[Achievements and challenges in implementing the surgical checklist in a pediatric hospital]

Area of Science:

• Medical safety
• Surgical procedures
• Healthcare quality improvement

Context:

• Operating room patient safety is a significant global concern.
• Surgical procedures carry a notable risk of complications and mortality (0.5-5%).
• Hospital Garrahan performs approximately 9600 surgeries annually.

Purpose:

• To adapt and implement the World Health Organization (WHO) surgical checklist at Hospital Garrahan.
• To improve patient safety within the operating room environment.
• To identify and address challenges encountered during checklist implementation.

Summary:

• The study details the adaptation and implementation of the WHO surgical checklist in a high-volume hospital setting.
• Key difficulties and their corresponding solutions during the implementation process are described.
• Essential factors for successful implementation, particularly surgical team involvement, are highlighted.

Impact:

• Successful implementation of surgical checklists can reduce operating room complications.
• Enhanced patient safety protocols contribute to better surgical outcomes.
• Institutional prioritization of safety initiatives is vital for healthcare quality.