{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T09:42:03Z","timestamp":1774690923900,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,9,24]],"date-time":"2018-09-24T00:00:00Z","timestamp":1537747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008349","name":"Boehringer Ingelheim","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008349","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the efficacy of a surgical safety checklist (SSC) in reducing perioperative and postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Before\u2010and\u2010after intervention study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Client\u2010owned dogs (n\u2009=\u2009633) and cats (n\u2009=\u200944).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive surgeries were enrolled in the study. The \u201cbefore\u201d phase consisted of 267 surgeries performed without an SSC (SSC<jats:sup>\u2212<\/jats:sup>) followed by 75 SSC<jats:sup>\u2212<\/jats:sup> surgeries in which a trained observer was in the operating room to detect possible complications. An SSC was then implemented in the operating rooms during 1 week. The \u201cafter\u201d phase consisted of 58 surgeries in which a safety checklist (SSC<jats:sup>+<\/jats:sup>) and an observer were used and 277 SSC<jats:sup>+<\/jats:sup> surgeries without an observer. Complications were prospectively recorded when witnessed by the observer, and all other perioperative complications were retrospectively recorded from veterinary records and client telephone communication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were more perioperative and postoperative complications when surgeries were performed without an SSC (140\/342 [40.9%; 95% CI, 35.7%\u201046.4%]) than there were when surgeries were performed with an SSC (98\/335 [29.3%; 95% CI, 24.4%\u201034.4%]; <jats:italic>P<\/jats:italic>\u2009=\u2009.002). Surgical checklist use, presence of an observer, American Society of Anesthesiologists score, and anesthesia time were all independently associated with the odds of complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Implementation of an SSC in an academic teaching hospital decreased the odds of perioperative and postoperative surgical complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>This study supports the use of an SSC to prevent surgical complications in veterinary teaching hospitals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.12964","type":"journal-article","created":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T05:59:44Z","timestamp":1537855184000},"page":"1052-1065","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Effect of implementation of a surgical safety checklist on perioperative and postoperative complications at an academic institution in <scp>N<\/scp>orth <scp>A<\/scp>merica"],"prefix":"10.1111","volume":"47","author":[{"given":"Megan T.","family":"Cray","sequence":"first","affiliation":[{"name":"Department of Veterinary Clinical Medicine University of Illinois Urbana\u2010Champaign  Urbana Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura E.","family":"Selmic","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Medicine University of Illinois Urbana\u2010Champaign  Urbana Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Briana M.","family":"McConnell","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Medicine University of Illinois Urbana\u2010Champaign  Urbana Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorissa M.","family":"Lamoureux","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Medicine 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