Abstract
Objective
To provide guidance on the implementation of a surgical safety checklist in the practice
of obstetrics and gynaecology.
Outcomes
Outcomes evaluated include the impact of the surgical safety checklist on surgical
morbidity and mortality.
Evidence
Medline databases were searched for articles on subjects related to “surgical safety
checklist” published in English from January 2001 to January 2011. Results were restricted
to systematic reviews, randomized control trials/controlled clinical trials, and observational
studies. Searches were updated on a regular basis and incorporated in the guideline
to January 2012.
Values
The quality of evidence was rated with use of the criteria described by the Canadian
Task Force on Preventive Health Care. Recommendations for practice were ranked according
to the method described by the Task Force (Table).
Benefits, harms, and costs
Implementation of the guideline recommendations will improve the health and well-being
of women undergoing obstetrical or gynaecologic surgery.
Summary Statements
- 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).
Recommendations
- 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).
Key Words
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References
- Kohn L.T. Corrigan J.M. Donaldson M.S. To err is human: building a safer health system. National Academy Press, Washington, DC2000
- The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada.CMAJ. 2004; 170: 1678-1686
- The incidence and nature of in-hospital adverse events: a systematic review.Qual Saf Health Care. 2008; 17: 216-223
- Communication failures in the operating room: an observational classification of recurrent types and effects.Qual Saf Health Care. 2004; 13: 330-334
- A surgical safety checklist to reduce morbidity and mortality in a global population.N Engl J Med. 2009; 360: 491-499
- Effect of a comprehensive surgical safety system on patient outcomes.N Engl J Med. 2010; 363: 1928-1937
- Surgical safety checklist online.World Health Organization, Geneva2010 (Available at)http://whqlibdoc.who.int/publications/2009/9789241598590_eng_checklist.pdfDate accessed: December 10, 2011
- Surgical safety checklist online Edmonton: Canadian Patient Safety Institute.(Available at)http://signup.patientsafetyinstitute.ca/English/toolsResources/sssl/Pages/SurgicalSafetyChecklist.aspxDate: 2010Date accessed: December 10, 2011
- Applying the World Health Organization Surgical Safety Checklist to obstetrics and gynaecology.Obstet Gynaecol Reprod Med. 2011; 21: 24-26
- 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
Article info
Publication history
No. 286, January 2013 (Reaffirmed March 2018)
Footnotes
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.
Identification
Copyright
Copyright © 2018 Published by Elsevier Inc. on behalf of The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada
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- N° 286-Liste de contrôle de la sécurité chirurgicale en obstétrique-gynécologieJournal of Obstetrics and Gynaecology Canada Vol. 40Issue 3
