FREDERICO CARLOS CORDEIRO DE MENDONCA

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LIM/11 - Laboratório de Cirurgia Cardiovascular e Fisiopatologia da Circulação, Hospital das Clínicas, Faculdade de Medicina

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  • article 3 Citação(ões) na Scopus
    Adherence to the cardiac surgery checklist decreased mortality at a teaching hospital: A retrospective cohort study
    (2022) MEJIA, Omar Asdrubal Vilca; MENDONCA, Frederico Carlos Cordeiro de; SAMPAIO, Lucimar Aparecida Barrense Nogueira; GALAS, Filomena Regina Barbosa Gomes; PONTES, Mauricio Franklin; CANEO, Luiz Fernando; DALLAN, Luis Roberto Palma; LISBOA, Luiz Augusto Ferreira; FERREIRA, Joao Fernando Monteiro; DALLAN, Luis Alberto de Oliveira; JATENE, Fabio Biscegli
    Objective: To evaluate the impact of adherence to the cardiac surgical checklist on mortality at the teaching hospital. Methods: A retrospective cohort study after the implementation of the cardiac surgical safety checklist in a reference hospital in Latin America. All patients undergoing coronary artery bypass surgery and/or heart valve surgery from 2013 to 2019 were analyzed. After the implementation of the project InCor-Checklist ???Five steps to safe cardiac surgery??? in 2015, the correlation between adherence and completeness of this instrument with surgical mortality was assessed. The EuroSCORE II was used as a reference to assess the risk of expected mortality for patients. Cross-sectional questionnaires were during the implementation of the InCor-Checklist. To perform the correlation, Pearson???s coefficient was calculated using R software. Results: Since 2013, data from 8139 patients have been analyzed. The average annual mortality was 5.98%. In 2015, the instrument was used in only 58% of patients; in contrast, it was used in 100% of patients in 2019. There was a decrease in surgical mortality from 8.22% to 3.13% for the same group of procedures. The results indicate that the greater the checklist use, the lower the surgical mortality (r = 88.9%). In addition, the greater the InCor-Checklist completeness, the lower the surgical mortality (r = 94.1%). Conclusion: In the formation of the surgical patient safety culture, the implementation and adherence to the InCorChecklist ???Five steps to safe cardiac surgery??? was associated with decreased mortality after cardiac surgery.