SynthesisWorld journal of surgery2016
Postoperative Adverse Events Inconsistently Improved by the World Health Organization Surgical Safety Checklist: A Systematic Literature Review of 25 Studies.
Synthesis in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Surgical site infections occurrence and associated risk factors: a matched case-control study.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Review
- Recommendations for Perioperative Care in Liver Resection: The EUPEMEN (EUropean PErioperative MEdical Networking) Protocol.Medicina (Kaunas, Lithuania) · 2025Review
- The EUPEMEN (EUropean PErioperative MEdical Networking) Protocol for Acute Appendicitis: Recommendations for Perioperative Care.Journal of clinical medicine · 2024Article
- Impact of penicillin allergy labels on surgical site infections in a large UK cohort of gastrointestinal surgery patients.JAC-antimicrobial resistance · 2024Article
- A Practical Approach to Predicting Surgical Site Infection Risk Among Patients Before Leaving the Operating Room.Cureus · 2023Article
- The EUPEMEN (EUropean PErioperative MEdical Networking) Protocol for Bowel Obstruction: Recommendations for Perioperative Care.Journal of clinical medicine · 2023Article
- The Role of an Assistant Nurse in Implementing the WHO Surgical Safety Checklist: Perception and Perspectives.Cureus · 2023Article
- Effect of the Surgical Safety Checklist on the incidence of adverse events: contributions from a national study.Revista do Colegio Brasileiro de Cirurgioes · 2022Article
- Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures.Revista do Colegio Brasileiro de Cirurgioes · 2022Article
- Spadework for Establishing Integrative Enhanced Recovery Program After Spine Surgery: Web-Based Survey Assessing Korean Medical Doctors' Perspectives.Journal of pain research · 2022Article
- Article
- Article
- Safe surgery checklist: evaluation in a neotropical region.Revista do Colegio Brasileiro de Cirurgioes · 2021Article
- From box ticking to the black box: the evolution of operating room safety.World journal of urology · 2020Article
- Effect Of Surgical Safety Checklists On Gastric Cancer Outcomes: A Single-Center Retrospective Study.Cancer management and research · 2019Article
- Implementation of the World Health Organization Surgical Safety Checklist Correlates with Reduced Surgical Mortality and Length of Hospital Admission in a High-Income Country.World journal of surgery · 2019Article
- Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study.The Lancet. Infectious diseases · 2018Article
- Effects on Clinical Outcomes of a 5-Year Surgical Safety Checklist Implementation Experience: A Large-scale Population-Based Difference-in-Differences Study.Health services insights · 2018Article
- Changes in safety climate and teamwork in the operating room after implementation of a revised WHO checklist: a prospective interventional study.Patient safety in surgery · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe World Health Organization Surgical Safety Checklist (SSC) has been widely implemented in an effort to decrease surgical adverse events.
methodThis systematic literature review examined the effects of the SSC on postoperative outcomes. The review included 25 studies: two randomised controlled trials, 13 prospective and ten retrospective cohort trials. A meta-analysis was not conducted as combining observational studies of heterogeneous quality may be highly biased.
resultsThe quality of the studies was largely suboptimal; only four studies had a concurrent control group, many studies were underpowered to examine specific postoperative outcomes and teamwork-training initiatives were often combined with the implementation of the checklist, confounding the results. The effects of the checklist were largely inconsistent. Postoperative complications were examined in 20 studies; complication rates significantly decreased in ten and increased in one. Eighteen studies examined postoperative mortality. Rates significantly decreased in four and increased in one. Postoperative mortality rates were not significantly decreased in any studies in developed nations, whereas they were significantly decreased in 75 % of studies conducted in developing nations.
conclusionsThe checklist may be associated with a decrease in surgical adverse events and this effect seems to be greater in developing nations. With the observed incongruence between specific postoperative outcomes and the overall poor study designs, it is possible that many of the positive changes associated with the use of the checklist were due to temporal changes, confounding factors and publication bias.
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