GK News 2 - шаблон joomla Видео

Banner1

Log in
Powered by Spearhead Software Labs Joomla Facebook Like Button
10 May 2017
Naoual Benhmidou1, Fadoua Rais1, Fadila Kouhen2, Abdelhak Maghous1, Hasna Loughlimi1, Khadija Bellahammou3, Hanan Elkacemi1, Tayeb Kebdani1, Sanaa Elmajjaoui1, Noureddine Benjaafar1 1)
10 May 2017
Khadija Bellahammou1, Asmaa Lakhdissi1,
10 May 2017
Khaled Moursy Salama1, Monira T.
02 April 2017
Bardia Bidarmaghz, Ryo Mizumoto, Rasika

EFFECT OF CHECKLIST ON THE OCCURRENCE OF POSTOPERATIVE COMPLICATION ON SURGICAL PATIENT

Birhanemeskel Tegene Adankie1, Tadesse Belayneh Melekie2, Gashaw Mesele Getahune3

1) Department of Medical Microbiology, College of Medicine and Health Sciences, University of Gondar, Ethiopia.

2) Department of Medical Anesthesiology, College of Medicine and Health Sciences, University of Gondar, Ethiopia.

3) Department of Surgery, College of Medicine and Health Sciences, University of Gondar, Ethiopia.

Disclosure: The author has declared no conflicts of interest.

Received: 08.10.16 Accepted: 16.11.16

Citation: 10.5455/ijsm.postoperative-complications-surgery

Fulltext PDF Download

Cite/Export: EndNote/RefWorks

altmetric journalmedica

Abstract:

Background: Surgical safety checklists (SSCs) are designed to improve inter professional communications and ultimately avoiding catastrophic errors that often characterizes the culture of surgical teams. However, data on effect of surgical checklists implementation are scarce in the study area. The purpose of this research project was to directly examine the effect of utilization surgical safety checklist on patient outcomes at University of Gondar Hospital, in Northwest Ethiopia.
Material and methods: Institution based cross sectional study was done at Gondar university teaching hospitals from January to May 2013. We reviewed medical records of all consecutive patients admitted to the surgery department (N=403). For those who have clinical symptoms of surgical site infection a laboratory diagnosis were performed to compare occurrences of all postoperative complication among patients with and without utilization of surgical safety checklist.
Results: During the study period from 403 patients operated, SSCs were attached for only 158 (39.2%) of the surgical patients. Post-operative complication were observed in 238 (59 %) of the patients and postoperative fever was the major complication accounting for 70 (17.3%) of all the complication. Surgical wound infection and pneumonia accounted for 47(16.6%) and 33(11.7%) respectively. S. aurous was the predominant isolated bacteria accounted for 7(30%), In addition, a statistically non-significant 11.2% decline the rate of surgical wound infection in the checklist group. In a logistic regression model of postoperative fever, the SSCs emerged as a significant independent predictor of this outcome: (OR = 0.49, 95% CI 0.31–0.75, and P value = 0.001).
Conclusions and recommendation: patients with checklist have observed significant reductions of post operative complication particularly bacterial infection. It is possible to some extent that the improved usage of check list and preoperative prophylactic antibiotics may be implicated in the reduction of postoperative fever and bacterial infection.

Keywords: Surgery; Safety; Observation; Implementation; Surgeons; Operating room; communication; WHO Surgical Safety checklist


How to Cite this Article

Bibliography

Adankie, B., Melekie, T. and Getahune, G. (2016) ‘EFFECT OF CHECKLIST ON THE OCCURRENCE OF POSTOPERATIVE COMPLICATION ON SURGICAL PATIENT’, International Journal of Surgery and Medicine, 3(1). doi: 10.5455/ijsm.postoperative-complications-surgery.

Citations, Quotes & Annotations

Adankie, B., Melekie, T. and Getahune, G. (2016) ‘EFFECT OF CHECKLIST ON THE OCCURRENCE OF POSTOPERATIVE COMPLICATION ON SURGICAL PATIENT’, International Journal of Surgery and Medicine, 3(1). doi: 10.5455/ijsm.postoperative-complications-surgery.
(Adankie, Melekie, and Getahune, 2016)
Last modified onSunday, 15 January 2017 20:57
 09 May 2017
  474  
Fazlý Yanýk1; Gonul Sagiroglu2; Elif Copuroglu2; Yekta Altemur Karamustafaoglu1
 474 
Fazlý Yanýk1; Gonul Sagiroglu2; Elif Copuroglu2; Yekta Altemur Karamustafaoglu1
09 May 2017
 28 March 2017
  569  
Zuvdija Cecunjanin1, Amina Selimovic2, Selma Milisic1, Ermina Mujicic3
 569 
Zuvdija Cecunjanin1, Amina Selimovic2, Selma Milisic1, Ermina Mujicic3
28 March 2017
 28 March 2017
  882  
Michele Bisaccia1, Luigi Piscitelli1, Giovanni Colleruoli1, Giuseppe Rinonapoli1, Cristina Ibáñez Vicente1, Gabriele Falzarano2, Antonio Medici2, Luigi Meccariello3, Olga Bisaccia4, ...
 882 
Michele Bisaccia1, Luigi Piscitelli1, Giovanni Colleruoli1, Giuseppe Rinonapoli1, Cristina Ibáñez Vicente1, Gabriele Falzarano2, ...
28 March 2017
 26 March 2017
  611  
Roman Romansky1, George Baytchev2, Ivan Inkov2, Stefan Komitski1
 611 
Roman Romansky1, George Baytchev2, Ivan Inkov2, Stefan Komitski1
26 March 2017
 26 March 2017
  419  
Andrea Cappiello1, Verdiana Stano2, Michele Bisaccia1, Luigi Meccariello3, Gabriele Falzarano4, Antonio Medici4, Marco Pellegrino1, Olga Bisaccia5, Giuseppe Rinonapoli1, Auro Caraffa1.
 419 
Andrea Cappiello1, Verdiana Stano2, Michele Bisaccia1, Luigi Meccariello3, Gabriele Falzarano4, Antonio Medici4, Marco Pellegrino1, Olga Bisaccia5, ...
26 March 2017
 26 March 2017
  432  
Ventsislav Mutafchiyski1, Georgi Popivanov1, Dimitar Penchev1, Albena Fakirova2, Ivan Inkov3, Rumen Popov4
 432 
Ventsislav Mutafchiyski1, Georgi Popivanov1, Dimitar Penchev1, Albena Fakirova2, Ivan Inkov3, Rumen Popov4
26 March 2017
 26 March 2017
  613  
Thulasikumar Ganapathy1, Marunraj Gnanasekaran2, Aravind Moorthy3
 613 
Thulasikumar Ganapathy1, Marunraj Gnanasekaran2, Aravind Moorthy3
26 March 2017
 26 March 2017
  550  
Daniele Maiettini1, Marta Rossi2, Michele Bisaccia3, Auro Caraffa3, Luigi Meccariello4, Gabriele Falzarano5, Antonio Medici5, Luigi Piscitelli3, Giulio Metro2, Alberto Rebonato1
 550 
Daniele Maiettini1, Marta Rossi2, Michele Bisaccia3, Auro Caraffa3, Luigi Meccariello4, Gabriele Falzarano5, Antonio Medici5, Luigi Piscitelli3, ...
26 March 2017