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International Orthopaedics
Published in: International Orthopaedics 6/2011

01-06-2011 | Original Paper

Use of the WHO surgical safety checklist in trauma and orthopaedic patients

Authors: Mathew Sewell, Miriam Adebibe, Prakash Jayakumar, Charlie Jowett, Kin Kong, Krishna Vemulapalli, Brian Levack

Published in: International Orthopaedics | Issue 6/2011

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Abstract

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.
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Metadata
Title
Use of the WHO surgical safety checklist in trauma and orthopaedic patients
Authors
Mathew Sewell
Miriam Adebibe
Prakash Jayakumar
Charlie Jowett
Kin Kong
Krishna Vemulapalli
Brian Levack
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-1112-7

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