de Vries EN, Prins HA, Crolla RM et al. Effect of a comprehensive surgical safety system on patient outcomes. New England Journal of Medicine 2010; 363: 1928-1937.
RHH Journal Club. December 4th, 2012. Dr Surya Kasa
Does implementation of comprehensive multidisciplinary check list with pre, intra & post op components improve outcome?
- Multicentre ,Controlled Trial
Surgical patients admitted for > 24hrs following surgery in selected hospitals
Intervention-Implementation of Surgical Patient Safety System (SURPASS) Check list to patients admitted to interventional hospitals
Controls1- Patients in the Control hospital
Controls 2- patients in the interventional hospitals before intervention
Reduction of peri & postoperative complications and mortality
- Did groups start with a similar prognosis?
No. They are not compared with one another. The change in the rate of complications within each group at different times is used to draw conclusions.
- Numbers involved: 12,836
- Randomisation– Not randomised –not possible
- Blinded– To a certain extent only for post op complications
Not blinded for patient data like ASA, Age, type of operation, length of hospital stay
- Intention to treat principle applied. Not applicable
- Confounding factors :considered
- Follow up: not appropriate
The use of the comprehensive SURPASS checklist is associated with reductions in complications and mortality among adults undergoing general surgery in hospitals that have a high baseline standard of care