Adherence to the cardiac surgery checklist decreased mortality at a teaching hospital: A retrospective cohort study

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMEJIA, Omar Asdrubal Vilca
dc.contributor.authorMENDONCA, Frederico Carlos Cordeiro de
dc.contributor.authorSAMPAIO, Lucimar Aparecida Barrense Nogueira
dc.contributor.authorGALAS, Filomena Regina Barbosa Gomes
dc.contributor.authorPONTES, Mauricio Franklin
dc.contributor.authorCANEO, Luiz Fernando
dc.contributor.authorDALLAN, Luis Roberto Palma
dc.contributor.authorLISBOA, Luiz Augusto Ferreira
dc.contributor.authorFERREIRA, Joao Fernando Monteiro
dc.contributor.authorDALLAN, Luis Alberto de Oliveira
dc.contributor.authorJATENE, Fabio Biscegli
dc.date.accessioned2022-08-12T17:00:10Z
dc.date.available2022-08-12T17:00:10Z
dc.date.issued2022
dc.description.abstractObjective: 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.eng
dc.description.indexMEDLINEeng
dc.identifier.citationCLINICS, v.77, article ID 100048, 6p, 2022
dc.identifier.doi10.1016/j.clinsp.2022.100048
dc.identifier.eissn1980-5322
dc.identifier.issn1807-5932
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/48226
dc.language.isoeng
dc.publisherELSEVIER ESPANAeng
dc.relation.ispartofClinics
dc.rightsopenAccesseng
dc.rights.holderCopyright ELSEVIER ESPANAeng
dc.subjectChecklistseng
dc.subjectQuality improvementeng
dc.subjectCardiac surgeryeng
dc.subjectMortalityeng
dc.subject.othersurgical safety checklistseng
dc.subject.otheroperating-roomeng
dc.subject.otherpatient safetyeng
dc.subject.otherimplementationeng
dc.subject.otherteamworkeng
dc.subject.othercommunicationeng
dc.subject.otherimprovementeng
dc.subject.otherguidelineseng
dc.subject.othermorbidityeng
dc.subject.otherfailureseng
dc.subject.wosMedicine, General & Internaleng
dc.titleAdherence to the cardiac surgery checklist decreased mortality at a teaching hospital: A retrospective cohort studyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalSAMPAIO, Lucimar Aparecida Barrense Nogueira:Univ Sao Paulo HCFMUSP, Nursing Unit Surg Canc, Inst Coracao, Hosp Clin,Fac Med, Sao Paulo, SP, Brazil
hcfmusp.author.externalPONTES, Mauricio Franklin:Univ Fed Ciencias Saude Porto Alegre, InnovaSpace UK, Space & Extreme Environm Res Ctr, Porto Alegre, RS, Brazil
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcOMAR ASDRUBAL VILCA MEJIA
hcfmusp.contributor.author-fmusphcFREDERICO CARLOS CORDEIRO DE MENDONCA
hcfmusp.contributor.author-fmusphcFILOMENA REGINA BARBOSA GOMES GALAS
hcfmusp.contributor.author-fmusphcLUIZ FERNANDO CANEO
hcfmusp.contributor.author-fmusphcLUIS ROBERTO PALMA DALLAN
hcfmusp.contributor.author-fmusphcLUIZ AUGUSTO FERREIRA LISBOA
hcfmusp.contributor.author-fmusphcJOAO FERNANDO MONTEIRO FERREIRA
hcfmusp.contributor.author-fmusphcLUIS ALBERTO OLIVEIRA DALLAN
hcfmusp.contributor.author-fmusphcFABIO BISCEGLI JATENE
hcfmusp.description.articlenumber100048
hcfmusp.description.volume77
hcfmusp.origemWOS
hcfmusp.origem.pubmed35594622
hcfmusp.origem.scieloSCIELO:S1807-59322022000100230
hcfmusp.origem.scopus2-s2.0-85130568214
hcfmusp.origem.wosWOS:000829506700001
hcfmusp.publisher.cityMADRIDeng
hcfmusp.publisher.countrySPAINeng
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