The Need for Surgical Safety Checklists in Neurosurgery Now and in the Future-A Systematic Review
| Autor: | Marjut Westman, Melissa Rahi, Riikka S.K. Takala, Tuija Ikonen |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Operating Rooms MEDLINE Neurosurgery World health Neurosurgical Procedures 03 medical and health sciences Patient safety 0302 clinical medicine Postoperative Complications Artificial Intelligence Surgical safety Medicine Humans Safety culture business.industry medicine.disease Checklist Systematic review 030220 oncology & carcinogenesis Surgery Neurology (clinical) Medical emergency Patient Safety business 030217 neurology & neurosurgery |
| Zdroj: | World neurosurgery. 134 |
| ISSN: | 1878-8769 |
| Popis: | Safety checklists have been studied among various surgical patient groups, but evidence of their benefits in neurosurgery remains sparse. Since the implementation of the World Health Organization's Surgical Safety Checklist, their use has become widespread. The aim of this review was to systematically review the state of the literature on surgical safety checklists in neurosurgery. Also, in the new era of robotics and artificial intelligence, there is a need to re-evaluate patient safety procedures in neurosurgery. A systematic review was conducted on PubMed, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials, Embase, and MEDLINE for articles published between 2008 and 2016 using MeSH (medical subject heading) terms and keywords describing postoperative complications and surgical adverse events, and some additional searches were carried out until January 2019. Twenty-six original studies or reviews were eligible for this review. They were categorized into studies with patient-related outcomes, personnel-related outcomes, or previous reviews. Checklist use in neurosurgery was found to reduce hospital-acquired infectious complications and to enhance operating room safety culture. Checklists seem to improve patient safety in neurosurgery, although the amount of evidence is still limited. Despite their shortcomings, checklists are here to stay, and new research is required to update checklists to meet the requirements of the transforming working environment of the neurosurgery operating room. |
| Databáze: | OpenAIRE |
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