The importance of a preoperative surgical strategy meeting for good patient outcomes

• Published in: Pamukkale Medical Journal Vol. 15; no. 4; pp. 694 - 701
• Main Authors: Bozkurt,Emre, Ömeroğlu,Sinan, Tanal,Mert, Özoran,Emre, Özata,İbrahim Halil, Kaya,Cemal
• Format: Journal Article
• Language: English; Turkish
• Published: Pamukkale Üniversitesi 10-01-2022
• Subjects: Sağlık Hizmetleri; Tıp; Türkiye; Denizli; surgical meeting; iyatrojenik yaralanma; safe surgery; quality improvement; Iatrogenic injury; Checklist; Kontrol listesi; kalite iyileştirme; strateji toplantısı; güvenli cerrahi
• ISSN: 1309-9833
• DOI: 10.31362/patd.1083809

Purpose: Interest in measures to surgical quality improvement is increasing with increased awareness of
iatrogenic injuries. These injuries can be prevented by an improved organisational safety habit. We implemented
preoperative surgical strategy meeting chart in the clinical and operational basis in our hospital to improve
postoperative outcomes.
This study was conducted as comparement of outcomes of patients with and without implementation of
preoperative surgical strategy meeting forms.
Material and methods: Data including the demographic characteristics of patients, procedural data, and data
of preoperative surgical strategy meeting were recorded retrospectively. Patients were divided into two groups
according to the preoperative surgical strategy meeting chart application status. Group 1 included the patients
with provided PSSM and group 2 included the remaining patients. Data related with surgical procedure and
patients’ outcomes were compared between these groups.
Results: One hundred and forty patients were enrolled in this study. The mean age of the patients was 45.28±17
years. The female to male ratio was 62:78. Patients were grouped according to the application status of PSSM.
There was no statistically significant difference in the mean age, sex, operation type (emergent or elective) and
conversion to open surgery rates. In Group 2 being ready of patient file in the operating theatre preoperatively
was statistically significantly low when compared to Group 1 (p=0.021). Operation time was detected statistically
significant short for patients in Group 1 (p<0.001).
Conclusion: Integrating this behavioural intervention into the clinical routine demonstrated the improvements
in patient outcomes and adherence to the safety process.