Yıl: 2017 Cilt: 20 Sayı: 4 Sayfa Aralığı: 286 - 298 Metin Dili: Türkçe İndeks Tarihi: 17-12-2018

GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME

Öz:
Amaç: Dünya Sağlık Örgütü Güvenli Cerrahi Kontrol Listesinin etkinliğinin değerlendirildiğiaraştırmaların gözden geçirilmesi ve gelecekteki araştırmalara ışık tutması amacıyla gerçekleştirilmiştir.Yöntem: Tanımlayıcı çalışmada Pubmed/MEDLINE ve Cochrane Library veri tabanları üzerinden“güvenli cerrahi kontrol listesi”, “dünya sağlık örgütü güvenli cerrahi kontrol listesi”,“etkinlik” ve “etki”anahtar kelimeleri kullanıldı. Kasım 2015 öncesindeki yayınlanmış 49 makale ele alındı. Etkinlik sonuçlarıuyum, komplikasyon ve mortalite oranı, hasta güvenliği, ekip iletişimi, çalışan ve hasta memnuniyeti ve maliyetaçısından değerlendirildi.Bulgular: Uyumun en kolay olduğu bölüm insizyon öncesiyken, en zor olduğu bölüm ise çıkış kontrolüevresidir. Listenin kullanımı sonrası komplikasyon ve mortalite oranlarında anlamlı bir düşüş bulunmaktadır.Listenin kullanımı ile plansız ameliyathaneye dönüşlerde, yeniden ameliyat olma oranında ve istenmeyenetkilerde azalma olurken hasta kimliğinin doğrulanmasında ve hastanın tıbbi durumunda farkındalıkta artmagörüldü. Ekip iletişiminde artma ve iletişim hatalarında düşme görüldü. Ameliyathane harcamaları düştü. Hastamemnuniyeti %57.1’den %90.8’e yükseldi. Çalışanlar listenin uygulanmasını %50 ile %95 oranında olumlubuldu.Sonuçlar: Listenin kullanımı ile komplikasyon ve mortalite oranlarındaki ciddi azalma olduğu,ameliyathanede ekip çalışmasını ve iletişimi geliştirdiği, ameliyathaneden plansız geri dönüşleri azaltması,ameliyat olma oranını azaltması, hasta kimliğinin doğrulanma sıklığını arttırması ve cerrahinin istenmeyenetkilerini azaltması nedeniyle hasta güvenliğini geliştirmektedir. GCKL ekip üyeleri arasında iletişimi, işbirliğinive hasta güvenliğini geliştiren bir araç olarak önerilmektedir
Anahtar Kelime:

Konular: Cerrahi

Effectiveness of Surgical Safety Checklists: A Systematic Review

Öz:
Aim: We aimed to review studies that assess the effectiveness of World Health Organization Surgical Safety Checklist and to shed light on future research. Method: In the descriptive study, we reviewed original publications retrieved by a selective search Pubmed/MEDLINE and Cochrane Library databases on the search term “surgical safety checklist”,“WHO surgical safety checklist”, “effectiveness” and “effect”. 49 articles published before November 2015 were discussed. The results of effectiveness in terms of compliance, complication and mortality rates, patient safety, team communication, staff and patient satisfaction and cost were evaluated. Results: While the “Time out” section was identified as the most easy section of compliance, the “Sign out” section was identified as the most difficult section. There was a significant decrease in complication and mortality rates after the use of checklist. With the use of the checklist, the reduction in unplanned return, reoperations rate and adverse effects, while there was an increase in awareness of the identity of the patient and in the medical condition of the patient. There was an increase in team communication and a decrease in communication errors. Operating room expenses reduced. Patient satisfaction increased from 57.1% to 90.8%. 50% to 95% of the health workers were positive to implementation of the list. Conclusion: With the use of the checklist, significant reductions were in complication, mortality rate, teamwork and communication were developed. Due to reduction in unplanned return rate and in adverse effects, the increase in verification of the patient's identity and awareness of the patient's medical condition, checklist improves patient safety. Surgical safety checklist should be recommended as a tool for improving team communication, collaboration and patient safety.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • Yuan CT, Walsh D, Tomarken JL, Alpern R, Shakpeh J, Bradley EH. Incorporating The World Health Organization Surgical Safety Checklist into Practice at Two Hospitals in Liberia.The Joint Commission Journal on Quality and Patient Safety. 2012; 38(6): 254-60.
  • Yavuz van Giersbergen M. Hasta Güvenliğini Sağlamada Güncel Yaklaşımlar. Yavuz van Gıersbergen M, Kaymakçı Ş. editör. Ameliyathane Hemşireliği. 1.Baskı. İzmir:Metabasım; 2015. p.131- 142.
  • World Health Organization-WHO. Patient Safety. 2016 http://www.euro.who.int/en/healthtopics/Health-systems/patient-safety. (Erişim tarihi: 05.10.2016).
  • World Health Organization-WHO. (2009). WHO Guidelines for safe surgery, safe surgery saves lives. http://apps.who.int/iris/bitstream/10665/44185/1/9789 241598552_eng.pdf (erişim tarihi:23.07.2015)
  • World Health Organization-WHO. (2008) WHO. The second global patient safety Challenge: Safe Surgery Saves Lives. http://www.who.int/patientsafety/safesurgery/knowle dge_base/SSSL_Brochure_finalJun08.pdf (erişim tarihi:23.07.2015)
  • Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, Gawande AA. An Estimation of The Global Volume of Surgery:Amodelling Strategy Based on Available Data. The Lancet. 2008; 372(9633): 139-144.
  • Weiser TG, Haynes AB. Dziekan G, Berry WR, Lipsitz SR ve ark. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population. Annals Of Surgery, 2010; 251(5): 976-80.
  • Vogts N., Hannam J. A., Merry A.F. ve ark. Compliance and Quality in Administration of A Surgical Safety Checklist in A Tertiary New Zealand Hospital. New Zealand Medical Journal. 2011;124:1342, 48-58.
  • Safety Checklist" on In-Hospital Mortality: A Cohort Study. The Annals of Surgery. 2012; 255(1): 44-9.
  • van Klei WA, Hoff RG, van Aarnhem EE, Simmermacher RK, Regli LP, Kappen TH ve ark. Effects of The Introduction of The WHO "Surgical
  • Urbach DR, Govindarajan A, Saskin R, Wilton AS, Baxter NN. Introduction of Surgical Safety Checklists In Ontario, Canada. The New England Journal of Medicine. 2014; 370(11): 1029-38.
  • Truran P, Critchley RJ, Gilliam A. Does Using The WHO Surgical Checklist Improve Compliance to Venous Tromboembolism Prophylaxis Guidelines?. The Surgeon, 2011; 9(6): 309-311.
  • Takala RS, Pauniaho SL, Kotkansalo A, Helmiö P, Blomgren K, Helminen M ve ark. A pilot Study of The Implementation of WHO Surgical Checklist in Finland: Improvements in Activities and Communication. Acta Anaesthesiologica Scandinavica. 2011; 55(10): 1206-14.
  • Sparks EA, Wehbe-Janek H, Johnson RL, Smythe WR, Papaconstantinou HT. Surgical Safety Checklist Compliance: A Job Done Poorly! Journal of the American College of Surgeons. 2013; 217(5): 867-73.
  • Sivathasan N, Rakowski KRM, Robertson BFM, Vijayarajan L. The World Health Organization's ‘Surgical Safety Checklist’: Should Evidence-Based Initiatives Be Enforced in Hospital Policy? Journal of The Royal Society of Medicine Short Reports. 2010; 1(40): 1-5.
  • Sewell M, Adebibe M, Jayakumar P, Jowett C, Kong K, Vemulapalli K ve ark. Use of The WHO Surgical Safety Checklist in Trauma and Orthopaedic Patients. International Orthopaedics. 2011; 35(6): 897-901.
  • Semel ME, Resch S, Haynes AB, Funk LM, Bader A, Berry WR ve ark. Adopting a Surgical Safety Checklist Could Save Money and Improve The Quality of Care in U.S. Hospitals. Health Aff (Millwood). 2010; 29(9): 1593-9.
  • Saturno PJ, Soria-Aledo V, Da Silva Gama ZA, Lorca-Parra F, Grau-Polan M. Understanding WHO Surgical Checklist Implementation: Tricks and Pitfalls. An Observational Study. World Journal of Surgery. 2014; 38(2): 287-95.
  • Rydenfält C, Johansson G, Odenrick P, Åkerman K, Larsson PA. Compliance with The WHO Surgical Safety Checklist: Deviations and Possible Improvements. International Journal for Quality in Health Care. 2013; 25(2):182-7.
  • Russ S, Rout S, Caris J, Mansell J, Davies R, Mayer E ve ark. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. Journal of the American College of Surgeons. 2015; 220(1): 1-11.
  • Rosenberg NM, Urman RD, Gallagher S, Stenglein J, Liu X, Shapiro FE. Effect of An Office-Based Surgical Safety System on Patient Outcomes. Eplasty. 2012; 12(e59): 493-99.
  • Rodrigo-Rincon I, Martin-Vizcaino MP, TirapuLeon B, Zabalza-Lopez P, Zaballos-Barcala N, Villalgordo-Ortin P ve ark. The Effects of Surgical Checklists on Morbidity and Mortality: a Pre- and Post-Intervention Study. Acta Anaesthesiologica Scandinavica. 2015; 59(2): 205-14.
  • Rateau F, Levraut L, Colombel AL, Bernardb JL, Quarantac JF, Cabarrotd P ve ark. Check-List "Patient Safety" in The Operating Room: One Year Experience of 40,000 Surgical Procedures at The University Hospital of Nice. Annales Françaises d'Anesthésie et de Réanimation. 2011; 30(6): 479-83.
  • Poon SJ, Zuckerman SL, Mainthia R, Hagan SL, Lockney DT, Zotov A ve ark. Methodology and Bias in Assessing Compliance with A Surgical Safety Checklist. The Joint Commission Journal on Quality and Patient Safety. 2013; 39(2): 77-82.
  • Pickering SP, Robertson ER, Griffin D, Hadi M, Morgan LJ, Catchpole KC ve ark. Compliance and Use of The World Health Organization Checklist in U.K. Operating Theatres. British Journal of Surgery. 2013; 100(12): 1664-70.
  • Paugam-Burtz C, Guerrero O. French Surgical Checklist In A Universitary Hospital: Achievements One Year After Implementation. 2011; 30(6): 475-8.
  • Papaconstantinou HT, Smythe WR, Reznik SI, Sibbitt S, Wehbe-Janek H. Surgical Safety Checklist and Operating Room Efficiency: Results from A Large Multispecialty Tertiary Care Hospital. The American Journal of Surgery. 2013; 206(6): 853-9.
  • Panesar SS, Noble DJ, Mirza SB, Patel B, Mann B, Emerton M ve ark. Can The Surgical Checklist Reduce The Risk of Wrong Site Surgery in Orthopaedics?--Can The Checklist Help? Supporting Evidence From Analysis of A National Patient Incident Reporting System. Journal of Orthopaedic Surgery and Research. 2011; 6(18): 1-7.
  • Omi A, Terai Y, Muro D. Successful Trial for Introduction of The WHO Surgical Safety Checklist. Masui, The Japanese Journal of Anesthesiology. 2014; 63(1): 105-11.
  • Norton EK, Rangel SJ. Implementing a pediatric Surgical Safety Checklist in The OR and Beyond. AORN Journal. 2010; 92(1): 61-71.
  • Morgan PJ, Cunningham L, Mitra S, Wong N, Wu W, Noguera V ve ark. Surgical Safety Checklist: Implementation in An Ambulatory Surgical Facility. Canadian Journal of Anesthesia. 2013; 60(6): 528-38.
  • Lübbeke A, Hovaguimian F, Wickboldt N, Barea C, Clergue F, Hoffmeyer P ve ark. Effectiveness of The Surgical Safety Checklist in A High Standard Care Environment. Medical Care. 2013; 51(5): 425-9.
  • Levy SM, Senter CE, Hawkins RB, Zhao JY, Doody K, Kao LS ve ark. Implementing A Surgical Checklist: More Than Checking A Box. Surgery. 2012; 152(3): 331-6.
  • Lepänluoma M, Rahi M, Takala R, Löyttyniemi E, Ikonen TS. Analysis of Neurosurgical Reoperations: Use of A Surgical Checklist and Reduction of Infection-Related and Preventable ComplicationRelated Reoperations. Journal of Neurosurgery. 2015; 123(1): 145-52.
  • Kwok AC, Funk LM, Baltaga R, Lipsitz SR, Merry AF, Dziekan G ve ark. Implementation of The World Health Organization Surgical Safety Checklist, Including Introduction of Pulse Oximetry, in a resource-Limited Setting. Annals of Surgery. 2013; 257(4): 633-9.
  • Kim RY, Kwakye G, Kwok AC, Baltaga R, Ciobanu G, Merry AF ve ark. Sustainability and Long-Term Effectiveness of The WHO Surgical Safety Checklist Combined with Pulse Oximetry in A Resource-Limited Setting: Two-Year Update From Moldova. JAMA Surgery. 2015; 150(5): 473-9.
  • Kearns RJ, Uppal V, Bonner J, Robertson J, Daniel M, McGrady EM. The Introduction of A Surgical Safety Checklist in A Tertiary Referral Obstetric Centre. BMJ Quality and Safety. 2011; 20(9): 818-22.
  • Kawano T, Taniwaki M, Ogata K, Sakamoto M, Yokoyama M. Improvement of Teamwork and Safety Climate Following Implementation of The WHO Surgical Safety Checklist at A University Hospital in Japan. Journal of Anesthesia. 2014; 28(3): 467-70.
  • Helmiö P, Blomgren K, Takala A, Pauniaho SL, Takala RS, Ikonen TS. Towards Better Patient Safety: WHO Surgical Safety Checklist in Otorhinolaryngology. Clinical Otolaryngology. 2011; 36(3): 242-7.
  • Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AS, Dellinger EP ve ark. Changes in Safety Attitude and Relationship to Decreased Postoperative Morbidity and Mortality Following İmplementation of A Checklist-Based Surgical Safety Intervention. BMJ Quality and Safety. 2011; 20(1): 102-7.
  • Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AS, Dellinger EP ve ark. A Surgical Safety Checklist to Reduce Morbidity and Mortality in A Global Population. The New England Journal of Medicine. 2009; 360(5): 491-9.
  • Haugen AS, Søfteland E, Eide GE, Sevdalis N, Vincent CA, Nortvedt MW ve ark. Impact of The World Health Organization's Surgical Safety Checklist on Safety Culture in The Operating Theatre: A Controlled İntervention Study. British Journal of Anaesthesia. 2013; 110(5): 807-15.
  • Haugen AS, Søfteland E, Almeland SK, Sevdalis N, Vonen B, Eide GE ve ark. Effect of The World Health Organization Checklist on Patient Outcomes: A Stepped Wedge Cluster Randomized Controlled Trial. Annals of Surgery. 2015; 261(5): 821-8.
  • Hannam JA, Glass L, Kwon J, Windsor J, Stapelberg F, Callaghan K ve ark. A Prospective, Observational Study of The Effects of Implementation Strategy on Compliance with A Surgical Safety Checklist. BMJ Quality and Safety. 2013; 22(11): 940-7.
  • Gueguen T, Coevoet V, Mougeot M, Pierron A, Blanquart D, Voicu M ve ark. Deployment of The Checklist "Patient Safety in The Operating Room" in Two Lorraine Hospitals. Performances and Difficulties. Annales Françaises d'Anesthésie et de Réanimation. 2011; 30(6): 489-94.
  • Global Burden of Disease-GBD. Global, Regional, and National Age-Sex Specific All-Cause and CauseSpecific Mortality For 240 Causes of Death, 1990- 2013:A Systematic Analysis For The Global Burden of Disease Study 2013. The Lancet Journal. 2015; 385(9963): 117-71.
  • Fourcade A, Minvielle E, Blache JL, Bourgain JL. Assessment of The French Surgical Checklist: The Experience of 17 French Cancer Centres. Annales Françaises d'Anesthésie et de Réanimation. 2011; 30(6): 495-500.
  • Fargen KM, Velat GJ, Lawson MF, Firment CS, Mocco J, Hoh BL. Enhanced Staff Communication and Reduced Near-Miss Errors with A Neurointerventional Procedural Checklist. Journal of Neurointerventional Surgery. 2013;5(5): 497-500.
  • Delgado Hurtado JJ, Jiménez X, Peñalozo MA, Villatoro C, de Izquierdo S, Cifuentes M. Acceptance of The WHO Surgical Safety Checklist among Surgical Personnel in Hospitals in Guatemala City. BMC Health Services Research, 2012;12(169): 1-5.
  • de Vries EN, Prins HA, Crolla RMPH, den Outer AJ, van Andel G, van Helden SH ve ark. Effect of A Comprehensive Surgical Safety System on Patient Outcomes. The New England Journal of Medicine. 2010; 363(20): 1928-37.
  • Da Silva-Freitas R, Martín-Laez R, Madrazo-Leal CB, Villena-Martin M, Valduvieco-Juaristi I, Martínez-Agüeros JÁ ve ark. Establishment of A Modified Surgical Safety Checklist for The Neurosurgical Patient: Initial Experience in 400 Cases. Neurocirugía. 2012; 23(2): 60-9.
  • Çakmakçı M, Akalın HE. Hasta Güvenliği Türkiye ve Dünya. 1. Baskı. Ankara Türk Tabipler Birliği. 2011. p.11-17.
  • Cullati S, Le Du S, Raë AC, Micallef M, Khabiri E, Ourahmoune A ve ark. Is The Surgical Safety Checklist Successfully Conducted? An Observational Study of Social Interactions in The Operating Rooms of A Tertiary Hospital. BMJ Quality and Safety. 2013; 22(8): 639-46.
  • Bliss LA, Ross-Richardson CB, Sanzari LJ, Shapiro DS, Lukianoff AE, Bernstein BA, Ellner SJ. Thirty-Day Outcomes Support Implementation of A Surgical Safety Checklist. Journal of the American College of Surgeons. 2012; 215(6): 766-76.
  • Biskup N, Workman AD, Kutzner E, Adetayo OA, Gupta SC. Perioperative Safety in Plastic Surgery: Is The World Health Organization Checklist Useful in a Broad Practice? Annals of Plastic Surgery. 2016; 76(5): 550-5.
  • Bashford T, Reshamwalla S, McAuley J, Allen NH, McNatt Z, Gebremedhen YD. Implementation of the WHO Surgical Safety Checklist in an Ethiopian Referral Hospital. Patient Safety in Surgery. 2014; 8(16): 1-11.
  • Askarian M, Kouchak F ve Palenik CJ. Effect of Surgical Safety Checklists on Postoperative Morbidity and Mortality Rates, Shiraz, Faghihy Hospital, A 1- Year Study. Quality Management in Health Care. 2011; 20(4): 293-7.
APA SOYER ER Ö, YAVUZ VAN GIERSBERGEN M (2017). GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. , 286 - 298.
Chicago SOYER ER Özlem,YAVUZ VAN GIERSBERGEN Meryem GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. (2017): 286 - 298.
MLA SOYER ER Özlem,YAVUZ VAN GIERSBERGEN Meryem GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. , 2017, ss.286 - 298.
AMA SOYER ER Ö,YAVUZ VAN GIERSBERGEN M GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. . 2017; 286 - 298.
Vancouver SOYER ER Ö,YAVUZ VAN GIERSBERGEN M GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. . 2017; 286 - 298.
IEEE SOYER ER Ö,YAVUZ VAN GIERSBERGEN M "GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME." , ss.286 - 298, 2017.
ISNAD SOYER ER, Özlem - YAVUZ VAN GIERSBERGEN, Meryem. "GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME". (2017), 286-298.
APA SOYER ER Ö, YAVUZ VAN GIERSBERGEN M (2017). GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 20(4), 286 - 298.
Chicago SOYER ER Özlem,YAVUZ VAN GIERSBERGEN Meryem GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 20, no.4 (2017): 286 - 298.
MLA SOYER ER Özlem,YAVUZ VAN GIERSBERGEN Meryem GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, vol.20, no.4, 2017, ss.286 - 298.
AMA SOYER ER Ö,YAVUZ VAN GIERSBERGEN M GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2017; 20(4): 286 - 298.
Vancouver SOYER ER Ö,YAVUZ VAN GIERSBERGEN M GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2017; 20(4): 286 - 298.
IEEE SOYER ER Ö,YAVUZ VAN GIERSBERGEN M "GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME." Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 20, ss.286 - 298, 2017.
ISNAD SOYER ER, Özlem - YAVUZ VAN GIERSBERGEN, Meryem. "GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME". Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 20/4 (2017), 286-298.