Kieffer W K M, Quaye M C, Chotai N, Ricketts D M
Dept Trauma and Orthopaedics, Brighton and Sussex University Hospital, Eastern Road, Brighton, East Sussex, BN2 5BE.
Wessex Deanery, Trauma and Orthopaedics.
J Perioper Pract. 2013 Dec;23(12):288-91. doi: 10.1177/175045891302301204.
The World Health Organisation Surgical Safety Checklist (WHO SSC) is a validated tool for reducing in-patient surgical morbidity and mortality. It is not performed universally with full compliance. Two audit cycles were completed at two different trauma and orthopaedic units and compliance was measured. Site 1 was found to have a significantly lower compliance with the team-brief (p<0.001). Following a change in practice the compliance significantly increased (p>0.00001) at Site 1. The team de-brief was found to be consistently poorly complied with. We recommend regular audit of compliance and change in practice for all surgical units, and suggest national monitoring to ensure the benefits of the WHO checklist are applied to all in-patient surgery.
世界卫生组织手术安全核对表（WHO SSC）是一种经过验证的工具，可降低住院患者手术的发病率和死亡率。但并非所有地方都能完全合规地执行该核对表。在两个不同的创伤与骨科科室完成了两个审计周期，并对合规情况进行了评估。发现1号科室在团队简报环节的合规率显著较低（p<0.001）。在改变做法后，1号科室的合规率显著提高（p>0.00001）。发现团队总结环节的合规情况一直很差。我们建议对所有外科科室的合规情况进行定期审计并改变做法，并建议进行全国性监测，以确保WHO核对表的益处能应用于所有住院手术。
