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Khirurgii

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Year 2019 Vol. 27 No 6

EXCHANGE OF EXPERIENCE

SH. V. TIMERBULATOV, M.V. TIMERBULATOV, A. R. GAFAROVA, V. M. TIMERBULATOV

EFFECTIVENESS EVALUATION OF THE WHO SURGICAL SAFETY CHECKLIST

Bashkir State Medical University, Ufa,
The Russian Federation

The article presents the literature review concerning the results of applying the surgical safety checklist recommended by the World Health Organization in 2008 (SSC WHO). These recommendations are aimed primarily at the prevention of so-called preventable complications, and also can significantly affect the reduction of mortality. The influence of the checklist on the reduction of surgical complications (surgical infections, bleeding, cardiorespiratory complications), inpatient treatment terms, treatment cost is studied. The use of the checklist improves communication, preparedness for the operation, teamwork of the operations and anesthesiology staff, increases responsibility for security issues. The review notes the exceptional importance of the implementation of all three stages of the checklist, the preliminary conduct of the educational program for its implementation. The results of the recommendations use are mainly associated with the implementation strategy, not its formal implementation. It is noted that the checklist is an effective method of reducing intra- and postoperative complications and contributes to improving the quality of surgical care. In a number of publications, there was a decrease in the postoperative mortality from 1.9 to 0.2%, the frequency of surgical complications by 40% or more, infection of the surgical area (from 7.4 to 3.6%), hospitalization periods, the frequency of intra- and postoperative bleeding (from 2.6 to 1.0%), respectively, with a decrease in the cost of blood transfusion, plasma by 40%.

Keywords: surgical safety checklist, World Health Organization, surgical complications, quality of surgical care, postoperative mortality, treatment terms
p. 683-690 of the original issue
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Address for correspondence:
450008, The Russian Federation,
Ufa, Lenin Str., 3,
Bashkir State Medical University,
Surgery Department with the Course
Of Endoscopy of the Institute of Continuing Professional Education.
Tel.: +79173577544,
e-mail: timervil@yandex.ru,
Vil M. Timerbulatov
Information about the authors:
Timerbulatov Shamil V., MD, Professor of the Surgery Department with the Course of Endoscopy of the Institute of Continuing Professional Education, Bashkir State Medical University, Ufa, Russian Federation.
http://orcid.org/0000-0002-4832-6363
Timerbulatov Makhmud V., MD, Professor, Head of the Faculty Surgery Department, Bashkir State Medical University, Ufa, Russian Federation.
http://orcid.org/0000-0002-6664-1308
Gafarova Aigul R., Post-Graduate Student of the Surgery Department with the Course of Endoscopy of the Institute of Continuing Professional Education, Bashkir State Medical University, Ufa, Russian Federation.
http://orcid.org/0000-0003-2874-7213
Timerbulatov Vil M., MD, Professor, Corresponding Member of RAS, Head of the Surgery Department with the Course of Endoscopy of the Institute of Continuing Professional Education, Bashkir State Medical University, Ufa, Russian Federation.
http://orcid.org/0000-0003-1696-3146
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