Division of General Gynecology and Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.
Center for Medical Statistics, Informatics and Intelligent Systems, Vienna, Austria.
Arch Gynecol Obstet. 2022 Oct;306(4):1101-1106. doi: 10.1007/s00404-022-06599-w. Epub 2022 May 27.
At least half of surgical complications can be avoided by using surgical checklists. However, universal implementation and compliance have been reported as being variable. Patients undergoing urgent surgical intervention are at increased risk for complications. The aim of this study was to evaluate the checklist compliance together with the complication rate during day and night shifts in a European University hospital.
51 and 52 consecutive patients who had surgery during day and night shifts were included. The primary outcome measures were compliance and completeness of the WHO safety checklist. The occurrence of postoperative complications was investigated.
The analysis included 103 surgical procedures. The mean compliance rate of use was 93% and the mean completeness rate was 22%. After operations were broken down by day or night shift, we found that checklists were less often available in night shifts compared to day shifts. The completeness of the checklist and the occurrence of postoperative complications did not differ between day and night shifts.
This study reports worse checklists availability in night shifts when compared to day shifts, but complication rates did not increase. Further studies are warranted to investigate postoperative complication rates together with checklist compliance in day versus night shifts.
使用手术核对表至少可以避免一半的手术并发症。然而，据报道，其普遍实施和遵守情况存在差异。接受紧急外科手术的患者发生并发症的风险增加。本研究旨在评估在一家欧洲大学医院的白天和夜间轮班期间，核对表的遵守情况以及并发症发生率。
连续纳入白天和夜间轮班期间进行手术的 51 名和 52 名患者。主要观察指标为世卫组织安全核对表的遵守和完整性。调查术后并发症的发生情况。
共纳入 103 例手术。使用的平均合规率为 93%，平均完整性率为 22%。按白天或夜间轮班将手术细分后，我们发现夜间轮班时核对表的可用性较低。白天和夜间轮班之间，核对表的完整性和术后并发症的发生并无差异。
与白天轮班相比，夜间轮班的核对表可用性较差，但并发症发生率并未增加。需要进一步研究，以调查白天与夜间轮班时术后并发症发生率与核对表遵守情况。
