dc.contributor.author | Haugen, Arvid Steinar | en_US |
dc.contributor.author | Søfteland, Eirik | en_US |
dc.contributor.author | Almeland, Stian Kreken | en_US |
dc.contributor.author | Sevdalis, Nick | en_US |
dc.contributor.author | Vonen, Barthold | en_US |
dc.contributor.author | Eide, Geir Egil | en_US |
dc.contributor.author | Nortvedt, Monica Wammen | en_US |
dc.contributor.author | Harthug, Stig | en_US |
dc.date.accessioned | 2014-09-17T12:09:47Z | |
dc.date.available | 2014-09-17T12:09:47Z | |
dc.date.issued | 2015-05 | eng |
dc.identifier.issn | 0003-4932 | |
dc.identifier.uri | https://hdl.handle.net/1956/8501 | |
dc.description.abstract | Objectives: We hypothesized reduction of 30 days’ in-hospital morbidity, mortality, and length of stay postimplementation of the World Health Organization’s Surgical Safety Checklist (SSC). Background: Reductions of morbidity and mortality have been reported after SSC implementation in pre-/postdesigned studies without controls. Here, we report a randomized controlled trial of the SSC. Methods: A stepped wedge cluster randomized controlled trial was conducted in 2 hospitals. We examined effects on in-hospital complications registered by International Classification of Diseases, Tenth Revision codes, length of stay, and mortality. The SSC intervention was sequentially rolled out in a random order until all 5 clusters—cardiothoracic, neurosurgery, orthopedic, general, and urologic surgery had received the Checklist. Data were prospectively recorded in control and intervention stages during a 10-month period in 2009– 2010. Results: A total of 2212 control procedures were compared with 2263 SCC procedures. The complication rates decreased from 19.9% to 11.5% (P < 0.001), with absolute risk reduction 8.4 (95% confidence interval, 6.3–10.5) from the control to the SSC stages. Adjusted for possible confounding factors, the SSC effect on complications remained significant with odds ratio 1.95 (95% confidence interval, 1.59–2.40). Mean length of stay decreased by 0.8 days with SCC utilization (95% confidence interval, 0.11–1.43). In-hospital mortality decreased significantly from 1.9% to 0.2% in 1 of the 2 hospitals post-SSC implementation, but the overall reduction (1.6%–1.0%) across hospitals was not significant. Conclusions: Implementation of the WHO SSC was associated with robust reduction in morbidity and length of in-hospital stay and some reduction in mortality. | en_US |
dc.language.iso | eng | eng |
dc.publisher | Lippincott, Williams & Wilkins | eng |
dc.relation.ispartof | <a href="http://hdl.handle.net/1956/8502" target="blank">Impact of a surgical safety checklist on safety culture, morbidity, and mortality. A stepped-wedge cluster randomised controlled trial</a> | eng |
dc.rights | Attribution-NonCommercial-NoDerivs CC BY-NC-ND | eng |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ | eng |
dc.subject | Checklist | eng |
dc.subject | Morbidity | eng |
dc.subject | Mortality | eng |
dc.subject | Randomized controlled trial | eng |
dc.subject | Surgery | eng |
dc.title | Effect of the World Health Organization Checklist on Patient Outcomes: A Stepped Wedge Cluster Randomized Controlled Trial | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2014 by Lippincott Williams & Wilkins | |
dc.identifier.doi | https://doi.org/10.1097/sla.0000000000000716 | |
dc.identifier.cristin | 1133032 | |
dc.source.journal | Annals of Surgery | |
dc.source.40 | 261 | |
dc.source.14 | 5 | |
dc.source.pagenumber | 821-828 | |