ePlasty: Vol. 12
Effect of an Office-Based Surgical Safety System on Patient Outcomes
Noah M. Rosenberg, MD,a Richard D. Urman, MD, MBA,b Sean Gallagher, MD,c John Stenglein, MD,d Xiaoxia Liu, MS,b and Fred E. Shapiro, DOd

aUniversity of Massachusetts Memorial Medical Center, Worcester; bHarvard Medical School, Brigham and Women's Hospital; cTufts University School of Medicine; and dHarvard Medical School, Beth Israel Deaconess Medical Center, Boston, Mass

Correspondence: noah.rosenberg@umassmemorial.org

Objective: To implement a customizable checklist in an interdisciplinary, team-based plastic surgery setting to reduce surgical complications. Methods: We examined the effects on patient outcomes and documentation of a customizable, office-based surgical safety checklist. On the basis of the World Health Organization Surgical Safety Checklist, we developed a 28-element, perioperative checklist for use in the office-based surgical setting. The checklist was implemented in an office-based plastic surgery practice with an already high standard of care. We recorded baseline, prechecklist rates for each checklist item and postoperative adverse outcomes via a retrospective chart review of 219 cases. After an education program and 30-day run-in period, a prospective, post—checklist implementation chart review was initi .......