• M D Menéndez Fraga, M A Cueva Álvarez, M R Franco Castellanos, V Fernández Moral, M P Castro Del Río, J I Arias Pérez, A Fernández León, and F Vázquez Valdés.
• Servicio de Calidad y Seguridad del Paciente, Hospital Monte Naranco, Oviedo, Asturias, España. Electronic address: mariadol.menendez@gmail.com.
• Rev Calid Asist. 2016 Jun 1; 31 Suppl 1: 20-3.

IntroductionThe implementing of the WHO Surgical Safety Checklist (SSC) has helped to improve patient safety. The aim of this study was to assess the level of compliance of the SSC, and incorporating the non-compliances as «triggers» in the Global Trigger Tool (GTT).Material And MethodsSettingAcute Geriatric Hospital (200 beds). Retrospective study, study period: 2011-2014. The SSC formulary and the methodology of the GTT were used for the analysis of electronic medical records and the compliance with the SSC. The NCCP MERP categories were used to assess the severity of the harm.ResultsOut of all the electronic medical records (EMR), a total of 227 (23.6%) discharged patients (1.7% of interventions in the four year study period) were analysed. All (100%) of the EMR included the SSC, with 94.4% of the items being completed, and 28.2% of SSC had all items completed in the 3 phases of the process. Surgical adverse events decreased from 16.3% in 2011 to 9.4% in 2014 (P=.2838, not significant), and compliance with all items of SSC was increased from 18.6% to 39.1% (P=.0246, significant).ConclusionsThe GTT systematises and evaluates, at low cost, the triggers and incidents/ AEs found in the EMR in order to assess the compliance with the SSC and consider non-compliance of SSC as «triggers» for further analysis. This strategy has never been referred to in the GTT or in the SCC formulary.Copyright © 2016 SECA. Published by Elsevier Espana. All rights reserved.

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