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Cirujano general
versão impressa ISSN 1405-0099
Resumo
LOPEZ-GAVITO, Elena; ARROYO-APARICIO, Josafat Yair; ZAMORA-LIZARRAGA, Afranía Angelina e MONTALVO-LOPEZ GAVITO, Arantxa. The implementation of the checklist for safe surgery and its impact on morbidity and mortality. Cir. gen [online]. 2016, vol.38, n.1, pp.12-18. Epub 20-Fev-2020. ISSN 1405-0099.
Approximately between three to 16% of surgical procedures requiring admission in industrialized countries have complications, generating permanent disability or mortality rates of in 0.4 to 0.8% and 0.5 to 5% mortality in major surgeries. The Mexican Secretariat of the Navy and Armed Forces has launched the “Safe Surgery Saves Lives” program, which promotes the development of new policies and programs in order to reduce adverse events resulting from surgical practice.
Material and methods:
Cohort study comparing the incidence of adverse events and mortality after applying a security strategy in the surgical patient. Two hundred and fifty-five patients undergoing non-ambulatory surgery were studied, scheduled electively or urgently in the period from January 1st to June 30, 2010, and 280 in the period from January 1 to June 30, 2012, at the Naval Hospital in Mazatlan, totaling 535 patients.
Results:
Complications decreased from 11.4% to 4.3% (p = 0.02), with a RR of (0.377), protecting against potentially preventable complications in 66.3%. The type of complications that found a higher statistical significance were postsurgical infection and increased allowable blood loss: 77% (p = 0.03) and 59.7% (p = 0.02) fewer complications.
Conclusion:
A reduction of more than 60% of complications was observed after applying the checklist for safe surgery, with comparable effectiveness with other studies in hospitals worldwide.
Palavras-chave : “Safe surgery saves lives”; surgical complications; checklist.
