Surgical safety: effectiveness based on collective intelligence and implementation challenges (review)

Cover Page

Cite item

Full Text

Abstract

The authors used databases Scopus, PubMed, Web of Science, MedLine, RSCI for a systematic periodicals review on surgical safety issues published from 2000 to 2022. The literature review has shown that organization of interaction and communication, quality of completion of the checklist, assessment of the clinical effectiveness of the checklist, possibility of adapting the checklist to the conditions of a particular surgical department, increased compliance of healthcare professionals with the use of the surgical safety checklist, possibility of patient participation in completing the checklist appear to be the basic issues requiring a critical look and a prospective discussion. The introduction of individual components of quality control and medical care safety is known to be a rather long and staged process, during which systematic approaches, starting points and control points are repeatedly reviewed. The high level of specialists training and concentration, the need for clear communications within the surgical team, strict follow the preventive rules can serve as the initial guidelines requiring constant training control. The process principle of quality service management and the incorporation of new technologies for optimization filling and digitalization of the checklist will improve the efficiency and effectiveness of surgical safety.

About the authors

A. S. Benyan

Samara State Medical University of the Ministry of Health of Russia

Email: armenbenyan@yandex.ru
ORCID iD: 0000-0003-4371-7426

E. A. Korymasov

Samara State Medical University of the Ministry of Health of Russia

Email: korymasov@mail.ru
ORCID iD: 0000-0001-9732-5212

O. B. Chertukhina

Samara State Medical University of the Ministry of Health of Russia

Email: kaf_ozipo@samsmu.ru
ORCID iD: 0000-0003-2230-7292

D. G. Khranovsky

Samara City Clinical Hospital n. a. N. I. Pirogov

Email: doktordim@yandex.ru
ORCID iD: 0000-0003-3998-410X

M. A. Medvedchikov-Ardiia

Samara State Medical University of the Ministry of Health of Russia; Samara City Clinical Hospital n. a. N. I. Pirogov

Email: medvedchikov@list.ru
ORCID iD: 0000-0002-8884-1677

References

  1. Теряев С. А., Топалов К. П., Развин С. Б. Хирургическая безопасность в многопрофильной больнице: состояние и перспективы // Здравоохранение Дальнего Востока. 2022; 2: 55–59.
  2. Calland J. F., Guerlain S., Adams R. B., Tribble C. G., Foley E., Chekan E. G. A systems approach to surgical safety // Surg Endosc. 2002; 16(6):1005–1014; discussion 1015.
  3. Vincent C., Moorthy K., Sarker S. K., Chang A., Darzi A. W. Systems approaches to surgical quality and safety: from concept to measurement // Ann Surg. 2004; 239(4): 475–482.
  4. Irani J., Legeais D., Madec F. X., Doizi S., Bensalah C. K., Mathieu R., Phé V., Pignot G., Lebacle C. Complications in urological surgery. Prevention // Prog Urol. 2022; 32(14):919–927.
  5. Nishiwaki K., Ichikawa T. WHO Surgical Safety Checklist and guideline for safe surgery 2009 // Masui. 2014; 63(3): 246–254.
  6. Helmreich R. L. On error management: lessons from aviation. BMJ. 2000; 320(7237): 781–785.
  7. Акопов А. Л., Бечвая Г. Т., Абрамян А. А., Лоцман Е. В. Хирургический опросник безопасности: от идеи к практическому применению // Вестник хирургии им. И. И. Грекова. 2016; 175(4): 84–88.
  8. Ferraiuolo F., Dante A., Petrucci C., Güvenç G., Lancia L. The implementation of the WHO’s Surgical Safety Checklist by Italian operating teams: a descriptive study // Florence Nightingale J Nurs. 2022; 30(1): 48–54.
  9. White M. C., Ahuja S., Peven K., McLean S.R., Hadi D., Okonkwo I., Clancy O., Turner M., Henry J. C.A., Sevdalis N. Scaling up of safety and quality improvement interventions in perioperative care: a systematic scoping review of implementation strategies and effectiveness // BMJ Glob Health. 2022; 7(10): e010649.
  10. Матыцин Н. О., Иванов И. В., Габуния Н. Ю., Таривердиев М. Л. Использование универсального протокола для обеспечения хирургической безопасности // Вестник Росздравнадзора. 2021; 4: 46–51.
  11. Papadakis M., Meiwandi A., Grzybowski A. The WHO safer surgery checklist time out procedure revisited: Strategies to optimise compliance and safety // Int J Surg. 2019; 69: 19–22.
  12. Hannam J. A., Glass L., Kwon J., Windsor J., Stapelberg F., Callaghan K., Merry A. F., Mitchell S. J. A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist // BMJ Qual Saf. 2013; 22(11): 940–947.
  13. Russ S., Rout S., Caris J., Mansell J., Davies R., Mayer E., Moorthy K., Darzi A., Vincent C., Sevdalis N. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study // J Am Coll Surg. 2015; 220(1): 1–11.
  14. Arad D., Finkelstein A., Rozenblum R., Magnezi R. Patient safety and staff psychological safety: A mixed methods study on aspects of teamwork in the operating room // Front Public Health. 2022; 10: 1060473.
  15. Ramírez-Torres C.A., Pedraz-Marcos A., Maciá-Soler M.L., Rivera-Sanz F. A scoping review of strategies used to implement the Surgical Safety Checklist // AORN J. 2021; 113(6): 610–619.
  16. Шнейдер В. А. Безопасность пациентов и медицинского персонала при оказании медицинской помощи в учреждении хирургического профиля // Медсестра. 2020; 11: 75–79.
  17. Moyal-Smith R., Etheridge J. C., Lim S. R., Sonnay Y., Tan H. K., Yong T. T., Havens J. M., Brindle M. E. Creating a high-performance surgical safety checklist: A multimodal evaluation plan to reinvigorate the checklist // J Eval Clin Pract. 2022. doi: 10.1111/jep.13778. Epub ahead of print. PMID: 36214111.
  18. Oak S. N., Dave N. M., Garasia M. B., Parelkar S. V. Surgical checklist application and its impact on patient safety in pediatric surgery // J Postgrad Med. 2015; 61(2): 92–94.
  19. White M. C., Randall K., Capo-Chichi N.F.E., Sodogas F., Quenum S., Wright K., Close K. L., Russ S., Sevdalis N., Leather A. J.M. Implementation and evaluation of nationwide scale-up of the Surgical Safety Checklist // Br J Surg. 2019; 106(2): e91-e102.
  20. Карсанов А. М., Полунина Н. В., Гогичаев Т. К. Безопасность пациентов в хирургии. Часть 2: Программа менеджмента качества хирургического лечения // Медицинские технологии. 2019; 1: 56–65.
  21. Тимербулатов Ш. В., Тимербулатов М. В., Гафарова А. Р., Тимербулатов В. М. Оценка эффективности контрольного списка хирургической безопасности ВОЗ // Новости хирургии. 2019; 27(6): 683–690.
  22. Kasatpibal N., Senaratana W., Chitreecheur J., Chotirosniramit N., Pakvipas P., Junthasopeepun P. Implementation of the World Health Organization surgical safety checklist at a university hospital in Thailand // Surg Infect (Larchmt). 2012; 13(1):50–56.
  23. Girma T., Mude L. G., Bekele A. Utilization and completeness of Surgical Safety Checklist with associated factors in surgical units of Jimma University Medical Center, Ethiopia // Int J Gen Med. 2022; 15: 7781–7788.
  24. Vogts N., Hannam J. A., Merry A. F., Mitchell S. J. Compliance and quality in administration of a Surgical Safety Checklist in a tertiary New Zealand hospital // N Z Med J. 2011; 124(1342): 48–58.
  25. Gasoma E. B.Y. Retrospective audit in documentation practice in surgical inpatients records, a two cycles audit // Ir J Med Sci. 2022. Epub ahead of print. PMID: 36409424.
  26. Russ S., Rout S., Sevdalis N., Moorthy K., Darzi A., Vincent C. Do safety checklists improve teamwork and communication in the operating room? A systematic review // Ann Surg. 2013; 258(6): 856–871.
  27. Haugen A. S., Søfteland E., Almeland S. K., Sevdalis N., Vonen B., Eide G. E., Nortvedt M. W., Harthug S. Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial // Ann Surg. 2015; 261(5): 821–828.
  28. Lorkowski J., Maciejowska-Wilcock I., Pokorski M. Causes and effects of introducing surgery safety checklist: a review // Adv Exp Med Biol. 2021; 1335: 53–62.
  29. Brima N., Morhason-Bello I.O., Charles V., Davies J., Leather A. J. Improving quality of surgical and anaesthesia care in sub-Saharan Africa: a systematic review of hospital-based quality improvement interventions // BMJ Open. 2022; 12(10): e062616.
  30. Кащенко В. А., Куликов О. В., Ратников В. А., Горелов В. П., Лодыгин А. В. Критерии интраоперационного контроля безопасности в хирургическом чек-листе. Первый опыт внедрения // Менеджмент качества в медицине. 2022; 2: 72–79.
  31. Черкашин М. А., Березина Н. А., Куплевацкий В. И., Серов А. В., Мефодовский А. А. Хирургический контрольный лист в управлении гибридной операционной // Ангиология и сосудистая хирургия. 2016; 22(2): 54–58.
  32. de Vries E. N., Prins H. A., Bennink M. C., Neijenhuis P., van Stijn I., van Helden S. H., van Putten M. A., Smorenburg S. M., Gouma D. J., Boermeester M. A. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients // BMJ Qual Saf. 2012; 21(6): 503–508.
  33. Etheridge J. C., Moyal-Smith R., Lim S. R., Yong T. T., Tan H. K., Lim C., Rothbard S., Murray E. J., Sonnay Y., Brindle M. E., Havens J. M. Implementation of a Device Briefing Tool reduces interruptions in surgery: A nonrandomized controlled pilot trial // Surgery. 2023: S0039–6060 (22) 01038-8.
  34. Munthali J., Pittalis C., Bijlmakers L., Kachimba J., Cheelo M., Brugha R., Gajewski J. Barriers and enablers to utilisation of the WHO surgical safety checklist at the university teaching hospital in Lusaka, Zambia: a qualitative study // BMC Health Serv Res. 2022; 22(1): 894.
  35. Hawkins J., Rangel U. J.S., Tesfaye A., Gebeyehu N., Weiser T. G., Bitew S., Mammo T. N., Starr N. Bridging the know-do gap in low-income surgical environments: Creating contextually appropriate training videos to promote safer surgery in Ethiopia // Surg Open Sci. 2022; 11: 40–44.
  36. Мухамадеев М. Ф., Осокина Е. Г., Каримова Р. Б. Стандартизация процесса безопасной хирургии в многопрофильном стационаре на примере БСМП города Набережные Челны // Менеджмент качества в медицине. 2019; 2: 68–71.
  37. Papaconstantinou H. T., Jo C., Reznik S. I., Smythe W. R., Wehbe-Janek H. Implementation of a surgical safety checklist: impact on surgical team perspectives // Ochsner J. 2013; 13(3): 299–309.
  38. Harris K., Søfteland E., Moi A. L., Harthug S., Storesund A., Jesuthasan S., Sevdalis N., Haugen A. S. Patients’ and healthcare workers’ recommendations for a surgical patient safety checklist – a qualitative study // BMC Health Serv Res. 2020; 20(1): 43.
  39. Howard R., Yin Y. S., McCandless L., Wang S., Englesbe M., Machado-Aranda D. Taking control of your surgery: impact of a Prehabilitation Program on major abdominal surgery // J Am Coll Surg. 2019; 228(1):72–80
  40. Ljungqvist O., Scott M., Fearon K. C. Enhanced Recovery After Surgery: a review // JAMA Surg. 2017; 152(3): 292–298.
  41. Ярцев С. Е., Хилько Н. А., Барадулин А. А., Лагутова Е. А., Бродер И. А., Гиберт Б. К., Маркова О. П. Хирургическая безопасность по рекомендациям Росздравнадзора. Опыт Областной клинической больницы № 1, г. Тюмень // Управление качеством в здравоохранении. 2019; 4: 22–27.
  42. Gawande A. A., Thomas E. J., Zinner M. J., Brennan T. A. The incidence and nature of surgical adverse events in Colorado and Utah in 1992 // Surgery. 1999; 126(1): 66–75.
  43. Haynes A. B., Weiser T. G., Berry W. R., Lipsitz S. R., Breizat A. H., Dellinger E. P., Herbosa T., Joseph S., Kibatala P. L., Lapitan M. C., Merry A. F., Moorthy K., Reznick R. K., Taylor B., Gawande A. A. Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global population // N Engl J Med. 2009; 360(5): 491–499.
  44. Kavak G., Kırçıl C., Pelgur H., Topçu E., Yanmaz Erdoğmuş E., Ayabakan T., Acaroglu E. R. Implementing an infection control checklist may not be effective in reducing the incidence of surgical site infections in spinal surgery // J Infect Prev. 2022; 23(6): 269–277.
  45. Pugel A. E., Simianu V. V., Flum D. R., Patchen Dellinger E. Use of the surgical safety checklist to improve communication and reduce complications // J Infect Public Health. 2015; 8(3): 219–225.
  46. Gul F., Nazir M., Abbas K., Khan A. A., Malick D. S., Khan H., Kazmi S. N.H., Naseem A. O. Surgical safety checklist compliance: The clinical audit // Ann Med Surg (Lond). 2022; 81: 104397.
  47. Ranganathan P., Gogtay N. J. Improving peri-operative patient care: the surgical safety checklist // J Postgrad Med. 2015; 61(2): 73–74.
  48. Elam M. E., Louis C. J., Brindle M. E., Woodson J., Greece J. A. Using i-PARIHS to assess implementation of the Surgical Safety Checklist: an international qualitative study // BMC Health Serv Res. 2022; 22(1):1284.
  49. Lorkowski J, Maciejowska-Wilcock I, Pokorski M. Compliance with the Surgery Safety Checklist: an update on the status // Adv Exp Med Biol. 2022; 1374: 1–9.
  50. Treadwell J. R., Lucas S., Tsou A. Y. Surgical checklists: a systematic review of impacts and implementation // BMJ Qual Saf. 2014; 23(4): 299–318.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies