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| Name | Class |
|---|---|
| Institute for Clinical Evaluative Sciences | OTHER |
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The purpose of this study is to see if the surgical safety checklist is associated with a reduction in perioperative complications for children undergoing surgery in Ontario, Canada.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-checklist | Surgical interventions performed for children before the introduction of the surgical safety checklist in Ontario, from October 2008 to September 2009. | ||
| Post-checklist | Surgical interventions performed for children after the introduction of the surgical safety checklist in Ontario, from October 2010 to September 2011. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Surgical Safety Checklist | Other | An Ontario hospital-wide introduction of a surgical safety checklist based on the WHO guidelines, as mandated by the Ontario Ministry of Health |
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| Measure | Description | Time Frame |
|---|---|---|
| Perioperative complications | Composite outcome, complications included were death (all-causes), acute renal failure, cardiac arrest, complications of implants or grafts, decubitus ulcer, deep vein thrombosis, disruption of wound, electrolyte or acid-base abnormality, hemorrhage or hematoma, pulmonary embolism, pulmonary collapse or pneumonia, surgical site infection, sepsis, shock, stroke, and vascular graft failure | 30-days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Healthcare utilization - proportion of Emergency Room visits | Number of Emergency Room visits | 30-days after surgery |
| Healthcare utilization - rate of unplanned return to the operating room | Unplanned return to the operating room |
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Inclusion Criteria:
Exclusion Criteria:
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Surgical interventions performed in Ontario for children
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| Name | Affiliation | Role |
|---|---|---|
| James D O'Leary, MBBCh | The Hospital for Sick Children, Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital for Sick Children | Toronto | Ontario | M5G1X8 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26976960 | Derived | O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016 Jun 14;188(9):E191-E198. doi: 10.1503/cmaj.151333. Epub 2016 Mar 14. |
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| ID | Term |
|---|---|
| D007431 | Intraoperative Complications |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| 30-days after surgery |
| Healthcare utilization - length of hospital stay | Length of hospital stay | 30-days after surgery |