Published 15 January 2009, doi:10.1136/bmj.b157
Cite this as: BMJ 2009;338:b157

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Surgical checklist reduces complications by one third

¹ London

The first 150 words of the full text of this article appear below.

A simple surgical checklist can lower the incidence of deaths and complications after surgery by one third, according to research published by the World Health Organization (New England Journal of Medicine 2009 Jan 14, doi:10.1056/NEJMsa0810119).

A study of hospitals in six WHO regions shows that the rate of serious complications after surgery fell from 11% in the baseline period to 7% after introduction of the checklist, a reduction of one third. Deaths among inpatients after big operations fell by more than 40% (from 1.5% to 0.8%).

Data were collected from 7688 patients—3733 before the checklist was introduced and 3955 after.

The study was carried out in hospitals in rich and poor settings, including Ifakara, Tanzania; Manila, Philippines; New Delhi, India; Amman, Jordan; Seattle, United States; Toronto, Canada; London, United Kingdom; and Auckland, New Zealand. The reduction in complications was similar in rich and poor settings.

The 19 . . . [Full text of this article]

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