Lindsay A. Bliss, MD, Cynthia B

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Thirty-Day Outcomes Support Implementation of a Surgical Safety Checklist Lindsay A. Bliss, MD, Cynthia B. Ross-Richardson, MS, BSN, CNOR, Laura J. Sanzari, BSN, RN, David S. Shapiro, MD, FACS, Alexandra E. Lukianoff, MD, Bruce A. Bernstein, PhD, Scott J. Ellner, DO, MPH, FACS Journal of the American College of Surgeons Volume 215, Issue 6, Pages 766-776 (December 2012) DOI: 10.1016/j.jamcollsurg.2012.07.015 Copyright © 2012 American College of Surgeons Terms and Conditions

Figure 1 Total and specific 30-day morbidity rates of historical control cases, cases without checklist use, and cases with checklist use. DVT, deep venous thrombus; PE, pulmonary embolism; SSI, surgical site infection; UTI, urinary tract infection. Journal of the American College of Surgeons 2012 215, 766-776DOI: (10.1016/j.jamcollsurg.2012.07.015) Copyright © 2012 American College of Surgeons Terms and Conditions

Figure 2 Comparison of other individual 30-day morbidity occurrences among historical control cases, cases without checklist use, and cases with checklist use. DVT, deep venous thrombus; MI, myocardial infarction; PE, pulmonary embolism; SSI, surgical site infection. Journal of the American College of Surgeons 2012 215, 766-776DOI: (10.1016/j.jamcollsurg.2012.07.015) Copyright © 2012 American College of Surgeons Terms and Conditions

Figure 3 Statistically significant relationships between individual checklist component completion and specific 30-day morbidities in cases with checklist use. Journal of the American College of Surgeons 2012 215, 766-776DOI: (10.1016/j.jamcollsurg.2012.07.015) Copyright © 2012 American College of Surgeons Terms and Conditions

Figure 4 Frequency of observed intraoperative events based on categorization of observer notations. Journal of the American College of Surgeons 2012 215, 766-776DOI: (10.1016/j.jamcollsurg.2012.07.015) Copyright © 2012 American College of Surgeons Terms and Conditions

Figure 5 Comparison between 30-day morbidity rates in cases with (A) observed intra-operative events and (B) without observed intra-operative events. SSI, surgical site infection; UTI, urinary tract infection. Journal of the American College of Surgeons 2012 215, 766-776DOI: (10.1016/j.jamcollsurg.2012.07.015) Copyright © 2012 American College of Surgeons Terms and Conditions