In June 2008 the WHO Surgical Safety Checklist (SSC) was published to help operating room staff improve teamwork and ensure the consistent use of safety processes. The World Health Organization (WHO) launched the Safe Surgery Saves Life campaign in January 2007 with the aim of improving consistency in surgical care and adherence to safety practices. Standardised audits are required to monitor and ensure checklist compliance. Cultural changes in nursing assertiveness and surgeon-led teamwork and checklist ownership are the key elements for improving compliance. The WHO SSC remains a powerful tool for surgical patient safety in China. One site had near 100% compliance in association with a circulating inspection team which had power of sanction. WHO SSC interventions which are omitted from the MoH SSC continued to be discussed over half the time. Compliance in surgeon-dependent items of the ‘ time-out’ component reduced when it was nurse-led ( p < 0.0001). There was widespread acceptance of the checklist and its value in improving patient safety.Ĩ60 operations were observed for SSC compliance. ResultsĪ total of 846 operating room staff and surgeons from 138 hospitals representing every mainland province responded to the survey. Adverse events which delayed the operation were recorded as well as the individuals leading or participating in the three SSC components.
Local data collectors were trained to document specific item performance. We also conducted a prospective cross-sectional study at five level 3 hospitals. MethodsĪ questionnaire was designed to gain authentic views on the WHO SSC. Ten years after the introduction of the Chinese Ministry of Health (MoH) version of Surgical Safety Checklist (SSC) we wished to assess the ongoing influence of the World Health Organisation (WHO) SSC by observing all three checklist components during elective surgical procedures in China, as well as survey operating room staff and surgeons more widely about the WHO SSC.
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