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Niger J Surg. 2019 Jul-Dec;25(2):192-197. doi: 10.4103/njs.NJS_45_18.

Role of Perioperative Surgical Safety Checklist in Reducing Morbidity and Mortality among Patients: An Observational Study.

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Department of Surgery, GGS Medical College and Hospital, Faridkot, Punjab, India.
Department of Anaesthesia, GGS Medical College and Hospital, Faridkot, Punjab, India.



Safe Surgery Saves Lives. Patient safety is a fundamental of good quality health care, and complications due to the health-care system are well-documented and constitute an important public health problem. Implementation of the checklist in medicine and surgery can help to decrease the risk of adverse events thus can improve patient safety.

Materials and Methods:

After the Institutional Ethical Committee clearance, a total of 500 patients were enrolled and divided into two equal groups. In Group 1 (n = 250), patients underwent surgery before regular implementation of the World Health Organization (WHO) surgical safety checklist (SSC), whereas in Group 2 (n = 250), patients underwent surgery after the WHO SSC was regularly implemented. All the patients were followed up after the surgery, and patients were looked for and compared for the postoperative complications.


We found that 27 patients (10.8%) in Group 1 and 13 patients (5.2%) in Group 2 developed major wound disruption (P < 0.05). There were 73 patients (29.2%) in Group 1 and 34 patients (13.6%) in the Group 2 who developed an infection of the surgical site (P < 0.05). There were five patients (2%) in Group 1 while none of the patients in Group 2 developed sepsis during the study (P < 0.05).


We found that implementation of the WHO SSC significantly reduces surgical site infections, major disruptions of the wound, and sepsis.


Checklist; implementation; postoperative complications; surgical safety

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