Implementation of Routine Recording of Intraoperative Adverse Events Using ClassIntra® During the WHO Surgical Safety Checklist Sign-out Phase with a Tailored Implementation Strategy

What this Trial Is About

Researchers are studying perioperative patient safety by looking at how recording intraoperative adverse events (iAEs) during surgery can improve outcomes. Adverse events during and after surgery affect up to one third of patients and are a major cause of death worldwide. The study aims to evaluate a multifaceted strategy to improve adherence to the WHO Surgical Safety Checklist and routine recording of iAEs to reduce postoperative complications and improve teamwork in surgery. The study observes two groups of 900 surgical patients each: one before and one after implementing a tailored strategy to enhance surgical safety checklist adherence and iAE documentation. The implementation focuses on standardizing the sign-out phase of surgery using the ClassIntra® system, which classifies intraoperative adverse events. No interventions or treatments are applied as this is an observational study. Participants undergo surgery in various disciplines including general surgery, vascular surgery, orthopedics/traumatology, and urology with anesthesia involvement. Researchers monitor how well the checklist is completed and the quality of its use up to four months after implementation. They also evaluate acceptability, appropriateness, feasibility, and sustainment of the intervention up to 12 months after the last patient is included. The main measure is the completion of checklist components two months after implementation.

ClassIntra® for Better Outcomes in Surgery - CIBOSurg