Abstract:
The concept of using a checklist in surgical and anaesthetic practice was energized by publication of the WHO Surgical Safety Checklist in 2008. It was believed that by routinely checking common safety issues, and by better team communication and dynamics, perioperative morbidity and mortality could be improved. The magnitude of improvement demonstrated by the WHO pilot studies was surprising. These initial results have been confirmed by further detailed work demonstrating that surgical checklists, when properly implemented, can make a substantial difference to patient safety. However, introducing surgical checklists is not as straightforward as it seems, and requires leadership, flexibility, and teamwork in a different way to that which is currently practiced. Future work should be aimed at ensuring effective implementation of the WHO Surgical Safety Checklist, which will benefit our patients on a global scale.
摘要:
在手术和麻醉实践中使用检查表的概念在2008年发布的世卫组织手术安全检查表上得到了启发。人们认为,通过例行检查常见的安全问题,通过更好的团队沟通和动态,围手术期发病率和死亡率均有改善。世卫组织试点研究表明的改善幅度令人惊讶。这些初步结果已经得到进一步详细工作的证实,表明手术清单,如果实施得当,可以对患者安全产生重大影响。然而,引入手术清单并不像看起来那么简单,需要领导力,灵活性,和团队合作的方式与目前的做法不同。未来的工作应旨在确保有效实施世卫组织手术安全检查表,这将使我们的患者在全球范围内受益。