Title: Surgical Safety Checklist can not reduce in operative complications : A systematic and review of randomized clinical trial critical abstract
Background: Surgery has become an integral part of global health care, with an estimated 234 million operations performed yearly. Surgical complications are common and often preventable. Some study showed that use of standardized surgical safety checklists (SSC) has been reduce mortality and morbidity in some developing countries , However, the effect of mandatory adoption of surgical safety checklists is unclear. The aim of this review was to determine and document the use of SSC all over the world.Search Method: The relevant empirical literature was identified by searching several electronic databases: PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information (ISI), SCOPUS and EMBASE , between January 1991 to May 2019 The search was performed by cross-referencing the words surgical safety checklists, Safe Surgery Saves Lives or etc . The analyses were conducted with SPSS software, version 23.0. Result : The reported prevalence is presented as percent and 95% confidence interval. he search yielded 45 publications that were related to inclusion criteria. According to titles, 24 publications were excluded as clearly ineligible, leaving 8 for further review. Of these 21 studies, 14 had been reported that Surgical Safety Checklist can not reduce in operative complications this result say effect of checklists did not vary substantially according to date of adoption and The effect of the checklist on length of hospital stay differed for elective and emergency procedures and among some procedure types . Conclusion: In contrast to many studies and first intention this population-based review study of surgical safety checklists in Canada hospitals showed no significant reduction in operative mortality after checklist implementation . Checklist use did not result in reductions in risks of surgical complications, emergency department visits, or hospital readmissions within 30 days after discharge ,but, There may be value in the use of surgical safety checklists, such as enhanced communication and teamwork and the promotion of a hospital culture in which safety is a high priority.