We Asked the Experts: The WHO Surgical Safety Checklist and the COVID-19 Pandemic: Recommendations for Content and Implementation Adaptations

Nikhil Panda, James C Etheridge, Takshveer Singh, Yves Sonnay, George Molina, Barbara K Burian, Nina Capo-Chichi, Christy E Cauley, David A H de Beer, Miliard Derbew, Roger D Dias, Mary C Fearon, Mekdes Daba Feyssa, Kathryn Hagen, Manoj Kumar, Tihitena Negussie Mammo, Edward R Mariano, Alan Merry, Barbara Mushayandebvu, Mary T NabukenyaMilind Shah, Lisa Spruce, Thomas G Weiser, Mary E Brindle

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

BACKGROUND: As surgical systems are forced to adapt and respond to new challenges, so should the patient safety tools within those systems. We sought to determine how the WHO SSC might best be adapted during the COVID-19 pandemic.

METHODS: 18 Panelists from five continents and multiple clinical specialties participated in a three-round modified Delphi technique to identify potential recommendations, assess agreement with proposed recommendations and address items not meeting consensus.

RESULTS: From an initial 29 recommendations identified in the first round, 12 were identified for inclusion in the second round. After discussion of recommendations without consensus for inclusion or exclusion, four additional recommendations were added for an eventual 16 recommendations. Nine of these recommendations were related to checklist content, while seven recommendations were related to implementation.

CONCLUSIONS: This multinational panel has identified 16 recommendations for sites looking to use the surgical safety checklist during the COVID-19 pandemic. These recommendations provide an example of how the SSC can adapt to meet urgent and emerging needs of surgical systems by targeting important processes and encouraging critical discussions.

Original languageEnglish
Pages (from-to)1293-1296
Number of pages4
JournalWorld Journal of Surgery
Volume45
Issue number5
Early online date26 Feb 2021
DOIs
Publication statusPublished - May 2021

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