Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC
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J Obstet Gynaecol Can · Jan 2013
Practice GuidelineSurgical safety checklist in obstetrics and gynaecology.
To provide guidance on the implementation of a surgical safety checklist in the practice of obstetrics and gynaecology. ⋯ Implementation of the guideline recommendations will improve the health and well-being of women undergoing obstetrical or gynaecologic surgery. Summary Statements and Recommendations Summary Statements 1. Surgery may account for up to 40% of all hospital adverse events. (II-2) 2. Good communication is essential for safer surgical care, as communication failure is common in the operating room. (III) 3. The concept of a surgical safety checklist has been studied globally, and there have been decreases in complications and mortality when the checklist has been implemented. (II-1) 4. Emergency cases such as a "crash" Caesarean section will require a modified approach that is centre- and situation-dependent. (III) 5. The SOGC endorses the adoption of the surgical safety checklist in obstetrics and gynaecology. (III) Recommendations 1. The surgical safety checklist should be adopted by all surgical care providers and their respective institutions to improve patient safety. (II-1A) 2. Surgeons should be familiar with, advocate for the use of, and participate in all 3 parts of the surgical safety checklist. (II-1A) 3. The surgical safety checklist may be modified and adapted for use in surgical obstetrics cases. (II-2A).