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The WHO Surgical Safety Checklist

The WHO Surgical Safety Checklist. Metastar January 25 th , 2011. Discussion Topics. Checklist background Checklist spread. The Problem. The 3 Central Problems in Surgical Safety Throughout the World. Unrecognized as public health issue Lack of data on surgery and outcomes

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The WHO Surgical Safety Checklist

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  1. The WHO Surgical Safety Checklist Metastar January 25th, 2011

  2. Discussion Topics • Checklist background • Checklist spread

  3. The Problem

  4. The 3 Central Problems in Surgical Safety Throughout the World • Unrecognized as public health issue • Lack of data on surgery and outcomes • We know what to do, but we don’t do it consistently

  5. Global Annual Procedure Rates Source: WHO, 2008

  6. The Safe Surgery Saves Lives Programme

  7. Guiding Principles • Simple • Widely applicable • Measurable • Address serious and avoidable surgical complications • Zero harm from the Checklist

  8. Process Leading to Checklist • Brainstorming • Analyzing • Expert Meeting • Small Working Groups • Assembling • Small Scale Testing/Modification • Pilot Study • Launch and Dissemination

  9. Four Categories for Surgical Standards:

  10. Why a Checklist?

  11. Pilot Study

  12. International Pilot Study 8 Evaluation Sites - Nearly 8,000 Patients EURO EMRO PAHO I London, UK Amman, Jordan Toronto, Canada WPRO I Manila, Philippines PAHO II Seattle, USA WPRO II AFRO Auckland, NZ Ifakara, Tanzania SEARO New Delhi, India

  13. Outcomes at Baseline

  14. Results - Process Measures

  15. Results – All Sites

  16. Change in Death and Complications by Income Classification * p<0.05

  17. Survey of Attitudes to Checklist Use Among Clinicians at Study Site (n=229)

  18. A Deeper Look at the Checklist

  19. TEAMWORK

  20. What is not here?

  21. Joint Commission Universal Protocol SCIP Measure

  22. WHO

  23. Joint Commission Universal Protocol SCIP Measures Joint Commission Universal Protocol

  24. WHO WHO

  25. Standard of Practice

  26. WHO WHO

  27. Where is the Checklist Today

  28. 1,789 3,924 as of 12-8-2010

  29. 1,789 3,924 as of 12-8-2010 Participating Hospitals: 3,924 Actively Using the Checklist: 1,789

  30. For More Information : www.safesurg.org www.who.int/safesurgerywww.ihi.org Email us at:safesurgery@hsph.harvard.edu

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