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Surgical Safety Checklists in Operative Medicine in Switzerland

Reto Kaderli, Ramona Cecini Hertig, Urban Laffer, Adrian P. Businger.

Cited by (3)

Abstract
Objective: Despite the known positive impact of surgical checklists on morbidity and mortality rates, data on the implementation of checklists in Swiss operating rooms as well as the resulting experiences are missing. The present study evaluated the general use and design of checklists in operative medicine in Switzerland, the difficulties in introduction and the subjective impact on adverse events.
Methods: An anonymous national survey of directors of adult departments in operative medicine in Switzerland was conducted during spring 2011. They were identified from the database of the Swiss college of surgeons (fmCh). The survey included questions about the use, type and content of the used checklists, the prevention of mixing up patients and the awareness of wrong site surgery.
Results: Overall, 237/799 (29.7%) surveys were returned. At the time of the survey, 172/233 (73.8%) departments used surgical checklists (4 missing values). The median time needed for collecting data per patient was 60 (range 10-600) seconds. In all, 46/161 (28.6%) participants reported a subjective decrease of adverse events after the introduction of a surgical checklist (11 missing values). Out of 217 respondents, 62 (28.6%) knew of one event and 87 (40.1%) of more than one event of wrong site surgery (20 missing values).
Conclusions: There is still room for improvement in the use of surgical checklists, which impresses, in regard to the time needed for data collection per patient, and which is not excessively time-consuming. However, acceptance problems of the majority of respondents during the introduction phase of surgical checklists vanished over time.

Key words: Checklist, patient safety, surgery, Switzerland


 
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PMid:19951224

This Article Cited By the following articles

Implementation of the Surgical Safety Checklist in Switzerland and Perceptions of Its Benefits: Cross-Sectional Survey
PLoS ONE 2014; 9(7): e101915.

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Frequency of use and knowledge of the WHO-surgical checklist in Swiss hospitals: a cross-sectional online survey
Patient Safety in Surgery 2013; 7(1): 36.

2
 
Reasons for the persistence of adverse events in the era of safer surgery – a qualitative approach
Swiss Medical Weekly 2013; (): .

3
 

How to Cite this Article
Pubmed Style

Kaderli R, Hertig RC, Laffer U, Businger AP. Surgical Safety Checklists in Operative Medicine in Switzerland. Arch Clin Exp Surg. 2012; 1(3): 158-167. doi:10.5455/aces.20120410120119


Web Style

Kaderli R, Hertig RC, Laffer U, Businger AP. Surgical Safety Checklists in Operative Medicine in Switzerland. http://www.acesjournal.org/?mno=18192 [Access: January 20, 2018]. doi:10.5455/aces.20120410120119


AMA (American Medical Association) Style

Kaderli R, Hertig RC, Laffer U, Businger AP. Surgical Safety Checklists in Operative Medicine in Switzerland. Arch Clin Exp Surg. 2012; 1(3): 158-167. doi:10.5455/aces.20120410120119



Vancouver/ICMJE Style

Kaderli R, Hertig RC, Laffer U, Businger AP. Surgical Safety Checklists in Operative Medicine in Switzerland. Arch Clin Exp Surg. (2012), [cited January 20, 2018]; 1(3): 158-167. doi:10.5455/aces.20120410120119



Harvard Style

Kaderli, R., Hertig, R. C., Laffer, U. & Businger, A. P. (2012) Surgical Safety Checklists in Operative Medicine in Switzerland. Arch Clin Exp Surg, 1 (3), 158-167. doi:10.5455/aces.20120410120119



Turabian Style

Kaderli, Reto, Ramona Cecini Hertig, Urban Laffer, and Adrian P. Businger. 2012. Surgical Safety Checklists in Operative Medicine in Switzerland. Archives of Clinical and Experimental Surgery (ACES), 1 (3), 158-167. doi:10.5455/aces.20120410120119



Chicago Style

Kaderli, Reto, Ramona Cecini Hertig, Urban Laffer, and Adrian P. Businger. "Surgical Safety Checklists in Operative Medicine in Switzerland." Archives of Clinical and Experimental Surgery (ACES) 1 (2012), 158-167. doi:10.5455/aces.20120410120119



MLA (The Modern Language Association) Style

Kaderli, Reto, Ramona Cecini Hertig, Urban Laffer, and Adrian P. Businger. "Surgical Safety Checklists in Operative Medicine in Switzerland." Archives of Clinical and Experimental Surgery (ACES) 1.3 (2012), 158-167. Print. doi:10.5455/aces.20120410120119



APA (American Psychological Association) Style

Kaderli, R., Hertig, R. C., Laffer, U. & Businger, A. P. (2012) Surgical Safety Checklists in Operative Medicine in Switzerland. Archives of Clinical and Experimental Surgery (ACES), 1 (3), 158-167. doi:10.5455/aces.20120410120119





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