García-París Jaime, Coheña-Jiménez Manuel, Montaño-Jiménez Pedro, Córdoba-Fernández Antonio
Departament of Podiatry, University of Seville, Avicena Street, 41009 Seville, Spain.
Patient Saf Surg. 2015 Aug 28;9:29. doi: 10.1186/s13037-015-0075-4. eCollection 2015.
The Surgical Safety Checklist (SSC) is a tool developed by the World Health Alliance for Patient Safety, to assist health professionals in improving patient safety during surgery. Numerous specialties have incorporated this into their clinical practice. The purpose of this study is to adapt and implement this tool within the field of podiatric surgery and to evaluate its impact upon safety standards and post-surgical complications.
An analytical, observational, longitudinal study has been performed retrospectively. The implementation of the Surgical Safety Checklist in podiatric surgery took place over a 10-month period. The sample is made up from the medical histories of patients who were operated on (n = 134) in the University of Seville's podiatric clinic. The sample was divided into three groups: those prior to the implementation process (65 subjects), those after the implementation process: without the SSC (35 subjects) and those with the SSC (34 subjects). The safety standards included in the tool were analysed in conjunction with the results and post-operative complications.
An improvement was seen in compliance with the Prophylaxis Protocol and the correct completion of the Informed Consent (p = 0.00), as well as a statistically significant relationship between the correct use of antibiotic prophylaxis and the use of the Surgical Safety Checklist (p = 0.049). The results demonstrate a reduction in the number of post-operative days (p = 0.012). No cases of surgery being performed in the wrong place were found in this study.
The Surgical Safety Checklist allows us to improve compliance with the safety protocols recommended by the scientific community, and consequently to reduce the incidence of complications related to surgery and to improve patient safety during elective podiatric surgery.
手术安全核对表（SSC）是由世界患者安全联盟开发的一种工具，旨在帮助医疗专业人员提高手术期间的患者安全。众多专业领域已将其纳入临床实践。本研究的目的是在足病外科领域对该工具进行调整和实施，并评估其对安全标准和术后并发症的影响。
进行了一项回顾性分析、观察性纵向研究。足病外科手术安全核对表的实施历时10个月。样本取自塞维利亚大学足病诊所接受手术的患者病历（n = 134）。样本分为三组：实施过程前的患者（65例）、实施过程后的患者：未使用SSC的患者（35例）和使用SSC的患者（34例）。结合结果和术后并发症分析了该工具中包含的安全标准。
在预防方案的依从性和知情同意书的正确填写方面有改善（p = 0.00），并且抗生素预防的正确使用与手术安全核对表的使用之间存在统计学上的显著关系（p = 0.049）。结果表明术后天数减少（p = 0.012）。本研究中未发现手术部位错误的病例。
手术安全核对表使我们能够提高对科学界推荐的安全方案的依从性，从而降低与手术相关的并发症发生率，并提高择期足病手术期间的患者安全。
