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báo cáo hóa học:" Can the surgical checklist reduce the risk of wrong site surgery in orthopaedics? - can the checklist help? Supporting evidence from analysis of a national patient incident reporting system"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Can the surgical checklist reduce the risk of wrong site surgery in orthopaedics? - can the checklist help? Supporting evidence from analysis of a national patient incident reporting system | Panesar et al. Journal of Orthopaedic Surgery and Research 2011 6 18 http www.josr-online.eom content 6 1 18 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH RESEARCH ARTICLE Open Access Can the surgical checklist reduce the risk of wrong site surgery in orthopaedics - can the checklist help Supporting evidence from analysis of a national patient incident reporting system Sukhmeet S Panesar1 Douglas J Noble2 Saqeb B Mirza3 Bhavesh Patel1 Bhupinder Mann4 Mark Emerton5 Kevin Cleary1 Aziz Sheikh6 and Mohit Bhandari7 Abstract Background Surgical procedures are now very common with estimates ranging from 4 of the general population having an operation per annum in economically-developing countries this rising to 8 in economically-developed countries. Whilst these surgical procedures typically result in considerable improvements to health outcomes it is increasingly appreciated that surgery is a high risk industry. Tools developed in the aviation industry are beginning to be used to minimise the risk of errors in surgery. One such tool is the World Health Organization s WHO surgery checklist. The National Patient Safety Agency NPSA manages the largest database of patient safety incidents PSIs in the world already having received over three million reports of episodes of care that could or did result in iatrogenic harm. The aim of this study was to estimate how many incidents of wrong site surgery in orthopaedics that have been reported to the NPSA could have been prevented by the WHO surgical checklist. Methods The National Reporting and Learning Service NRLS database was searched between 1st January 200831st December 2008 to identify all incidents classified as wrong site surgery in orthopaedics. These incidents were broken down into the different types of wrong site surgery. A Likert-scale from 1-5 was used to assess the preventability of these cases if the checklist was used. Results 133 316 42 incidents satisfied the inclusion criteria. A large proportion of cases 183 316