Department of Orthopedics, Traumatology and Sports Medicine, Central Clinical Hospital of the Ministry of Internal Affairs and Administration, Warsaw, Poland.
Faculty of Health Sciences, Medical University of Mazovia, Warsaw, Poland.
Adv Exp Med Biol. 2022;1374:1-9. doi: 10.1007/5584_2021_661.
WHO has recommended the implementation of the Surgery Safety Checklist (SSC) to reign in often simple logistic errors that lead to numerous complications, some of them being fatal, in the perioperative period. This study aims to discuss doubts presented in the medical literature concerning the effectiveness of SSC in the currently existing form. The article is based on the literature search performed in PubMed using the command phrase "Surgery Safety Checklist". The search yielded 1,476 articles up to March 2021. Out of this group, we selected 811 articles for further detailed analysis. The selection was based on the meritorious SSC-related topicality and scrutinized content of the articles. Out of these articles, we identified 59 studies that specifically raised the issue of the effectiveness of SSC use in its current form, which we discussed herein in detail. The review distinctly indicates that the SSC reduces perioperative complications including fatalities. However, there are issues reported with the itemized content of the checklist that hardly correspond to the diverseness of patients' conditions and operating room settings. Further, it is unclear if a reduction in the complications stems from the use of SSC or the algorithms for performing procedures it contains. The consensus arises that SSC should be periodically updated so that it would catch up with the advances in medical knowledge and the emerging technologies, which would safeguard the SSC from becoming just another paperwork nuisance for the operating room staff.
世界卫生组织建议实施手术安全检查表（SSC），以遏制在围手术期经常出现的导致许多并发症的简单逻辑错误，其中一些是致命的。本研究旨在讨论医学文献中对 SSC 有效性的质疑，以目前的形式存在。本文基于在 PubMed 中使用命令短语“手术安全检查表”进行的文献检索。截至 2021 年 3 月，搜索结果为 1476 篇文章。在这组文章中，我们选择了 811 篇文章进行进一步的详细分析。选择是基于 SSC 相关主题的重要性和对文章内容的仔细审查。在这些文章中，我们确定了 59 项专门研究 SSC 在当前形式下使用效果的研究，我们在此详细讨论了这些研究。审查明确表明，SSC 可减少围手术期并发症，包括死亡率。然而，检查表的分项内容存在与患者病情和手术室环境多样性几乎不相符的问题。此外，并发症的减少是否源于 SSC 的使用或其包含的手术程序算法尚不清楚。人们达成共识，SSC 应定期更新，以跟上医学知识的进步和新兴技术的发展，从而防止 SSC 成为手术室工作人员的又一种文书工作麻烦。
