A global cohort study explored the use and impact of the WHO Surgical Safety Checklist in emergency laparotomy. Once again, the findings were striking in that checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low‐Human Development Index (HDI) countries was half that in high‐HDI countries.
The authors importantly note that the association with lower mortality “is likely to reflect broader health system differences that prioritize safe and effective surgical care, yet the checklist plays an important part”. It focuses a team on better communication, collaboration, empowerment and behavioural changes.