Ann Surg Case Rep | Volume 2, Issue 3 | Research Article | Open Access

Introduction of Surgical Safety Checklists in a Private Hospital in Mexico City, Does It Really Make a Difference?

Diaz-Giron Gidi A, Faes-Petersen R, Nuccio F, Gonzalez- Chavez M and Villegas-Tovar E

Department of Gastrointestinal and Robotic Surgery, International Surgery México Group, Mexico Department of General Surgery, International Surgery México Group, Mexico Department of Anesthesiology, International Surgery México Group, Mexico Department of General Surgery, Gastro-Specialists Group, Mexico

*Correspondance to: Alejandro Diaz-Giron Gidi 

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Abstract

Background: Evidence from observational studies on the use of surgical safety checklists with improvements in surgical outcomes quickly led to the rapid adoption of these lists worldwide.  Methods: A retrospective analysis was performed in which operative mortality, surgical complications rate, duration of hospital stay and readmission to hospital or emergency department within 30 days after discharge were compared among patients undergoing laparoscopic surgery before and after the adoption of the checklist. 
Results: In the 3 months period before and after the adoption of the surgical safety checklist, 507 laparoscopic procedures were performed (274 without list and 233 with list). There were 57 (11.2%) complications in total. In the risk analysis for 30 days readmission, the following were observed for patients without checklist RR 1.4 (0.90 to 2.23 IC 95%) and for patients with checklist RR 0.73 ((0.54 to 0.98). 95% CI). For complications, it was observed for patients without checklist RR 1.2 (0.89 to
1.62 IC 95%) and for patients with checklist RR 0.82 (0.63 to 1.06 IC 95%).
Conclusion: The implementation of the surgical safety checklist was associated with a decrease in
the number of complications and readmission at 30 days regardless of the score of the surgical
complications scales.

Citation:

Diaz-Giron Gidi A, Faes-Petersen R, Nuccio F, Gonzalez- Chavez M, Villegas-Tovar E. Introduction of Surgical Safety Checklists in a Private Hospital in Mexico City, Does It Really Make a Difference?. Ann Surg Case Rep. 2019; 2(3): 1023..

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