Use of the WHO surgical safety checklist in trauma and orthopaedic patients
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The World Health Organisation (WHO) recommends routine use of a surgical safety checklist prior to all surgical operations. The aim of this study was to prospectively audit checklist use in orthopaedic patients before and after implementation of an educational programme designed to increase use and correlate this with early complications, mortality and staff perceptions. Data was collected on 480 patients before the educational program and 485 patients after. Pre-training checklist use was 7.9%. The rates of early complications and mortality were 8.5% and 1.9%, respectively. Forty-seven percent thought the checklist improved team communication. Following an educational program, checklist use significantly increased to 96.9% (RR12.2; 95% CI 9.0–16.6). The rate of early complications and mortality was 7.6% (RR 0.89; 95% CI 0.58–1.37) and 1.6% (RR 0.88; 95% CI 0.34–2.26), respectively. Seventy-seven percent thought the checklist improved team communication. Checklist use was not associated with a significant reduction in early complications and mortality in patients undergoing orthopaedic surgery. Education programs can significantly increase accurate use and staff perceptions following implementation.
- 7.World Alliance for Patient Safety (2008) WHO guidelines for safe surgery. World Health Organisation, GenevaGoogle Scholar
- 8.WHO (2008) The Surgical Safety Checklist. World Health Organisation, Geneva. http://www.who.int/patientsafety/safesurgery/tools_resources/SSSL_Checklist_finalJun08.pdf. Accessed 5 August 2010
- 11.National Patient Safety Agency. (2009) Patient Safety Alert UPDATE. NPSA, London. http://www.npsa.nhs.uk/nrls/alerts-and-directives/alerts/safer-surgery-alert/. Accessed 5 August 2010
- 14.Warwick D, Friedman RJ, Agnelli G et al (2007) Insufficient duration of venous thromboembolism prophylaxis after total hip or knee replacement when compared with the time course of thromboembolic events: findings from the global orthopaedic registry. J Bone Joint Surg Br 89:799–807PubMedCrossRefGoogle Scholar