Friday, January 30, 2009
Wednesday, January 14, 2009
Surgical checklist 'saves lives'
Using a simple surgical checklist during major operations can cut deaths by more than 40% and complications by more than a third, research has shown.
The National Patient Safety Agency (NPSA) has ordered all hospitals in England and Wales to use it across the board by February 2010.
The checklist, devised by the World Health Organization (WHO), was tested in eight cities around the globe.
The year-long study features online in the New England Journal of Medicine.
Dr Atul Gawande, of Harvard School of Public Health, explains the checks
The checklist is made up of a single page that requires only a few minutes to complete.
It focuses on basic good practice before anaesthesia is administered, before a patient is cut open, and before a patient is removed from the operating theatre, and is designed to promote effective teamwork and prevent problems such as infection and unnecessary blood loss.
It was tested in hospitals in Seattle, Toronto, London, Auckland, Amman, New Delhi, Manila and Ifakara, Tanzania.
In total data was collected from 7,688 patients, 3,733 before the checklist was implemented, and 3,955 afterwards.
The rate of major complications fell from 11% to 7%, and the rate of inpatient deaths following surgery fell more than 40% from 1.5% to 0.8%.
The National Patient Safety Agency (NPSA) has ordered all hospitals in England and Wales to use it across the board by February 2010.
The checklist, devised by the World Health Organization (WHO), was tested in eight cities around the globe.
The year-long study features online in the New England Journal of Medicine.
Dr Atul Gawande, of Harvard School of Public Health, explains the checks
The checklist is made up of a single page that requires only a few minutes to complete.
It focuses on basic good practice before anaesthesia is administered, before a patient is cut open, and before a patient is removed from the operating theatre, and is designed to promote effective teamwork and prevent problems such as infection and unnecessary blood loss.
It was tested in hospitals in Seattle, Toronto, London, Auckland, Amman, New Delhi, Manila and Ifakara, Tanzania.
In total data was collected from 7,688 patients, 3,733 before the checklist was implemented, and 3,955 afterwards.
The rate of major complications fell from 11% to 7%, and the rate of inpatient deaths following surgery fell more than 40% from 1.5% to 0.8%.
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