Evidence map›Paper›PMID 33776084›Full record

ArticleIndian journal of anaesthesia2021

Implementation and adherence to a speciality-specific checklist for neurosurgery and its influence on patient safety.

Varun Suresh, P R Ushakumari, C Madhusoodanan Pillai, Raja Krishnan Kutty, Rajmohan Bhanu Prabhakar, Anilkumar Peethambaran

Open access · diamondAbstract read
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Article in Indian journal of anaesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Labour epidural checklist - A step towards safety.Indian journal of anaesthesia · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Varun SureshDepartment of Anaesthesiology, Government Medical College, Thiruvananthapuram, Kerala, India.
P R UshakumariDepartment of Anaesthesiology, Government Medical College, Thiruvananthapuram, Kerala, India.
C Madhusoodanan PillaiDepartment of Anaesthesiology, Government Medical College, Thiruvananthapuram, Kerala, India.
Raja Krishnan KuttyDepartment of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Rajmohan Bhanu PrabhakarDepartment of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Anilkumar PeethambaranDepartment of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Government Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsNeurosurgery involves a high level of expertise coupled with enduring and long duration of working hours. There is a paucity of published literature about the experience with a speciality-specific checklist in neurosurgery. We conducted a cross-sectional observational study to identify the adherence to various elements of the Modified World Health Organization Surgical Safety Checklist (WHO SSC) for neurosurgery by the operating room (OR) team.

methodsWe implemented an intra-operative Modified WHO SSC consisting of 40 tools for neurosurgery, in 200 consecutive elective cases. Trained anaesthesiologists assumed the role of checklist co-ordinator. The checklist divided the surgery into 5 phases, each corresponding to a specific time-period. The adherence rates to various tools were evaluated and areas where the checklist prompted a corrective measure were analysed.

resultsA total of 131 cases undergoing craniotomy and 69 cases undergoing spine surgery were studied. With the 40-point modified SSC applied in 200 cases, we analysed a total of 8000 observations. The modified checklist prompted the OR team to adhere to speciality-specific safety practices about application of compression stockings (9.5%); airway precautions in unstable cervical spine (2.5%); precautions for treatment of raised intracranial pressure (10.5%); and intraoperative neuro-monitoring (5%).

conclusionThe implementation of Modified WHO SSC for Neurosurgery, by a designated checklist co-ordinator, can rectify anaesthetic and surgical facets promptly, without increasing the OR time. The anaesthesiologist as SSC coordinator can effectively implement an intraoperative checklist ensuring excellent participation of operating room team members.

Indexed as

Checklistneurosurgeryperioperative care

Identifiers

PMID33776084
PMCPMC7983834
OpenAlexW3128515230

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.