Literature DB >> 29140848

Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative.

Alex B Haynes1, Lizabeth Edmondson, Stuart R Lipsitz, George Molina, Bridget A Neville, Sara J Singer, Aunyika T Moonan, Ashley Kay Childers, Richard Foster, Lorri R Gibbons, Atul A Gawande, William R Berry.   

Abstract

OBJECTIVE: To determine whether completion of a voluntary, checklist-based surgical quality improvement program is associated with reduced 30-day postoperative mortality.
BACKGROUND: Despite evidence of efficacy of team-based surgical safety checklists in improving perioperative outcomes in research trials, effective methods of population-based implementation have been lacking. The Safe Surgery 2015 South Carolina program was designed to foster state-wide engagement of hospitals in a voluntary, collaborative implementation of a checklist program.
METHODS: We compared postoperative mortality rates after inpatient surgery in South Carolina utilizing state-wide all-payer discharge claims from 2008 to 2013, linked with state vital statistics, stratifying hospitals on the basis of completion of the checklist program. Changes in risk-adjusted 30-day mortality were compared between hospitals, using propensity score-adjusted difference-in-differences analysis.
RESULTS: Fourteen hospitals completed the program by December 2013. Before program launch, there was no difference in mortality trends between the completion cohort and all others (P = 0.33), but postoperative mortality diverged thereafter (P = 0.021). Risk-adjusted 30-day mortality among completers was 3.38% in 2010 and 2.84% in 2013 (P < 0.00001), whereas mortality among other hospitals (n = 44) was 3.50% in 2010 and 3.71% in 2013 (P = 0.3281), reflecting a 22% difference between the groups on difference-in-differences analysis (P = 0.0021).
CONCLUSIONS: Despite similar pre-existing rates and trends of postoperative mortality, hospitals in South Carolina completing a voluntary checklist-based surgical quality improvement program had a reduction in deaths after inpatient surgery over the first 3 years of the collaborative compared with other hospitals in the state. This may indicate that effective large-scale implementation of a team-based surgical safety checklist is feasible.

Mesh:

Year:  2017        PMID: 29140848     DOI: 10.1097/SLA.0000000000002249

Source DB:  PubMed          Journal:  Ann Surg        ISSN: 0003-4932            Impact factor:   12.969


  14 in total

1.  From box ticking to the black box: the evolution of operating room safety.

Authors:  Mitchell G Goldenberg; Dean Elterman
Journal:  World J Urol       Date:  2019-07-30       Impact factor: 4.226

2.  Compliance with the Surgery Safety Checklist: An Update on the Status.

Authors:  Jacek Lorkowski; Izabella Maciejowska-Wilcock; Mieczyslaw Pokorski
Journal:  Adv Exp Med Biol       Date:  2022       Impact factor: 2.622

3.  Improving patient safety during intrahospital transportation of mechanically ventilated patients with critical illness.

Authors:  Shwu-Jen Lin; Chin-Yuan Tsan; Mao-Yuan Su; Chao-Ling Wu; Li-Chin Chen; Hsiu-Jung Hsieh; Wei-Ling Hsiao; Jui-Chen Cheng; Yao-Wen Kuo; Jih-Shuin Jerng; Huey-Dong Wu; Jui-Sheng Sun
Journal:  BMJ Open Qual       Date:  2020-04

4.  Patient experience and reflective learning (PEARL): a mixed methods protocol for staff insight development in acute and intensive care medicine in the UK.

Authors:  Olivia Brookes; Celia Brown; Carolyn Tarrant; Julian Archer; Duncan Buckley; Lisa Marie Buckley; Ian Clement; Felicity Evison; Fang Gao Smith; Chris Gibbins; Emma Hayton; Jennifer Jones; Richard Lilford; Randeep Mullhi; Greg Packer; Gavin Perkins; Jonathan Shelton; Catherine Snelson; Paul Sullivan; Ivo Vlaev; Daniel Wolstenholme; Stephen E Wright; Julian Bion
Journal:  BMJ Open       Date:  2019-07-24       Impact factor: 2.692

5.  Twenty-year study of in-hospital and postdischarge mortality following emergency general surgical admission.

Authors:  G Ramsay; J M Wohlgemut; J O Jansen
Journal:  BJS Open       Date:  2019-07-09

6.  Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers.

Authors:  Shehnaz Alidina; Sara N Goldhaber-Fiebert; Alexander A Hannenberg; David L Hepner; Sara J Singer; Bridget A Neville; James R Sachetta; Stuart R Lipsitz; William R Berry
Journal:  Implement Sci       Date:  2018-03-26       Impact factor: 7.327

7.  Impact of the Norwegian National Patient Safety Program on implementation of the WHO Surgical Safety Checklist and on perioperative safety culture.

Authors:  Arvid Steinar Haugen; Eirik Søfteland; Nick Sevdalis; Geir Egil Eide; Monica Wammen Nortvedt; Charles Vincent; Stig Harthug
Journal:  BMJ Open Qual       Date:  2020-07

8.  Ten years of the Surgical Safety Checklist.

Authors:  T G Weiser; A B Haynes
Journal:  Br J Surg       Date:  2018-05-17       Impact factor: 6.939

9.  Effects on Clinical Outcomes of a 5-Year Surgical Safety Checklist Implementation Experience: A Large-scale Population-Based Difference-in-Differences Study.

Authors:  Stefania Rodella; Sabine Mall; Massimiliano Marino; Graziella Turci; Giorgio Gambale; Maria Teresa Montella; Stefano Bonilauri; Roberta Gelmini; Piera Zuin
Journal:  Health Serv Insights       Date:  2018-07-23

10.  Causal Analysis of World Health Organization's Surgical Safety Checklist Implementation Quality and Impact on Care Processes and Patient Outcomes: Secondary Analysis From a Large Stepped Wedge Cluster Randomized Controlled Trial in Norway.

Authors:  Arvid Steinar Haugen; Hilde Valen Wæhle; Stian Kreken Almeland; Stig Harthug; Nick Sevdalis; Geir Egil Eide; Monica Wammen Nortvedt; Ingrid Smith; Eirik Søfteland
Journal:  Ann Surg       Date:  2019-02       Impact factor: 12.969

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