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Pointing to the ubiquity of the use of surgery in both the developed and developing world, WHO Patient Safety aimed to meet four main problems: a lack of awareness of the issue a lack of data on surgical complications inconsistent use of available safety resources and increasing complexity of surgical procedures. In 2004, an estimated 187 to 281 million surgeries were performed worldwide, with complications occurring in 3-22% and deaths in 0.4-0.8% of procedures the death rate in major procedures rose to 5-10% in developing nations. In January 2007, an international consultation meeting was held on the second Global Patient Safety Challenge, called Safe Surgery Saves Lives. In 2005, WHO Patient Safety began issuing Global Patient Safety Challenges, which bring together teams of specialists in order to put together clinical guidelines and tools for research that address patient safety issues, such as hand washing. The Global Initiative for Emergency and Essential Surgical Care and the Guidelines for Essential Trauma Care focused on access and quality.
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In 2004, the World Health Assembly (WHA) founded the WHO Patient Safety international alliance in order to tackle issues of adverse effects in unsafe healthcare.
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While the checklist has been widely adopted due to its efficacy in many studies as well as for its simplicity, some hospitals still struggle with implementation due to local customs and to a lack of buy-in from surgical staff. Several studies have shown the checklist to reduce the rate of deaths and surgical complications by as much as one-third in centres where it is used. It is one affordable and sustainable tool for reducing deaths from surgery in low and middle income countries. The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery.
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