Observational studyMedicine2016
World Health Organization (WHO) surgical safety checklist implementation and its impact on perioperative morbidity and mortality in an academic medical center in Chile.
Observational study in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis.British journal of anaesthesia · 2018Pooled it
- Adherence to the WHO surgical safety checklist at Tibebe Ghion Specialized Hospital, Ethiopia: a prospective observational study.BMC surgery · 2026Observational
- The association between surgical complications and compliance to the World Health Organization Surgical Safety Checklist: A retrospective analysis of hospital records.Journal of evaluation in clinical practice · 2025Article
- Implementation of the WHO surgical safety checklist in resource-limited Somalia: a new standard in surgical safety.Patient safety in surgery · 2024Article
- The Role of WHO Surgical Checklists in Reducing Postoperative Adverse Outcomes: A Systematic Review.Cureus · 2024Review
- The creation of a pediatric surgical checklist for adult providers.BMC health services research · 2024Review
- Article
- Quality Improvement to Address Surgical Burden of Disease at a Large Tertiary Public Hospital in Peru.World journal of surgery · 2021Article
- How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties.BMC health services research · 2020Article
- Effect Of Surgical Safety Checklists On Gastric Cancer Outcomes: A Single-Center Retrospective Study.Cancer management and research · 2019Article
- Erratum: Medicine, Volume 95, Issue 23: Erratum.Medicine · 2016Article
- A Quality Improvement Initiative to Improve Perioperative Hypothermia Rates in the NICU Utilizing Checklists.Pediatric quality & safetyArticle
- A Quality Improvement Intervention to Decrease Hypothermia in the Delivery Room Using a Checklist.Pediatric quality & safetyArticle
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Health care organizations are unsafe. Numerous centers have incorporated the WHO Surgical Safety Checklist in their processes with good results; however, only limited information is available about its effectiveness in Latin America. We aimed to evaluate the impact of the checklist implementation on the in-hospital morbidity and mortality rate in a tertiary health care center. After Institutional review board approval, and using data from our hospital administrative records, we conducted a retrospective analysis of all surgical encounters (n = 70,639) over the period from January 2005 to December 2012. Propensity scoring (PS) methods (matching and inverse weighting) were used to compare the pre and postintervention period, after controlling for selection bias. After PS matching (n = 29,250 matched pairs), the in-hospital mortality rate was 0.82% [95% confidence interval (CI), 0.73-0.92] before and 0.65% (95% CI, 0.57-0.74) after checklist implementation [odds ratio (OR) 0.73; 95% CI, 0.61-0.89]. The median length of stay was 3 days [interquartile range (IQR), 1-5] and 2 days (IQR, 1-4) for the pre and postchecklist period, respectively (P < 0.01).This is the first Latin American study reporting a decrease in mortality after the implementation of the WHO Surgical Checklist in adult surgical patients. This is a strong and simple tool to make health care safer, especially in developing countries.
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