Department of Anaesthesiology, Academic Medical Centre, Amsterdam, The Netherlands.
Curr Opin Anaesthesiol. 2010 Dec;23(6):754-8. doi: 10.1097/ACO.0b013e3283400b26.
WHO makes clear recommendations on how to improve patient safety during surgical procedures by using the WHO Surgical Safety Checklist. We will review the scientific basis of these recommendations and the practical problems encountered during introduction.
Perioperative severe complications and death are a major health issue in both developed and developing countries. Nearly half of these complications can be avoided. The systematic use of checklists and structured preprocedural and postprocedural briefings like a time-out procedure reduces perioperative morbidity and mortality. A broader use of checklists to cover the whole surgical pathway gives additional benefit, further reducing perioperative morbidity and mortality.Introducing patient safety procedures can be met with some resistance from healthcare workers and is helped by an organization-wide safety policy and a systematic approach.
There is sufficient scientific evidence to make the use of checklists and structured perioperative briefings and debriefings mandatory for the broad spectrum of operative procedures.
世界卫生组织（WHO）通过使用《WHO 手术安全检查表》，明确提出了改善手术过程中患者安全的建议。我们将对这些建议的科学依据以及引入过程中遇到的实际问题进行综述。
围手术期严重并发症和死亡是发达国家和发展中国家的一个主要健康问题。这些并发症近半数是可以避免的。系统使用检查表和结构化的术前和术后简要介绍，如“暂停程序”，可降低围手术期发病率和死亡率。更广泛地使用检查表覆盖整个手术过程可带来额外的益处，进一步降低围手术期发病率和死亡率。引入患者安全程序可能会受到医护人员的一些抵制，而组织范围内的安全政策和系统的方法有助于解决这一问题。
有足够的科学证据表明，对于广泛的手术程序，检查表和结构化的围手术期简要介绍和汇报是强制性的。
