title: [Achievements and challenges in implementing the surgical checklist in a pediatric hospital].
abstract: Patient safety in the operating room is a topic of universal concern. Several studies support the existence of a high percentage of complications and a high mortality rate in surgical procedures (0.5 to 5%). The World Health Organization (WHO) has proposed the implementation of surgical check list in order to improve patient safety in the operating room. In Hospital Garrahan, 9600 surgeries and surgical anesthesia for more than 8000 studies and other invasive procedures are performed per year. WHO checklist adaptation and implementation was considered an institutional priority. We describe difficulties and solutions in implementing the surgical checklist. Surgical team involvement in project planning and development was essential.
authors.affiliation: Gestión de Calidad, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Argentina. noradack@gmail.com
authors.forename: Nora
authors.initials: N
authors.lastname: Dackiewicz
authors.forename: Laura
authors.initials: L
authors.lastname: Viteritti
authors.forename: Beatriz
authors.initials: B
authors.lastname: Marciano
authors.forename: Marcela
authors.initials: M
authors.lastname: Bailez
authors.forename: Patricia
authors.initials: P
authors.lastname: Merino
authors.forename: Diana
authors.initials: D
authors.lastname: Bortolato
authors.forename: André
authors.initials: A
authors.lastname: Jaichenko
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Seminara
authors.forename: Analía
authors.initials: A
authors.lastname: Amarilla
mesh_terms: D000124:Achievement; D057189:Checklist; D002648:Child; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006776:Hospitals, Pediatric / Q000592:standards*; D006801:Humans; D009873:Operating Rooms; D061214:Patient Safety; D013514:Surgical Procedures, Operative