Banasiewicz Tomasz, Krokowicz Łukasz, Richter Piotr, Dziki Adam, Krokowicz Piotr, Lorenc Zbigniew, Szczepkowski Marek, Drews Michał, Wallner Grzegorz
First Department of General, Oncological and Gastroenterological Surgery, Collegium Medicum, Jagiellonian University, Cracow, Poland.
Department of General and Colorectal Surgery, Medical University of Lodz, Lodz, Poland.
Pol Przegl Chir. 2017 Dec 30;89(6):44-49. doi: 10.5604/01.3001.0010.6755.
A checklist is a collection of information that helps reduce the risk of failure due to limitations in human memory and attention. In surgery, the first Surgical Safety Checklist (SSC), created under the supervision of WHO (World Health Organization), was established in 2007 and covers three stages related to the patient's stay in the operating theater and operation: 1. Prior to initiation (induction) of anesthesia; 2. before cutting the skin; 3. before the patient leaves the operating room Colorectal surgery is particularly at high risk for complications and relatively high mortality. Elimination or, more likely, reducing the risk of complications by standardizing perioperative procedures may be particularly important in this group. The introduction of "dedicated" colorectal checklist surgery seems to be justified. The checklist proposed by the authors in colorectal surgery is divided into four stages, in which conscientious completion of checklists is intended to reduce the potential risk of complications due to hospitalization and surgical treatment. The presented checklist is obviously not closed, as a new publications or recommendations appear, some points may be modified, new issues may be added to the checklist. At present, however, it is a tool considering the well-known and confirmed elements of intraoperative procedures, the compliance of which may significantly reduce the rate of adverse events or surgical complications.
检查表是一系列信息的集合,有助于降低因人类记忆和注意力局限而导致失误的风险。在外科手术中,首个由世界卫生组织(WHO)监督制定的手术安全检查表(SSC)于2007年设立,涵盖与患者在手术室及手术期间相关的三个阶段:1. 麻醉诱导前;2. 皮肤切开前;3. 患者离开手术室前。结直肠手术的并发症风险尤其高,死亡率也相对较高。通过规范围手术期程序来消除或更有可能降低并发症风险,对这一群体可能尤为重要。引入“专门的”结直肠手术检查表似乎是合理的。作者提出的结直肠手术检查表分为四个阶段,认真完成检查表旨在降低因住院和手术治疗导致并发症的潜在风险。所呈现的检查表显然并非一成不变,随着新出版物或建议的出现,某些要点可能会被修改,检查表可能会增添新问题。然而,目前它是一个考虑到术中程序中已知且已确认要素的工具,遵循该检查表可能会显著降低不良事件或手术并发症的发生率。