Preferences help
enabled [disable] Abstract
Number of results
2018 | 99 | 107-118
Article title

Surgical safety checklist in pediatric surgery

Title variants
Languages of publication
Patient safety still remains as one of the biggest challenges for healthcare professionals. Surgical adverse events comprise 8% of all iatrogenic complications, half of them being easily preventable with simple checkup methods. Especially in pediatric surgery, where not only meaningful differences in anatomy or treatment response lie, but more importantly limited communication with the patient occurs, additional precautions have to be undertaken. In 2008, as a result of Safe Surgery Saves Lives campaign, Surgical Safety Checklist was introduced. A standardized checklist of all crucial perioperative steps is meant to be performed in every operating theater, ideally under all circumstances. The aim of our study was to present the current views and effectiveness of implementation of surgical safety checklists in pediatric surgery settings. We analyzed substantial articles on implementation and challenges of surgical checklist in pediatric surgery from period 2008-2018. Within 310 articles of PubMED database, 10 substantial articles on pediatric surgery safety were identified and reviewed. 70% of articles discussed the implementation of the checklist and post-implementation improvements, 20% included healthcare and parents attitude towards safety checklists. One article presented the variation of the surgical safety checklist in pediatric surgical and ambulatory settings. Most of the articles noted the prevention of adverse events correlated with the usage of the checklist, as well as positive attitude of healthcare providers and patients family towards checklist implementation was noted. Main challenge was the fidelity of the completion, especially in emergency settings. The Surgical Safety Checklist unifies the process of avoiding human error in surgery at all costs. Reviewed research presents improvements in prevention of adverse events in pediatric surgery, as well as innovative solutions for issues related mainly to pediatric patients, such as inclusion of guardians or even patients in safety check process, or implementing procedural or bedside safety checklists.
Physical description
  • I Faculty of Medicine, Medical University of Lublin, Al. Raclawickie 1, 20-059 Lublin, Poland
  • Pediatric Neurology Department, III Chair of Pediatrics, Medical University of Lublin, ul. Prof. A. Gebali 6, 20-093 Lublin, Poland
  • [1] Chang JHT. Timelines in history of pediatric surgery. J Pediatr Surg (1986) 21(12), 1068-1072.
  • [2] Xydas S1, Widmann WD, Hardy MA. William E. Ladd: Father of Pediatric Surgery. Curr Surg 2003 Jan-Feb; 60(1): 47-50.
  • [3] The C. Everett Koop Papers: Biographical Information Profiles. nlm. nih. gov. (2013) Retrieved 18.03.2018
  • [4] Matlow AG, Baker GR, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. CMAJ (2012) 184: E709-18.
  • [5] Van der Griend BF, Lister NA, McKenzie IM, et al. Postoperative mortality in children after 101,885 anesthetics at a tertiary pediatric hospital. Anesth Analg (2011) 112: 1440-7.
  • [6] James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. J Bone Joint Surg Am (2012) 94: 1-12.
  • [7] Saito JM, Chen LE, Hall BL, et al. Risk-adjusted hospital outcomes for children’s surgery. Pediatrics (2013) 132: 677-88.
  • [8] Skarsgard ED. Recommendations for surgical safety checklist use in Canadian children’s hospitals Can J Surg (2016) 59(3): 162-6.
  • [9] Mitchell PH. Defining patient safety and quality care. In: Patient and Safety: An Evidence-Based Handbook for Nurses. (2008) Rockville (MD): Agency for Healthcare Research and Quality (US)
  • [10] Woodman N, Walker I. World Health Organization Surgical Safety Checklist. Tutorial 325. Anaesthesia Tutorial of the Week, World Federation of Societies of Anaesthesiologists, 2016
  • [11] Haugen AS, Murugesh S, Haaverstad R, Eide GE, Søfteland E. A survey of surgical team members' perceptions of near misses and attitudes towards Time Out protocols. BMC Surg (2013) 9(13): 46.
  • [12] Oak SN, Dave NM, Garasia MB, Parelkar SV. Surgical checklist application and its impact on patient safety in pediatric surgery J Postgrad Med (2015) 61(2): 92–94.
  • [13] Bellora E, Falzoni M. Surgery checklist implementation to reduce clinical risk in the pediatric operating room. Minerva Pediatr (2013) 65(6): 617-30.
  • [14] McGinlay D, Moore D, Mironescu A. A prospective observational assessment of Surgical Safety Checklist use in Brasov Children’s Hospital, barriers to implementation and methods to improve compliance Rom J Anaesth Int Care (2015) 22: 111-121
  • [15] Bartz-Kurycki MA, Anderson KT, Abraham JE, Masada KM, Wang J et al. Debriefing: the forgotten phase of the surgical safety checklist. J Surg Res (2017) Jun 1; 213: 222-227.
  • [16] Levy SM, Senter CE, Hawkins RB, Zhao JY, Doody K et al. Implementing a surgical checklist: more than checking a box. Surgery (2012) Sep; 152(3): 331-6.
  • [17] O’Leary JD, Wijeysundera DN, Crawford MW Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ (2016) 188(9): E191-8
  • [18] Norton EK, Rangel SJ. Implementing a Pediatric Surgical Safety Checklist in the OR and Beyond AORN J (2010) 92(1): 61-71
  • [19] Dwyer K. Analysis of CRICO surgery related cases. Forum. (2004), 23(4): 5-9.
  • [20] De Oliveira Pires MP, Pedreira MLG. Surgical Safety in Pediatrics: practical application of the Pediatric Surgical Safety Checklist. Rev. Latino-Am. Enfermagem, (2015), 23(6): 1105-12
  • [21] Corbaly MT, Tierney E. Parental Involvement in the Preoperative Surgical Safety Checklist Is Welcomed by Both Parents and Staff. Int J Pediatr (2014), Article ID 791490
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.