Alsadoun Lara, Sanipini Sailakshmn, Khleif Rafeef, Ashfaq Abdullah, Shehryar Abdullah, Berhane Kaleb A, Rehman Abdur, Kanukollu Venkata Madusudana Rao, Khan Isa
Trauma and Orthopaedics, Chelsea and Westminster Hospital, London, GBR.
Medical School, Xavier University School of Medicine, Oranjestad, ABW.
Cureus. 2024 Sep 21;16(9):e69875. doi: 10.7759/cureus.69875. eCollection 2024 Sep.
This systematic review evaluates the impact and implementation strategies of the World Health Organization's Surgical Safety Checklist (WHO SSC) across diverse healthcare settings since its introduction in 2008. Our comprehensive analysis synthesizes findings from various study designs, including randomized controlled trials, qualitative studies, and meta-analyses, focusing on the checklist's effectiveness in reducing surgical complications and enhancing safety cultures within surgical teams. Despite its widespread endorsement and documented benefits, the review highlights significant variability in implementation quality and adherence, influenced by cultural, institutional, and procedural factors. The findings suggest that optimized adaptation and contextual application of the WHO SSC are crucial for maximizing its clinical benefits, particularly in low-resource settings. This review not only confirms the checklist's efficacy in improving surgical outcomes but also underscores the need for evidence-based strategies to enhance its global implementation and effectiveness.
本系统评价评估了世界卫生组织手术安全核对表（WHO SSC）自2008年推出以来在不同医疗环境中的影响和实施策略。我们的综合分析综合了各种研究设计的结果，包括随机对照试验、定性研究和荟萃分析，重点关注核对表在减少手术并发症和加强手术团队安全文化方面的有效性。尽管该核对表得到广泛认可且有记录显示其益处，但该评价强调了实施质量和依从性存在显著差异，这受到文化、机构和程序因素的影响。研究结果表明，对WHO SSC进行优化调整并因地制宜地应用对于最大限度地发挥其临床益处至关重要，尤其是在资源匮乏的环境中。本评价不仅证实了核对表在改善手术结果方面的有效性，还强调了需要基于证据的策略来加强其全球实施和有效性。
