Implementation and adherence to a speciality-specific checklist for neurosurgery and its influence on patient safety

Implementation and adherence to a speciality-specific checklist for neurosurgery and its influence on patient safety

Blog Article

Background and Aims: Neurosurgery involves a high level of expertise coupled with enduring and long NEFF B58CT68H0B N90 Slide duration of working hours.There is a paucity of published literature about the experience with a speciality-specific checklist in neurosurgery.We conducted a cross-sectional observational study to identify the adherence to various elements of the Modified World Health Organization Surgical Safety Checklist (WHO SSC) for neurosurgery by the operating room (OR) team.Methods: We implemented an intra-operative Modified WHO SSC consisting of 40 tools for neurosurgery, in 200 consecutive elective cases.Trained anaesthesiologists assumed the role of checklist co-ordinator.

The checklist divided the surgery into 5 phases, each corresponding to a specific time-period.The adherence rates to various tools were evaluated and areas where the checklist prompted a corrective measure were analysed.Results: A total of 131 cases undergoing craniotomy and 69 cases undergoing spine surgery were studied.With the 40-point modified SSC applied in 200 cases, we analysed a total of Western Pony Pad 8000 observations.The modified checklist prompted the OR team to adhere to speciality-specific safety practices about application of compression stockings (9.

5%); airway precautions in unstable cervical spine (2.5%); precautions for treatment of raised intracranial pressure (10.5%); and intraoperative neuro-monitoring (5%).Conclusion: The implementation of Modified WHO SSC for Neurosurgery, by a designated checklist co-ordinator, can rectify anaesthetic and surgical facets promptly, without increasing the OR time.The anaesthesiologist as SSC coordinator can effectively implement an intraoperative checklist ensuring excellent participation of operating room team members.