Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA; Ariadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, 401 Park Drive, 3rd Floor West, Boston, MA 02215, USA. Electronic address: https://twitter.com/NikhilPanda_MD.
Ariadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, 401 Park Drive, 3rd Floor West, Boston, MA 02215, USA; Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, 1601 Trinity Street, Building B, Austin, TX 78712, USA.
Surg Clin North Am. 2021 Feb;101(1):37-48. doi: 10.1016/j.suc.2020.08.010. Epub 2020 Nov 2.
The success of patient safety and quality improvement interventions depends, in part, on the effectiveness of implementation. Surgical safety checklists have been introduced into thousands of operating rooms across 6 continents since the debut of the original World Health Organization 19-item checklist in 2008. However, the effect of checklists on patient outcomes has varied. Here, we review 5 examples of large-scale efforts (eg, population level or across health systems) where surgical checklists were introduced into the operating room and the associated effects on patient outcomes. Each experience provides an opportunity to reflect on best practices that inform strategies for effective implementation.
患者安全和质量改进干预措施的成功在一定程度上取决于实施的有效性。自 2008 年世界卫生组织最初的 19 项清单问世以来，手术安全检查表已在六大洲的数千个手术室中引入。然而，清单对患者结果的影响却有所不同。在这里，我们回顾了 5 个大规模努力的例子（例如，在人群水平或整个卫生系统中），即在手术室中引入手术检查表以及对患者结果的相关影响。每个经验都为反思提供了机会，这些经验为制定有效的实施策略提供了最佳实践。
