[Compliance with the surgical safety checklist and surgical events detected by the Global Trigger Tool].
BACKGROUND
The implementing of the WHO Surgical Safety Checklist (SSC) has helped to improve patient safety. The aim of this study was to assess the level of compliance of the SSC, and incorporating the non-compliances as «triggers» in the Global Trigger Tool (GTT).


METHODS



METHODS
Acute Geriatric Hospital (200 beds). Retrospective study, study period: 2011-2014. The SSC formulary and the methodology of the GTT were used for the analysis of electronic medical records and the compliance with the SSC. The NCCP MERP categories were used to assess the severity of the harm.


RESULTS
Out of all the electronic medical records (EMR), a total of 227 (23.6%) discharged patients (1.7% of interventions in the four year study period) were analysed. All (100%) of the EMR included the SSC, with 94.4% of the items being completed, and 28.2% of SSC had all items completed in the 3 phases of the process. Surgical adverse events decreased from 16.3% in 2011 to 9.4% in 2014 (P=.2838, not significant), and compliance with all items of SSC was increased from 18.6% to 39.1% (P=.0246, significant).


CONCLUSIONS
The GTT systematises and evaluates, at low cost, the triggers and incidents/ AEs found in the EMR in order to assess the compliance with the SSC and consider non-compliance of SSC as «triggers» for further analysis. This strategy has never been referred to in the GTT or in the SCC formulary.
Servicio de Calidad y Seguridad del Paciente, Hospital Monte Naranco, Oviedo, Asturias, España. Electronic address: mariadol.menendez@gmail.com.
M D
MD
Menéndez Fraga
Bloque Quirúrgico, Hospital Monte Naranco, Oviedo, Asturias, España.
M A
MA
Cueva Álvarez
Bloque Quirúrgico, Hospital Monte Naranco, Oviedo, Asturias, España.
M R
MR
Franco Castellanos
Servicio de Traumatología, Hospital Monte Naranco, Oviedo, Asturias, España.
V
V
Fernández Moral
Servicio de Anestesia, Hospital Monte Naranco, Oviedo, Asturias, España.
M P
MP
Castro Del Río
Servicio de Cirugía, Hospital Monte Naranco, Oviedo, Asturias, España.
J I
JI
Arias Pérez
AGC de Geriatría, Hospital Monte Naranco, Oviedo, Asturias, España.
A
A
Fernández León
Servicio de Microbiología, Hospital Universitario Central de Asturias y Facultad de Medicina de Oviedo, Oviedo, Asturias, España.
F
F
Vázquez Valdés
D057189:Checklist; D019983:Guideline Adherence; D006299:Health Services for the Aged; D006782:Hospitals, Special; D006801:Humans; D011300:Preoperative Care / Q000592:standards*; D012189:Retrospective Studies
Global Trigger Tool; Health impact assessment; Herramientas de evaluación; Listado de verificación quirúrgica; Surgical safety checklist