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The WHO Surgical Safety Checklist. Metastar January 25 th , 2011. Discussion Topics. Checklist background Checklist spread. The Problem. The 3 Central Problems in Surgical Safety Throughout the World. Unrecognized as public health issue Lack of data on surgery and outcomes
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The WHO Surgical Safety Checklist Metastar January 25th, 2011
Discussion Topics • Checklist background • Checklist spread
The 3 Central Problems in Surgical Safety Throughout the World • Unrecognized as public health issue • Lack of data on surgery and outcomes • We know what to do, but we don’t do it consistently
Global Annual Procedure Rates Source: WHO, 2008
Guiding Principles • Simple • Widely applicable • Measurable • Address serious and avoidable surgical complications • Zero harm from the Checklist
Process Leading to Checklist • Brainstorming • Analyzing • Expert Meeting • Small Working Groups • Assembling • Small Scale Testing/Modification • Pilot Study • Launch and Dissemination
International Pilot Study 8 Evaluation Sites - Nearly 8,000 Patients EURO EMRO PAHO I London, UK Amman, Jordan Toronto, Canada WPRO I Manila, Philippines PAHO II Seattle, USA WPRO II AFRO Auckland, NZ Ifakara, Tanzania SEARO New Delhi, India
Change in Death and Complications by Income Classification * p<0.05
Survey of Attitudes to Checklist Use Among Clinicians at Study Site (n=229)
Joint Commission Universal Protocol SCIP Measure
Joint Commission Universal Protocol SCIP Measures Joint Commission Universal Protocol
WHO WHO
WHO WHO
1,789 3,924 as of 12-8-2010
1,789 3,924 as of 12-8-2010 Participating Hospitals: 3,924 Actively Using the Checklist: 1,789
For More Information : www.safesurg.org www.who.int/safesurgerywww.ihi.org Email us at:safesurgery@hsph.harvard.edu