Ariadne Labs, Harvard T.H. Chan School of Public Health, Brigham and Women's Hospital, University of Calgary, Boston, MA, 403-826-7913, USA.
Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
World J Surg. 2021 May;45(5):1293-1296. doi: 10.1007/s00268-021-06000-y. Epub 2021 Feb 26.
As surgical systems are forced to adapt and respond to new challenges, so should the patient safety tools within those systems. We sought to determine how the WHO SSC might best be adapted during the COVID-19 pandemic.
18 Panelists from five continents and multiple clinical specialties participated in a three-round modified Delphi technique to identify potential recommendations, assess agreement with proposed recommendations and address items not meeting consensus.
From an initial 29 recommendations identified in the first round, 12 were identified for inclusion in the second round. After discussion of recommendations without consensus for inclusion or exclusion, four additional recommendations were added for an eventual 16 recommendations. Nine of these recommendations were related to checklist content, while seven recommendations were related to implementation.
This multinational panel has identified 16 recommendations for sites looking to use the surgical safety checklist during the COVID-19 pandemic. These recommendations provide an example of how the SSC can adapt to meet urgent and emerging needs of surgical systems by targeting important processes and encouraging critical discussions.
随着外科系统被迫适应和应对新的挑战，系统内的患者安全工具也应如此。我们试图确定在 COVID-19 大流行期间，世卫组织外科安全检查表应如何最好地进行调整。
来自五大洲和多个临床专业的 18 名小组成员参加了三轮修改后的德尔菲技术，以确定潜在的建议，评估对拟议建议的共识程度，并解决未达成共识的项目。
在第一轮中确定了 29 项初步建议，其中 12 项被纳入第二轮。在对有争议的纳入或排除建议进行讨论后，又增加了四项建议，最终确定了 16 项建议。其中 9 项建议与清单内容有关，7 项建议与实施有关。
这个多国家小组确定了 16 项建议，供在 COVID-19 大流行期间希望使用手术安全检查表的场所使用。这些建议提供了一个例子，说明如何通过针对重要流程和鼓励关键讨论，使手术安全检查表适应外科系统的紧急和新出现的需求。
