreign bodies following intra-abdominal surgery. Hepatogastroenterology 1999;46:808–812.
17. Cima RR, Kollengode A, Garnatz J, Storsveen A, Weisbrod C, Deschamps C. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg 2008;207:80-7
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Author
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
