世卫组织手术检查清单在减少术后不良结果中的作用:系统性审查
Shehrbano Qaiser1, Maham Noman2, Muhammad Sheharyar Khan3
1Surgical Emergency, Oxford University Hospitals NHS Foundation Trust, Oxford, GBR.
Cureus
|November 6, 2024
概括
世界卫生组织的手术安全检查清单显著减少了手术并发症和死亡率. 需要进一步的研究来评估其对患者生活质量和全球接受度的影响.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 手术结果研究研究.
背景情况:
- 由于手术数量的增加和错误的可能性,外科安全至关重要.
- 世界卫生组织的外科安全检查清单 (WHO SSC) 于2008年引入,以减轻风险.
- 世界卫生组织SSC的全球采用不一致,特别是在发展中国家.
研究的目的:
- 系统地审查世卫组织外科安全检查清单的核心组成部分 (登录,停机,退出) 对减少术后不良影响的影响.
- 评估世卫组织SSC在改善外科患者治疗结果方面的有效性.
主要方法:
- 在2022年9月之前以英语出版的研究进行系统审查和元分析.
- 在Medline,CINAHL,Embase,Cochrane,ProQuest,索引哥白尼,谷歌学者和Scopus中进行的搜索.
- 纳入标准专注于世卫组织的SSC,不包括其他检查清单或混研究;从17821份初始出版物中,包括了13项高质量的研究.
主要成果:
- 十项研究中有九项报告说,在实施世卫组织SSC后,并发症率下降.
- 在13项研究中,12项研究显示,与世卫组织SSC使用相关的死亡率下降.
- 检查清单的登录,截止时间和退出组件被分析了它们对不良事件的影响.
结论:
- 世卫组织的外科安全检查清单通过降低术后死亡率和并发症率,有效地改善了外科结果.
- 建议进行进一步的研究,以评估检查清单对患者生活质量的影响.
- 对这些因素的更好理解将有助于在全球范围内更广泛地采用和实施世卫组织的SSC.
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