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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A surgical safety checklist to reduce morbidity and mortality in a global population
New England Journal of Medicine, Volume 360, No. 5, Year 2009
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Description
Background: Surgery has become an integral part of global health care, with an estimated 234 million operations performed yearly. Surgical complications are common and often preventable. We 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. Methods: 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. Results: 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). Conclusions: Implementation of the checklist was associated with concomitant reductions in the rates of death and complications among patients at least 16 years of age who were undergoing noncardiac surgery in a diverse group of hospitals. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
Authors & Co-Authors
Haynes, Alex B.
United States, Boston
Massachusetts General Hospital
Weiser, Thomas G.
United States, Boston
Massachusetts General Hospital
United States, Davis
University of California, Davis
Berry, William R.
United States, Boston
Massachusetts General Hospital
Lipsitz, Stuart R.
United States, Boston
Massachusetts General Hospital
Breizat, Abdel Hadi S.
Jordan, Amman
Prince Hamzah Hospital
Dellinger, Evan Patchen
United States, Seattle
University of Washington
Herbosa, Teodoro J.
Philippines, Manila
University of the Philippines Manila
Joseph, Sudhir C.
India, New Delhi
St. Stephen's Hospital, new Delhi
Kibatala, Pascience L.
Tanzania
St. Francis Designated District Hospital
Lapitan, Marie Carmela M.
Philippines, Manila
University of the Philippines Manila
Merry, Alan F.
New Zealand, Auckland
The University of Auckland
Moorthy, Krishna M.
United Kingdom, London
Imperial College Healthcare Nhs Trust
Reznick, Richard K.
Canada, Toronto
University of Toronto
Taylor, Bryce R.
Canada, Toronto
University of Toronto
Gawande, Atul A.
United States, Boston
Massachusetts General Hospital
United States, Boston
Brigham and Women's Hospital
Statistics
Citations: 4,819
Authors: 15
Affiliations: 11
Identifiers
Doi:
10.1056/NEJMsa0810119
ISSN:
00284793
e-ISSN:
15334406
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Study Locations
Tanzania