ABSTRACT

Background: Adverse post-surgical events are progressively perceived as a significant perspective for precluding mortality and morbidity in medicinal services framework. Fifty percent of all unfavorable post-surgical outcome in medical department occurring can be prevented. WHO has acquainted an agenda with institutionalize care for the entire patient in operation theaters? This agenda presented in 2009 will be utilized to avert adverse post-surgical events. Utilization of this agenda isn't being a standard operation protocol (SOP) in our setup.

Aim: To assess the frequency of adverse events (AEs) after implementation of WHO checklist.

Methods: It was a descriptive case series performed at surgical wards Mayo Hospital Lahore. In the study, total 610 cases were recruited. Information was gathered from surgical ward of Mayo Hospital, Lahore. Patients are asked to provide their consent to be included in this study. All the data was gathered on an explicitly structured Performa attached. The cases fulfilling inclusion criteria was enlisted upon confirmation. They were evaluated on medical history, clinical assessment, and baseline examination. Information was affirmed by the author for any post-surgical AEs (cautery burns, electro burns, tooth break during anesthesia induction, history of fall from operation table, pain, limbs desensitization after utilization of tourniquet).

Results: The mean age of each of the 610 cases was 26.30±11.39 yrs. There were 144(24%) women and 466(76%) men cases. 190 cases were operated in emergency department and 420 cases undergone elective medical procedure. According to WHO standards, the frequency of adverse events were 4(1%) in the operation theater. Among the detailed AEs in the operation theater there was 1(0.16%) case of fall from the operation table, 2(0.33%) case of needle prick and 1(0.16%) case of incorrect injection.

Conclusion: Execution of the surgical wellbeing agenda by WHO had fair effect on the security culture inside emergency clinic. Only 4(0.66%) AEs were found in our working arrangement after execution of this WHO check list. It is especially basic and essential to ensure the execution of this list in our set up due to burden of work and patient frequency in the surgical units.

Key words: Adverse events, World health organization, patients safety check list, Surgical Procedure