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The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
A surgical site infection (SSI) develop when bacteria infiltrate the body through surgical incisions. [1] These bacteria may come from the patient's own skin , the surgical instruments , or the environment in which the procedure is performed.
Methods to decrease surgical site infections in spine surgery include the application of antiseptic skin preparation (a.g. Chlorhexidine gluconate in alcohol which is twice as effective as any other antiseptic for reducing the risk of infection [9]), judicious use of surgical drains, prophylactic antibiotics, and vancomycin. [10]
Infection; Paralytic ileus: short-term paralysis of the bowel; Perioperative mortality, any death occurring within 30 days after surgery; Shock; Sterile technique, aseptic post-operative care, antibiotics, use of the WHO Surgical Safety Checklist, and vigilant post-operative monitoring greatly reduce the risk of these complications. Planned ...
He started studying hospital-acquired infections in 2001, concluding that a simple 5 item check-list protocol would greatly reduce infections when inserting a central venous catheter; [12] Doctors should: Wash their hands with soap. Clean the patient's skin with chlorhexidine antiseptic. Put sterile drapes over the entire patient.
An example is the WHO Surgical Safety Checklist developed for the World Health Organization and found to have a large effect on improving patient safety. [11] According to a meta-analysis after introduction of the checklist mortality dropped by 23% and all complications by 40%, but higher-quality studies are required to make the meta-analysis ...
The organization promotes the use of checklists before medical surgeries. [9] [10] Use of the checklists reduces surgical mortality and complications.[9]Lifebox organized hospitals to pool their purchasing power to reduce the cost of pulse oximeters from US$2,000 to $250, [9] and distributed 22,000 hospital-grade pulse oximeters.
The risk of complications after surgery can be reduced by: maintaining blood glucose levels in the normal range and constant evaluation of surgical site infection. [ 2 ] [ 26 ] There is insufficient evidence to show that whether applying cyanoacrylate microbial sealants on the wound site before operation is effective in reducing surgical site ...