Advertisement

For debate: Can high-detail operative information lead to safer surgery beyond the World Health Organization checklist?

  • Michael Harpur Edwards
    Correspondence
    Reprint requests: Michael Harpur Edwards, FRCS Edinburgh, Emeritus Consultant General Surgeon, Department of Surgery, Friarage Hospital, Northallerton, North Yorkshire, UK, DL6 1JG.
    Affiliations
    Department of Surgery, Friarage Hospital, Northallerton, North Yorkshire, UK
    Search for articles by this author
Published:April 12, 2022DOI:https://doi.org/10.1016/j.surg.2022.02.009
      The World Health Organization surgical checklist has significantly improved surgical safety, but it identifies only those 19 items of pre- and post-operative safety information that are common to all operations.
      World Health Organization
      WHO surgical safety checklist.
      No per-operative information is given. Despite the use of the checklist, the death rate from surgery remains unacceptably high at more than 8,000 patients per million patients (0.8%).
      • Gawande A.A.
      • Zinner M.J.
      • Studdert D.M.
      • Brennan A.B.
      Analysis of errors reported by surgeons at three teaching hospitals.
      This compares with a death rate in aviation of less than 1 air passenger per million flights.
      • Shepherdson D.
      Major commercial plane crash deaths worldwide fell by more than 50% in 2019-group.
      Significantly, all airline pilots use, without difficulty, operating manuals containing unlimited high-detail information.
      easyJet Airbus a320 Aircraft Operations Manual.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • World Health Organization
        WHO surgical safety checklist.
        • Gawande A.A.
        • Zinner M.J.
        • Studdert D.M.
        • Brennan A.B.
        Analysis of errors reported by surgeons at three teaching hospitals.
        Surgery. 2003; 133: 614-621
        • Shepherdson D.
        Major commercial plane crash deaths worldwide fell by more than 50% in 2019-group.
      1. easyJet Airbus a320 Aircraft Operations Manual.
        • Edwards M.H.
        Safety of online operative surgical resources.
        J Surg Simulat. 2020; 7: 57-62
        • Knox R.
        • Edwards M.H.
        Aortic-aneurysm-graft-Operationscript.