Surgical Safety

Standard

This finding appeared today, and it raises all sorts of questions about the quality of care in some hospitals in the US:

South Carolina saw a 22 percent reduction in post-surgical deaths in hospitals that completed a voluntary, statewide program to implement the World Health Organization Surgical Safety Checklist. (1)

In the South Carolina test, 14 hospitals volunteered to use the checklist, and saw a decline in deaths within the thirty days following surgery. Other hospitals in the state saw a slight increase in deaths during the same period. The trial program was run in these hospitals between 2010 and 2013.

The writers make a point that hospitals need to truly commit to the procedure, not treat it  as “a checkbox.”

There are two items that are shocking about this:

  • That the country with the most expensive healthcare in the world needs to learn this from others, and
  • The checklist has been in existence since 2008. (2)

Has your hospital adopted this checklist? If not, do you want to find one that has?

 


Sources:

  1. Alex B. Haynes, Lizabeth Edmondson, Stuart R. Lipsitz, George Molina, Bridget A. Neville, Sara J. Singer, Aunyika T. Moonan, Ashley Kay Childers, Richard Foster, Lorri R. Gibbons, Atul A. Gawande, William R. Berry. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Annals of Surgery, 2017; 1 DOI: 10.1097/SLA.0000000000002249
  2. Institute for Healthcare Improvement, “World Health Organization (WHO) Surgical Safety Checklist and Getting Started Kit.” http://www.ihi.org/resources/Pages/Tools/WHOSurgicalSafetyChecklistGettingStartedKit.aspx
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