Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures

Detalhes bibliográficos
Autor(a) principal: GAMA,CAMILA SARMENTO
Data de Publicação: 2022
Outros Autores: BACKMAN,CHANTAL, OLIVEIRA,ADRIANA CRISTINA
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100200
Resumo: ABSTRACT Objective: to assess the impact of using a surgical checklist and its completion on complications such as surgical site infection (SSI), reoperation, readmission, and mortality in patients subjected to urgent colorectal procedures, as well as the reasons for non adherence to this instrument in this scenario, in a university hospital in Ottawa, Canada. Methods: this is a retrospective, epidemiological study. We collected data from an electronic database containing information on patients undergoing urgent colorectal operations, and analyzed the occurrence of SSI, reoperation, readmission, and death in a 30 day period, as well as the completion of the checklist. We conducted a descriptive statistical analysis and logistic regression. Results: we included 5,145 records, of which 5,083 (98.8%) had complete checklists. As for the outcomes evaluated, cases with complete checklists displayed higher SSI rate, 9.1% vs. 6.5% (p=0.466), lower reoperation rate, 5% vs.11.3% (p=0.023), lower readmission rates, 7.2% vs. 11.3% (p=0.209), and lower mortality, 3.0% vs. 6.5% (p=0.108) than cases with incomplete ones. Conclusion: there was a high level of checklist completion and a larger number of the outcomes in the reduced percentage of incomplete checklists found, demonstrating the impact of its utilization on the safety of patients undergoing urgent operations.
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spelling Impact of surgical checklist and its completion on complications and mortality in urgent colorectal proceduresPatient SafetyColorectal SurgeryChecklist, EmergenciesWorld Health OrganizationABSTRACT Objective: to assess the impact of using a surgical checklist and its completion on complications such as surgical site infection (SSI), reoperation, readmission, and mortality in patients subjected to urgent colorectal procedures, as well as the reasons for non adherence to this instrument in this scenario, in a university hospital in Ottawa, Canada. Methods: this is a retrospective, epidemiological study. We collected data from an electronic database containing information on patients undergoing urgent colorectal operations, and analyzed the occurrence of SSI, reoperation, readmission, and death in a 30 day period, as well as the completion of the checklist. We conducted a descriptive statistical analysis and logistic regression. Results: we included 5,145 records, of which 5,083 (98.8%) had complete checklists. As for the outcomes evaluated, cases with complete checklists displayed higher SSI rate, 9.1% vs. 6.5% (p=0.466), lower reoperation rate, 5% vs.11.3% (p=0.023), lower readmission rates, 7.2% vs. 11.3% (p=0.209), and lower mortality, 3.0% vs. 6.5% (p=0.108) than cases with incomplete ones. Conclusion: there was a high level of checklist completion and a larger number of the outcomes in the reduced percentage of incomplete checklists found, demonstrating the impact of its utilization on the safety of patients undergoing urgent operations.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100200Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20213031info:eu-repo/semantics/openAccessGAMA,CAMILA SARMENTOBACKMAN,CHANTALOLIVEIRA,ADRIANA CRISTINAeng2022-02-25T00:00:00Zoai:scielo:S0100-69912022000100200Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-02-25T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures
title Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures
spellingShingle Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures
GAMA,CAMILA SARMENTO
Patient Safety
Colorectal Surgery
Checklist, Emergencies
World Health Organization
title_short Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures
title_full Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures
title_fullStr Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures
title_full_unstemmed Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures
title_sort Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures
author GAMA,CAMILA SARMENTO
author_facet GAMA,CAMILA SARMENTO
BACKMAN,CHANTAL
OLIVEIRA,ADRIANA CRISTINA
author_role author
author2 BACKMAN,CHANTAL
OLIVEIRA,ADRIANA CRISTINA
author2_role author
author
dc.contributor.author.fl_str_mv GAMA,CAMILA SARMENTO
BACKMAN,CHANTAL
OLIVEIRA,ADRIANA CRISTINA
dc.subject.por.fl_str_mv Patient Safety
Colorectal Surgery
Checklist, Emergencies
World Health Organization
topic Patient Safety
Colorectal Surgery
Checklist, Emergencies
World Health Organization
description ABSTRACT Objective: to assess the impact of using a surgical checklist and its completion on complications such as surgical site infection (SSI), reoperation, readmission, and mortality in patients subjected to urgent colorectal procedures, as well as the reasons for non adherence to this instrument in this scenario, in a university hospital in Ottawa, Canada. Methods: this is a retrospective, epidemiological study. We collected data from an electronic database containing information on patients undergoing urgent colorectal operations, and analyzed the occurrence of SSI, reoperation, readmission, and death in a 30 day period, as well as the completion of the checklist. We conducted a descriptive statistical analysis and logistic regression. Results: we included 5,145 records, of which 5,083 (98.8%) had complete checklists. As for the outcomes evaluated, cases with complete checklists displayed higher SSI rate, 9.1% vs. 6.5% (p=0.466), lower reoperation rate, 5% vs.11.3% (p=0.023), lower readmission rates, 7.2% vs. 11.3% (p=0.209), and lower mortality, 3.0% vs. 6.5% (p=0.108) than cases with incomplete ones. Conclusion: there was a high level of checklist completion and a larger number of the outcomes in the reduced percentage of incomplete checklists found, demonstrating the impact of its utilization on the safety of patients undergoing urgent operations.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/0100-6991e-20213031
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dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.49 2022
reponame:Revista do Colégio Brasileiro de Cirurgiões
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