Benefits, harms, and costs
- 1.Surgery may account for up to 40% of all hospital adverse events (II-2).
- 2.Good communication is essential for safer surgical care, as communication failure is common in the operating room (III).
- 3.The concept of a surgical safety checklist has been studied globally, and there have been decreases in complications and mortality when the checklist has been implemented (II-1).
- 4.Emergency cases such as a “crash” Caesarean section will require a modified approach that is centre- and situation- dependent (III).
- 5.The SOGC endorses the adoption of the surgical safety checklist in obstetrics and gynaecology (III).
- 1.The surgical safety checklist should be adopted by all surgical care providers and their respective institutions to improve patient safety (II-1A).
- 2.Surgeons should be familiar with, advocate for the use of, and participate in all 3 parts of the surgical safety checklist (II-1A).
- 3.The surgical safety checklist may be modified and adapted for use in surgical obstetrics cases (II-2A).
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- The incidence and nature of in-hospital adverse events: a systematic review.Qual Saf Health Care. 2008; 17: 216-223
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- Effect of A 19-item surgical safety checklist during urgent operations in a global patient population.Ann Surg. 2010; 251: 976-980
- RCOG statement on the NPSA surgical checklist for maternity.(January 25; Available at)http://www.rcog.org.uk/what-we-do/campaigning-and-opinions/statement/rcog-statement-npsa-surgical-checklist-maternityDate: 2011Date accessed: November 2, 2012
- Patient safety in the surgical environment. Committee Opinion No. 464.Obstet Gynecol. 2010; 116: 786-790
This document reflects emerging clinical and scientific advances on the date issued, and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. Local institutions can dictate amendments to these opinions. They should be well-documented if modified at the local level. None of these contents may be reproduced in any form without prior written permission of the publisher.
Women have the right and responsibility to make informed decisions about their care in partnership with their health care providers. In order to facilitate informed choice women should be provided with information and support that is evidence based, culturally appropriate and tailored to their needs. The values, beliefs and individual needs of each woman and her family should be sought and the final decision about the care and treatment options chosen by the woman should be respected.