Checklists have the potential to make surgical care safer. The World Health Organization’s surgical safety checklist (WHO SSC) has, since its introduction more than 10 years ago,1 been rapidly implemented worldwide2 and reduced morbidity and mortality in a range of surgical procedures.3 However, preparation for surgery begins outside the operation room, and there can be many obstacles before a patient is home and well. The Dutch Surgical Patient Safety System (SURPASS) checklist, which starts in the ward preoperatively and follows the patient until discharge, was reported by De Vries et al4 in 2010 to increase safety. In that study, the investigators showed that SURPASS reduced mortality by almost half. However, we have had to wait until now to learn whether SURPASS and the WHO SSC in combination reduce complications even further.
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Almquist M, Tingstedt B. Checklists Combined—Achieving More Than the Sum of the Parts. JAMA Surg. Published online May 13, 2020. doi:10.1001/jamasurg.2020.1024
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