Perioperative Patient Safety Clinical Trial
Official title:
Implementation of the Sign-out Phase of the WHO Checklist 'Safe Surgery' With Routine Recording of Intraoperative Adverse Events According to ClassIntra® and a Multifaceted, Tailored Implementation Strategy: a Collaborative Before-and-after Project Using a Hybrid Implementation - Effectiveness Approach
Intra- and postoperative adverse events (iAEs/pAEs) occur in up to one third of all patients, may be devastating to patients and costly to health care systems. Up to 50% of these events are potentially preventable. As iAEs are highly associated with pAEs, systematic and routine recording of iAEs and discussing them during the sign-out of the WHO Surgical Safety checklist (WHO SSC) is a prerequisite for diminishing or avoiding pAEs. However, in contrary to the first two parts of the WHO SSC, adherence with the last part, the sign-out, is only about 50%. Hence, the aim of this project is to increase adherence and quality of the performance of the WHO SSC and to implement routine recording of iAEs during the sign-out to improve patient safety and quality of care and, ultimately, reduce healthcare costs. Implementation science principles will be applied with a hybrid implementation-effectiveness approach and a multifaceted, tailored implementation strategy, which will be co-developed involving all relevant stakeholders.
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