11 research outputs found
Educational e-environment of modern University: foreign experts’ perspective
- Publication venue
- 'Borys Grinchenko Kyiv University'
- Publication date
- 01/01/2016
- Field of study
This article presents discussion of a round table debate «Open educational Eenvironment
of modern university» a group of European experts shared their professional and
personal insight on the issue of construction, introduction and sustainable development of open
educational environments in the Information Age
Educational e-environment of modern University: foreign experts’ perspective
- Publication venue
- 'Borys Grinchenko Kyiv University'
- Publication date
- 01/01/2016
- Field of study
This article presents discussion of a round table debate «Open educational Eenvironment of modern university» a group of European experts shared their professional and personal insight on the issue of construction, introduction and sustainable development of open educational environments in the Information Age
Educational e-environment of modern university: foreign experts' perspective
- Publication venue
- Publication date
- 01/01/2016
- Field of study
This article presents discussion of a round table debate «Open educational E-environment of modern university» a group of European experts shared their professional and personal insight on the issue of construction, introduction and sustainable development of open educational environments in the Information Age
La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Departamento de Nariño.
- Author
- Publication venue
- Universidad Nacional Abierta y a Distancia UNAD
- Publication date
- 26/04/2019
- Field of study
La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Departamento de Nariño.Teniendo en cuenta todos y cada uno de los videos, anexos, y demás material expuesto para este trabajo, se procura dar a conocer, a partir del Enfoque Narrativo como estrategia psicosocial de transformación, la necesidad de acudir a esta herramienta como una iniciativa valiosa y enriquecedora dentro del trabajo con víctimas del conflicto armado, debido a que este aporta muchos elementos para poder transformar esas historias de victimización, rabia, miedo, dolor, culpa, en historias esperanzadoras y de sobrevivencia para que estas personas puedan reconstruir sus vidas; todo esto desde la expresión de sus dificultades y de su experiencia al momento de narrar historias, privilegiándose la imagen y las subjetividades e intersubjetividades nacientes.
Analizado todos los relatos de vida, se seleccionó el que más impacto causo, y por ende se expone como relato de análisis el N° 2: Gloria, dentro de este relato tan estremecedor se observan diversos sucesos violentos, a través de los cuales se vislumbra la injusticia y desigualdad como cimiento de varias circunstancias vividas por la protagonista donde el sufrimiento y el dolor día a día la apremian, no obstante, cabe resaltar la discriminación racial, al igual que el hecho de ser desplazada, la expulsión de sus tierras y el desarraigo de identidad, así mismo la pérdida de un ser querido, en este caso su esposo (homicidio); además de su posición resiliente la cual le permitió desenvolverse con fuerza, energía y gallardía en un contexto diferente al suyo, donde tuvo que hacerle frente a diversos retos que a su vez le sirvieron para fortalecerse y empoderarse en su papel de madre cabeza de hogar y mujer; teniendo en cuenta lo anterior, es de vital importancia analizar los factores psicosociales a intervenir, a sabiendas que la víctima es una sobreviviente con un alto nivel de resiliencia que le permite superar cualquier tipo de dificultad que se presente partiendo de un proyecto de vida reestructurado. Son miles de personas que viven esa triste realidad, de no solo ser desplazada si no a su vez la pérdida de la pareja, consecuencia de los conflictos, con los grupos al margen de la ley que se encuentran en el país. Schnitman, D. (2010). Además de lo dicho anteriormente, hay que tener en cuenta que Gloria recibió ayuda por parte del Estado, especialmente de hospitales y de La Cruz Roja; no obstante la ayuda que recibió no compensa en nada la pérdida de su esposo. Restablecer la estabilidad económica, recuperar a los seres queridos que son arrebatados por el conflicto y su dignidad al ser expulsados de su hogar. Mollica, F. (1999).Taking into account each and every one of the videos, annexes, and other material exposed for this work, we try to make known, from the Narrative Approach as a psychosocial transformation strategy, the need to use this tool as a valuable initiative and enriching within the work with victims of the armed conflict, because this brings many elements to be able to transform those stories of victimization, anger, fear, pain, guilt, into hopeful and survival stories so that these people can rebuild their lives; all this from the expression of their difficulties and their experience when narrating stories, privileging the image and the nascent subjectivities and intersubjectivities.
In this sense and having analyzed all the life stories, the one that caused the most impact was selected, and therefore the story No. 2: Gloria is exposed as an axis of analysis, in which the facts of a chain of violent events are presented where injustice and inequality are reflected as a basis for various circumstances suffered by the protagonist of the story, nonetheless, it is worth highlighting racial discrimination and its status as displaced, the eviction of land and uprooting of identity, the loss of a being dear, in this case your husband (homicide); In addition to her resilient position which allowed her to develop with strength, energy and gallantry in a different context from her own, where she had to face several challenges that in turn helped her to strengthen and empower herself in her role as head of household mother and woman; Taking into account the above, it is vital to analyze the psychosocial factors to intervene, knowing that the victim is a survivor with a high level of resilience that allows him to overcome any type of difficulty arising from a restructured life project. There are thousands of people who live that sad reality, of not only being displaced but also the loss of the couple, as a consequence of the conflicts, with the illegal groups that are in the country. Schnitman, D. (2010). In addition to the above, we must bear in mind that Gloria received help from the State, especially hospitals and the Red Cross; however, the help she received does not make up for the loss of her husband. Restore economic stability, recover loved ones who are raptured by the conflict and their dignity when being expelled from their home. Mollica, F. (1999)
Construction of hypermedia for prevention of bloodstream infection
- Author
- Alexandre NMC
- Alvarez AG
- Antonio Jr W
- Band JD
- Bell T
- Braga CSR
- Caldini LN
- Candida Caniçali Primo
- Castro Silva LT
- Dirceu Carrara
- Eliane de Fátima Almeida Lima
- Fortaleza CMCB
- Frota NM
- Isabel Cussi Brasileiro Dias
- Izabella Soares de Oliveira
- Lopez JL
- Luna IT
- Marques JB
- Massaroli A
- Melo ECA
- Mermel LA
- Mirian Fioresi
- Pássaro PG
- Salvador PTCO
- Salvador PTCO
- Salvador PTCO
- Vasudeva N
- Publication venue
- 'FapUNIFESP (SciELO)'
- Publication date
- 01/01/2020
- Field of study
Cellular Localization and Processing of Primary Transcripts of Exonic MicroRNAs
- Author
- A Mader
- A Rodriguez
- A van den Berg
- AL Epstein
- AM Denli
- Anke van den Berg
- Bart-Jan Kroesen
- C Atayar
- C Atayar
- C Copie-Bergman
- Carol J Wilusz
- D Betel
- D Xu
- Debora de Jong
- DP Bartel
- E Tili
- E Vigorito
- G Michlewski
- GA Calin
- Gertrud Kortman
- H Kanzler
- HI Suzuki
- HK Saini
- I Slezak-Prochazka
- Izabella Slezak-Prochazka
- J Han
- J Kluiver
- J Kluiver
- J Kluiver
- JH Gibcus
- JM Pawlicki
- JM Pawlicki
- Joost Kluiver
- JS Shapiro
- K Specht
- KH Yeom
- L Poliseno
- LP Tan
- M Ballarino
- M Cesana
- M Kertesz
- M Lagos-Quintana
- M Landthaler
- M Morlando
- M Schaadt
- M Trabucchi
- ME Tweeddale
- MM Janas
- N Kataoka
- N Rusca
- Nancy Halsema
- PS Eis
- R Gherzi
- RI Gregory
- RJ Taft
- S Alvarez-Díaz
- S Macias
- S Swift
- Sibrand Poppema
- T Ruggiero
- T Zhang
- TH Thai
- V Diehl
- V Diehl
- VN Kim
- W Tam
- Y Lee
- Y Tay
- YK Kim
- Publication venue
- Publication date
- 20/09/2013
- Field of study
<p>Processing of miRNAs occurs simultaneous with the transcription and splicing of their primary transcripts. For the small subset of exonic miRNAs it is unclear if the unspliced and/or spliced transcripts are used for miRNA biogenesis. We assessed endogenous levels and cellular location of primary transcripts of three exonic miRNAs. The ratio between unspliced and spliced transcripts varied markedly, i.e. >1 for BIC,</p>
Los profesionales de la salud y las consecuencias de una posible guerra en Irak: carta abierta al presidente del gobierno español
- Author
- Abraira Víctor
- Aibar Carlos
- Albertí Constança
- Alvarez-Dardet Carlos
- Ariza Carlos
- Arocha José Luís
- Artundo Carlos
- Ballester Ferran
- Barrio Gregorio
- Bellido Juan
- Benach Joan
- Berra Silvina
- Bosch Fèlix
- Brugal Teresa
- Cabezas Carmen
- Callizo Esther
- Cano Rosa
- Castaño Gemma
- Castellsagué Xavier
- Covas María Isabel
- Criado Juan José
- Cucó Gemma
- de la Cámara Agustín Gómez
- del Amo Julia
- Domingo Antonia
- Durán Enric
- Elosua Roberto
- Espinás Josep Alfons
- Fernández Esteve
- Fernández Karoline
- Ferrer Montserrat
- Ferrer Yolanda
- Fitó Montserrat
- Fusté Josep
- Galmés Antonia
- García Carmen
- García Judith
- García Rocío
- Gea Joaquim
- Godoy Pere
- González Carlos Alberto
- González Luís Carlos
- Gutierrez Gonzalo
- Hernández Ildefonso
- Hervada Xurxo
- Jansà Josep Maria
- Llop Esther
- Lown Bernard
- Luquin Elisabet
- López Celsa
- López-Abente Gonzalo
- Macià Francesc
- Manresa Josep Maria
- Manzanera Rafael
- Marrugat Jaume
- Martínez Juan
- Martínez Pablo
- Marín Dolors
- Masiá Rafael
- Medina Mercè
- Menoyo Esther
- Montes Agustín
- Navarro Carmen
- Ortuño Jordi
- Pasarín María Isabel
- Peiró Salvador
- Peris Mercè
- Plasencia Antonio
- Pollán Marina
- Pont Angels
- Porta Miquel
- Puidollers Elisabet
- Pérez Beatriz
- Pérez Catherine
- Pérez Gloria
- Pérez Sandra
- Pérez Santiago
- Rabanaque María José
- Rajmil Luís
- Rebagliato Marisa
- Ribalta Alba
- Ribas Núria
- Roca Josep
- Rodés Anna
- Rohlfs Izabella
- Rosell Ignacio
- Sala Joan
- Sala Maria
- Santed Rosalía
- Saracci Rodolfo
- Schiaffino Anna
- Segura Andreu
- Sentí Mariano
- Serra Lluís
- Tormo María José
- Vall Oriol
- Vergara Montserrat
- Vioque Jesús
- Vázquez Teresa
- Zock Jan Paul
- Zurriaga Oscar
- Álvarez Ana
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2003
- Field of study
Long-term safety and efficacy of benralizumab in patients with severe, uncontrolled asthma: 1-year results from the BORA phase 3 extension trial
- Author
- Abrosimov Vladimir
- Agaiby John
- Aguilar Carlos
- Allen Karen
- Alpizar Sady
- Alvarez German
- Antczak Adam
- Antila Martti
- Apaliski Stephen
- Apti Ghiulten
- Aquino Teresita
- Arce German
- Arias Guillen Miguel
- Arif Ahmed
- Arinc Sibel
- Atienza Tito
- Averill Francis
- Babu Suresh
- Balicka Violetta
- Ballenberger Sabine
- Bardin Philip
- Barker Peter
- Bartuzi Zbigniew
- Bavbek Sevim
- Baxter Barbara
- Beasley Richard
- Beck Ekkehard
- Bednarek Michał
- Belloni Juan
- Berdnikova Nadezhda
- Bernstein David
- Bernstein Jo
- Bhuchar Subodh
- Bijata-Bronisz Renata
- Binker Jo
- Bjermer Leif
- Blanco Antonio
- Blazhko Viktor
- Bleecker Eugene,
- Bodzenta-Łukaszyk Anna
- Bogdanova Aneliya
- Bolieva Laura
- Bonniaud Philip
- Bourdin Arnaud
- Boyd Bo
- Bridges Tracy
- Bruning Axel
- Burhan Hassan
- Busse William
- Cambursano Víctor
- Campbell Edward
- Cartagena Claudia
- Castro Socorro
- Cerva Pavel
- Chanez Pascal
- Chaudhuri Rekha
- Chavez William
- Chełmińska Marta
- Chistyakov Valery
- Cho Jo
- Cho Sang-Heon
- Cho You Sook
- Chouinard Guy
- Chupp Geoffrey
- Corder Clinton
- Cruz Humberto
- Cygler Jerzy
- Czupryńska-Borkowska Małgorzata
- Dachev Svetoslav
- Daly Alejandro
- Darter Amy
- Davis Enrique
- de Blay Fréderic
- de Salvo Maria
- De Dennis
- De James
- De Pradip
- Deckelmann Regina
- Devouassoux Gilles
- Dharma Chrisette
- Diaz Javier
- Diaz Jo
- Dichmann Rolf
- Didi Alain
- Didi Toufik
- Dobryniewska Małgorzata
- Dorscheid Delbert
- Douglass Jo
- Dyczek Andrzej
- Dytyatkovs'Ka Yevgeniya
- Ediger Dane
- Elias Pedro
- Erdinc Munevver
- Estrella Rolando
- Ezhov Andrey
- Fakih Faisal
- Feimer Jan
- Felix Efrain
- Ferguson Gary
- Fernandes Ana
- Fernández Marcelo
- Filipek Krzysztof
- Fitzgerald J Mark
- Frade Manuel
- Fritscher Carlos
- Fuentes David
- Furuta Kenjiro
- Förster Karin
- Garcia Francis
- Garcia Gilles
- Garcia Miriam
- García-Cosio Piqueras Borja
- Garver Robert
- Gavrysyuk Volodymyr
- Gemicioglu Bilun
- George Anu
- Gibson Peter
- Ginchansky Elliot
- Gleich Gerald
- Goldman Mitchell
- Goldsobel Alan
- Gon Svetlana
- Gon Yasuhiro
- Goryachkina Ludmila
- Goswami Sanjeev
- Goupil François
- Gourcerol Delphine
- Grilli Monica
- Guerreros Alfredo
- Guillot Richard
- Gunstone Anthony
- Hagan John
- Haida Michiko
- Hajoł Elżbieta
- Hanta Ismail
- Harnest Ulf
- Harrison Richard
- Harrison Timothy
- Hetzel Jorge
- Heuer Marvin
- Hew Mark
- Hofman Teresa
- Hoheisel Gerhard
- Holub Stanislav
- Hozawa Soichiro
- Hudes Golda
- Hur Gyu-Young
- Hussain Iftikhar
- Iashyna Liudmyla
- Ignatova Galina
- Iijima Masayuki
- Ilieva-Fartunova Vanya
- Ilkovich Yulia
- Ilyashevich Inna
- Inobe Yoshito
- Isidro Marie Grace Dawn
- Ismail Ismail
- Ivanov Yavor
- Ivanov Yuliya
- Izmozherova Nadezhda
- Jackson-Voyzey Ewa
- Jacobs Jo
- Jasieniak-Pinis Grażyna
- Jerzyńska Jo
- Johnston John
- Jutel Marek
- Kagami Shinichiro
- Kamei Tadashi
- Kaneko Masahiro
- Kaplan Adolfo
- Kaplan Lawrence
- Karimjee Najmuddin
- Katial Rohit
- Kato Motokazu
- Keller Claus
- Killorn William
- Kim Heekyoo
- Kim Jo
- Kim Ju Sang
- Kim Mi-Kyeong
- Kimura Goro
- Kirkova Ginka
- Kirschner Jo
- Klein Ryan
- Kline Jo
- Koh Young-Il
- Kolczyński Andrzej
- Kopecka Daniela
- Korn Stephanie
- Kornmann Marc
- Korzh Oleksii
- Kot Agata
- Kozel Radovan
- Krakhmalova Olena
- Krstevska Shana
- Krupa-Borek Izabella
- Kudo Makoto
- Kuna Piotr
- Kureishy Shahrukh
- Kuryk Lesia
- Kwaśniewski Artur
- Laffond Yges Elena
- Laleko Svetlana
- Langton David
- Laviolette Michel
- Le Lan
- Lee Byung Jae
- Lee Jaechun
- Lee Mitchell
- Lee Sang Haak
- Lee Sang Pyo
- Lee Soo Keol
- Lee Sook Young
- Leigh Richard
- Lemiere Catherine
- Lemko Ivan
- Lenskaya Liudmila
- Leong Mila
- Leroyer Christophe
- Leshchenko Igor
- Linnhoff Anneliese
- Lommatzsch Marek
- Lundbäck Bo
- Machowiak Wojciech
- Magner Alina
- Magnitskaya Olga
- Majorek-Olechowska Bernadetta
- Makita Hironi
- Malamud Patricia
- Malkusova Ivana
- Mansur Adel
- Marcus Marc
- Mares Jaroslav
- Markova Ana
- Martin Martin
- Martin Ubaldo
- Martínez Moragón Eva
- Masoli Matthew
- Maspero Jorge
- Matsuno Alberto
- Mattos Waldo
- Matz Jo
- Mcevoy Charlene
- Melenka Lyle
- Merchant Rajan
- Metev Hristo
- Michnar Marek
- Mihaescu Traian
- Miki Hiroshi
- Mikloweit Petra
- Mincewicz Grzegorz
- Miyazawa Naoki
- Molotkov Artem
- Morice Alyn
- Moskalenko Liubov
- Moss Mark
- Mostovoy Yuriy
- Mróz Robert
- Muñoz Silvia
- Myasoedova Svetlana
- Mądra-Rogacka Danuta
- Nagakura Toshikazu
- Naidoo Visvakuren
- Nair Parameswaran
- Nakajima Kiyotaka
- Nakamura Hiroyuki
- Nakamura Yoichi
- Napora Piotr
- Nasser Shuab
- Nathan Robert
- Navarta Miguel Chirino
- Nayci Sibel
- Nedogoda Sergey
- Ngo Chau
- Nish William
- Nittner-Marszalska Marita
- Niven Robert
- Nordstrom Monica
- Nosov Vladimir
- Ohbayashi Hiroyuki
- Ohdaira Tetsuro
- Ojile Jo
- Olesiejuk Ryszard
- Olsson Richard
- Omori Chiharu
- Osipenko Marina
- Ospanova Tetyana
- Ostrovskyy Mykola
- Otaola María
- Overlack Axel
- Pabel Helmut
- Pak Tatiana
- Panuto John
- Parikh Neil
- Parikh Purvi
- Park Choon-Sik
- Park Hae-Sim
- Park Jung Won
- Pavie Juan
- Pavlysh Elena
- Pek Bonavuth
- Peneva Marinka
- Perez Guido
- Perez Vandely
- Peters Peter
- Petkova Tatyana
- Petrova Galina
- Petrova Vanushka
- Petrui Ioan Dorin
- Pez Andreia
- Pham David
- Piniella Carlos
- Pisarczyk-Bogacka Ewa
- Piskorz Piotr
- Poirier Claude
- Popova Veronika
- Pouzar Jo
- Pérez de Llano Luis
- Pérez Gilberto
- Płoszczuk Anna
- Quilodran Carlos
- Rabe Klaus,
- Rachel Marta
- Raissy Hengameh
- Ramos Barbón David
- Rebrov Andrey
- Reddy Jeevren
- Reshedko Galina
- Reyes Santiago
- Robinette Emory
- Rodriguez Chariarse Fernando
- Rodriguez Hector,
- Rodríguez Pablo
- Rolke Mathias
- Romaniuk Liliia
- Rosenblut Andres
- Roza Osiris
- Rubio Myriam Calle
- Ruiz Jo
- Rumbyrt Jeffrey
- Rybicka-Liszewska Elżbieta
- Saez Maria
- Sajkov Dimitar
- Salazar Danilo
- Samoro Ronnie
- Sankowski Zbigniew
- Sano Yasuyuki
- Saralaya Dinesh
- Sasaki Norihisa
- Saura Vinuesa Alberto
- Savu Angelica
- Schenkenberger Isabelle
- Scherbovsky Fernando
- Schmoller Tibor
- Scialla Timothy
- Scott Stephen,
- Segal Ilia
- Shaikh Zeeshan
- Shapero Paul
- Shaporova Natalia
- Shenoy Kartik
- Shijyubo Noriharu
- Shimoda Terufumi
- Shimokawaji Tadasuke
- Shinkai Masaharu
- Shopova Elena
- Silverthorn Amy
- Sims William
- Siri Dareen
- Skucha Wojciech
- Smirnov Mikhail
- Sokurenko Sergei
- Soong Weily
- Sotirova Kostadinka
- Springer Ewa
- Springsteen Peter
- Sproule Stephanie
- Stachera Jacek
- Stelmach Rafael
- Steven Gary
- Steven Steven
- Stitsenko Irina
- Stobiecki Marc
- Stok Ana
- Stoyanova Mariyana
- Sublett James
- Taborda Jorge
- Taillé Camille
- Takahashi Hisaho
- Takahashi Toshiki
- Takeuchi Satomi
- Tanaka Akihiko
- Taniguchi Masami
- Tarnowska-Matusiak Marzenna
- Tarpay Martha
- Tałałaj Jarosław
- Thien Francis
- Thomas John
- Thomas Paul
- Thomas Thomas
- Tikhanov Dmitrii
- To Claudia
- To Fernando
- To Takao
- To Toby
- To Tomasz
- To Tonny
- To Yasuo
- Tolcachier Alberto
- Trailescu Ana
- Trofimov Vasiliy
- Trębas-Pietraś Ewa
- Uhryn Ewa
- Uon Liliya
- Upham John
- Valero Santiago Luis
- van Zyl Smit Richard
- Vasram Riazate Rossanaly
- Velasco Garrido Jo
- Veselinova Rumyana
- Veverka Jo
- Victorio Carlos
- Villareal Manuel
- Vishneva Elena
- Vizel Alexander
- Volgmann Lutz
- von Steiner Iwona
- Welte Tobias
- Wenzel Sally
- Win Thida
- Winkler Jörg
- Wojnowski Piotr
- Wong Stephen
- Yakov Oleg
- Yakov Oleh
- Yamato Tsuyoshi
- Yang William
- Yano Shuichi
- Yañez Anahí
- Yoo Hyoungkyu
- Yoo Kwang Ha
- Yoshida Makoto
- Yotsova Rumyana
- Zafra Heidi
- Zateyschikova Anna
- Ziegner Ulrike
- Zielen Stefan
- Zindr Vladimir
- Ziworitin Dama
- Zwetchkenbaum John
- Śliwiński Paweł
- Świderska Anna
- Żurowska-Gębala Małgorzata
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2019
- Field of study
International audienc
Prospective observational cohort study on grading the severity of postoperative complications in global surgery research
- Author
- Abayasinghe Chamika
- Abbas Muntadhar
- Abbott T. E. F.
- Abbott Tom
- Abdullah Noor Hairiza
- Abdur-Rahman Lukman
- Abeloos Jacques
- Abernethy Caroline
- Abidin Ucu Nurhadiat
- Abrunhosa Alexandra
- Absar Mohammed
- Adam Suwayba
- Adams George
- Adamson Michael
- Adekola Oyebola
- Adelaja Yemi
- Ademola Adeyinka
- Adenekan Anthony
- Adenike Odewabi
- Adeolu Augustine A
- Adetoye Adedapo
- Adewale Badru
- Adigun Tinuola
- Adolfsson Anne
- Aflori Laura
- Africander Cucu
- Afshari Arash
- Agarwal Vandana
- Agodirin Olayide
- Aguzzoli Crisitiano
- Ahmad Abdurrahman
- Ahmad Norfaizan
- Ahmad T.
- Ahmad Tahania
- Ahmad Yousra
- Ahmed Ahmed
- Ahmed Jamil
- Ahmed Tahania
- Ai Yanqiu
- Aignatoaie Mariana
- Aimoniotou-Georgiou Eleni
- Akanmu Olanrewaju
- Akerman Nik
- Akinwale Mukaila
- Al Amri Khalid
- Al Hussaini Sabah
- Al-Soudaine Yassr
- Aladin Hafiz
- Alagbe-Briggs Olubusola
- Albaj Safauldeensalem
- Alcock David
- Alcock Liam
- Aldecoa Cesar
- Aldecoa Cesar
- Aleixo Fábia Berganton
- Alexander Hazel
- Alexander Maini
- Alexander-Sefre Farhad
- Alherz Fadhel
- Ali Hani
- Ali Marlynn
- Ali Sarah
- Alias Abdul Hafiz
- Alias Anita
- Alias Raja Liza Raja
- Allen Samantha
- Allen Sara Jane
- Allison Joanna
- Alloj Chiara
- Allorto Nikki Leigh
- Allsop Joanne
- Almeida William
- Alonso Eduardo
- Alonso José Ignacio
- Alphonsus Christella
- Alvares Danielle
- Alves Maria Joao
- Amador Juan Carlos Bravo
- Ameer Yusuf
- Amendola Cristina Prata
- Ami Noam
- Amstrup-Hansen Louise
- Anagnou Athina
- Andersen Cheme
- Anderson Charlotte
- Anderson Colette
- Anderson Frank
- Anderson Philip
- Andreadaki Evangelia
- Andreou Alexandros
- Andreou Prematie
- Andrew Alyson
- Andrews Emma
- Angel Miguel Paludi
- Angermair Stefan
- Angus Kirsty
- Anillo Victor
- Anizi Mashel Al
- Antal Oana
- Antill Philip
- Antoniadou Eleni
- Apagaki Eymorfia
- Apostolou Konstantinos
- Applewhaite Christopher
- Applewhaite Christopher
- Aquino Laura Patricia González
- Ar Praburaj
- Araujo Daniela Marques
- Arawwawala Dilshan
- Ardern Diane
- Argue Ruth
- Aribawa Mahaalit Alit
- Arkalaki Eleni
- Armaganidis Apostolos
- Armstrong John
- Armstrong Richard
- Arnaoutoglou Christina
- Arnaoutoglou Elena
- Arnold Glenn
- Arrandale Lindsay
- Arrich James
- Arrigo Mario
- Arshad Homa
- Arshad Mohammed Asif
- Artiles Tania Socorro
- Arumugam Swarna
- Arustei Mirela
- Arvaniti Kostoula
- Arvaniti Kostoula
- Arya Aryabiantara
- Arya Shobhit
- Asimakos Andreas
- Aslam M
- Asudo Felicia
- Athanasakis Elias
- Atiku Mamuda
- Attrill Elizabeth
- Attwood Clare
- Auer Patrick
- Avidan Michael
- Avila Erendira Jocelin Dominguez
- Avis Joanne
- Awad Hadi
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- Delgado García David R
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- Futier Emmanuel
- Gaitanakis Stylianos
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- Ganter Michael T
- Gao Hong
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- Goad Ehab Helmy Abdel
- Goebel Ulrich
- Goga Ismail E
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- Goldberg Olivia
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- Gray Carol
- Gray Catherine
- Gray Sophie
- Greaves K. E.
- Greaves Rosanna
- Green Garyth M
- Green-Thompson Randolph
- Greene Michael
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- Grigoras Ioana
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- Haddow J.
- Haddow James
- Hadebe Bernard
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- Hamzah Zulkarnain
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- Hare Gregory
- Hariharan Vimal
- Harrichandparsad R
- Harries Rhiannon
- Harris Benjamin
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- Hennings Charles
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- Hidayatullah Rahmat
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- Hitchcock Rachael
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- Hobrok Maria
- Hodgkiss Tracey
- Hodgson Richard E
- Hodzovic Emil
- Hoedt Marielle
- Hoeft Andreas
- Hoeft Andreas
- Hofer Christoph
- Hofer Christoph
- Hoffer Franz
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- Jardim Jaquelline
- Jawad Monir
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- Jeffery Holly
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- Joory Kavita
- Jordaan J
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- Jowitt Tom
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- Lai Man Ling
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- Xiong Xiapei
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- Xu Guan-Jie
- Xu Lin
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- Yagnik Anmol
- Yan Yixiu
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- Yang Yang
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- Yao Yurui
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- Zamudio Diana
- Zangrillo Alberto
- Zapata Darcy Danitza Mari
- Zbitnew Geoff
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- Zeidan Lisa
- Zeng Qiuting
- Zettergren Jan
- Zhang Baoling
- Zhang Enman
- Zhang Huaigen
- Zhang Huan
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- Zhang Ye
- Zhang Yuan
- Zhao Bing
- Zhao Bo
- Zhao Chong
- Zhao Jiashi
- Zhao Jinning
- Zhao Lei
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- Zhao Ting
- Zhao Weihong
- Zhao Weilu
- Zhao Xiaoying
- Zhen Jungang
- Zheng Kang
- Zheng Lina
- Zheng Tianzhao
- Zhong Yi
- Zhou Ce
- Zhou Dachun
- Zhou Haidong
- Zhou Haiyan
- Zhou Jiali
- Zhou Jialong
- Zhou Jing
- Zhou Xian-jin
- Zhu Xiaomao
- Zhu Yi
- Zhu Zhipeng
- Zhuang Xiuxiu
- Zilis Georgios
- Zin Nor Hafizah Mohd
- Zingerle Nicolette
- Zingg Urs
- Zoerner Frank
- Zonneveldt Harry
- Zou Xiaohua
- Zoulamoglou Menelaos
- Zsisku Lajos
- Zundert Tom
- Zyl Rebekka
- åkring Irene
- Ögren Katrin
- Publication venue
- 'Wiley'
- Publication date
- 22/10/2018
- Field of study
Background
The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs).
Methods
This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs.
Results
A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59).
Conclusion
Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis
- Author
- Ab Majid Mohd Azuan
- Ab Rahman Ahmad Sufian
- Ab Rahman Rusnah
- Abayasinghe Chamika
- Abbas Muntadhar
- Abbott T. E. F.
- Abbott Tom
- Abd Ghafar Fara Nur Idayu
- Abd Hadi Husni Zaeem
- Abdel Goad Ehab Helmy
- Abdullah Noor Hairiza
- Abdur-Rahman Lukman
- Abeloos Jacques
- Abernethy Caroline
- Abidin Ucu Nurhadiat
- Abrunhosa Alexandra
- Absar Mohammed
- Adam Suwayba
- Adams David
- Adams George
- Adamson Michael
- Adekola Oyebola
- Adelaja Yemi
- Ademola Adeyinka
- Adenekan Anthony
- Adenike Odewabi
- Adeolu Augustine A.
- Adetoye Adedapo
- Adewale Badru
- Adigun Tinuola
- Adolfsson Anne
- Africander Cucu
- Afshari Arash
- Agarwal Vandana
- Agodirin Olayide
- Aguzzoli Crisitiano
- Ahamed khader null
- Ahmad Azam Ummi Azmira
- Ahmad Abdurrahman
- Ahmad Norfaizan
- Ahmad T.
- Ahmad Tahania
- Ahmad Yousra
- Ahmed Ahmed
- Ahmed Jamil
- Ahmed Tahania
- Ai Yanqiu
- Aignatoaie Mariana
- Aimoniotou-Georgiou Eleni
- Akanmu Olanrewaju
- Akerman Nik
- Akinwale Mukaila
- Al Anizi Mashel
- Al hussaini Sabah
- Al'Amri Khalid
- Al-Soudaine Yassr
- Aladin Hafiz
- Alagbe-Briggs Olubusola
- Albaj Safauldeensalem
- Alberto Lisi Zaheer Moolla
- AlbertoVolta Carlo
- Alcock David
- Alcock Liam
- Aldecoa Cesar
- Aleixo Fábia Berganton
- Alexander Hazel
- Alexander Maini
- Alexander-Sefre Farhad
- Alherz Fadhel
- Ali Hani
- Ali Marlynn
- Ali Sarah
- Alias Abdul Hafiz
- Alias Anita
- Alit Mahaalit Aribawa
- Allen Samantha
- Allen Sara Jane
- Allison Joanna
- Alloj Chiara
- Allorto Nikki Leigh
- Allsop Joanne
- Almeida William
- Alonso Eduardo
- Alonso José Ignacio
- Alphonsus Christella
- Alvares Danielle
- Alves Maria Joao
- Amador Juan Carlos Bravo
- Ameer Yusuf
- Amendola Cristina Prata
- Ami Noam
- Amstrup-Hansen Louise
- Anagnou Athina
- Andersen Cheme
- Anderson Charlotte
- Anderson Colette
- Anderson Frank
- Anderson Philip
- Andreadaki Evangelia
- Andreou Alexandros
- Andreou Prematie
- Andrew Alyson
- Andrews Emma
- Angermair Stefan
- Angus Kirsty
- Anillo Victor
- Antal Oana
- Antill Philip
- Antoniadou Eleni
- Antonina Webombesa
- Apagaki Eymorfia
- Apostolou Konstantinos
- Applewhaite Christopher
- Aquino Laura Patricia González
- Ar Praburaj
- Arawwawala Dilshan
- Ardern Diane
- Argue Ruth
- Arkalaki Eleni
- Arlo whitehouse null
- Armaganidis Apostolos
- Armstrong John
- Armstrong Richard
- Arnaoutoglou Christina
- Arnaoutoglou Elena
- Arnold Glenn
- Arrandale Lindsay
- Arrich James
- Arrigo Mario
- Arshad Homa
- Arshad Mohammed Asif
- Artiles Tania Socorro
- Arumugam Swarna
- Arustei Mirela
- Arvaniti Kostoula
- Arya Aryabiantara
- Arya Shobhit
- Asimakos Andreas
- Aslam F Noorbhai M.
- Asudo Felicia
- Athanasakis Elias
- Atiku Mamuda
- Attrill Elizabeth
- Attwood Clare
- Auer Patrick
- Avidan Michael
- Avila Erendira Jocelin Dominguez
- Avis Joanne
- Awad Hadi
- Axioti Elena
- Azambuja Pedro
- Azevedo Caroline
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- Baas Peter
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- Balanescu Andreea
- Balasubramaniam Madhu
- Baldisserotto Sérgio
- Baldwin Jacqueline
- Baldwin Matthew
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- Banerjee Robin
- Bankewitz Carla
- Banner-Goodspeed Valerie
- Bao Qi
- Barcraft-Barnes Helena
- Barneto Lisa
- Barnett Andrew
- Baroselli Antonio
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- Bauchmuller Kris
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- Beaton Ceri
- Beattie Scott
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- Beavis Vanessa
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- Bejia Tarek
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- Ben-Menachem Erez
- Benavent Pau
- Benedikt Preckel Osne Kirzner
- Benevento Angelo
- Bengeri Sheshagiri
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- Bester Marlet
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- Bhardwaj Neeraj
- Bhatia Kailash
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- Bi Yanbing
- Biais Matthieu
- Biccard B. M.
- Biccard Bruce
- Biccard Bruce M.
- Bidd Heena
- Bidgoli Jawad
- Biffen Andrew
- Bignami Elena
- Bilolikar Anjali
- Bin Mustapha Mohd Tarmimi
- Birch Julie
- Bishop David Gray
- Biyase Thuli
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- Blackwood Douglas
- Blaj Mihaela
- Blakemore Stephen P.
- Bland Martin
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- Bocchino Speranza
- Bodansky Daniella
- Bodger Phoebe
- Boer Christa
- Boereboom Catherine
- Boggiano Victoria
- Bogner Gerhard
- Bokkel-Andela Janneke ten
- Bolaji Benjamin
- Bolton David
- Boone Myles
- Boschi Luca
- Boshier Piers
- Botes Marisa
- Botis Ioannis
- Bottini Corrado
- Bottrill Fiona
- Bouchez Stefaan
- Boulton Kerenza
- Bouris Vasilios
- Bourner Lynsey
- Boutsikos Georgios
- Bouwman Arthur
- Bowrey Sarah
- Boxall Leigh
- Boyd Christine
- Bradburn Mike
- Bradley Jacqueline
- Branagan Graham
- Branco Teresa
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- Brenner Laura
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- Brown Robyn
- Browning Julie
- Bruma Dana
- Brunete Tamara
- Brunswicker Annemarie
- Bryant Helen
- Bua Emmanuel
- Buccimazza Ines
- Buckley Sarah
- Buerkle Christian
- Buhre Wolfgang
- Builu Pierre Monji
- Buise Marc
- Bullock Clare
- Bunwarie Bimalshakth
- Burns Karen
- Burrows Lorna
- Burrows Tom
- Burston Ben
- Burtenshaw Andrew
- Burton Megan
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- Byrne Kelly
- Bührer Thomas
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- Cardy Jon
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- Carroll Jo
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- Chandrasekharan Shardha
- Chang Yuan Hsuan
- Chaniotaki Fotini
- Charitos Efthimios
- Charlalampidoy Alexandra
- Charles Rob
- Chatterjee Devnandan
- Chatterjee Jayanta
- Chatzimichali Chatzimichali Aikaterini
- Chau Simon
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- Cheah Clarissa
- Cheah Seleen
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- Cheing Yushio
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- Chen Pushan
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- Chen Yijiao
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- Chen Yongjie
- Chen Zhang
- Cheng Baoli
- Cheng Ka Ho
- Cheng Zhonggui
- Cheong Edward
- Cherian Ritchie
- Cherrett Veronica
- Chetty Rubendraj R.
- Chew M. S.
- Chew Michelle
- Chhabra Ashok
- Chicken Dennis-Wayne
- Chilinciuc Ion
- Chin Im Im
- Chirkut Subash
- Chlorou Dimitra
- Choi Hyun-min David
- Choi Stephen
- Chow Lorraine
- Christian Rachel
- Christiansen Ida Cecilie
- Christmas Natasha
- Christodoulidis Gregory
- Christodoulopoulou Theodora
- Christofaki Maria
- Christoforidis Dimitri
- Chronis Christos
- Chu Hiu Man
- Chu Susanna
- Chua Pandora
- Chukkambotla Srikanth
- Chung Chun Kwong Eric
- Cifra Elna
- Ciobanu Cristina
- Ciobotaru Oana Roxana
- Cirstea Emanuel
- Clark Richard
- Clarkson Aisling
- Clarkson Rachel
- Clavien Pierre-Alain
- Claxton Andrew
- Clemmons Karen
- Cloro Luigi Maria
- Clyde Antony
- Cobzaru Isabelle
- Codita Anisoara
- Colangelo Antonio
- Colangelo Chiara
- Colling Kerry
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- Commey Thelma
- Comptaer Nicolas
- Conde Carlos
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- Constantin Kathryn
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- Copaciu Elena
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- Dalamagka Maria
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- Duca Alejandro
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- Dunay Artem
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- Efthymiadi Andromachi
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- Packianathaswamy Balaji
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- Panckhurst Jonathan
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- Yagnik Anmol
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- Yang Yang
- Yao Shanglong
- Yao Yurui
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- Zaimi Donika
- Zakynthinos Spyros
- Zamudio Diana
- Zangrillo Alberto
- Zapata Darcy Danitza Mari
- Zbitnew Geoff
- Zeidan Lisa
- Zeng Qiuting
- Zerman Luiza
- Zettergren Jan
- Zhang Baoling
- Zhang Enman
- Zhang Hongyan
- Zhang Huaigen
- Zhang Huan
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- Zhang Min
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- Zhang Qin
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- Zhang Shihai
- Zhang Weiwei
- Zhang Xiaoguang
- Zhang Xiaolin
- Zhang Xiaoyan
- Zhang Xuekang
- Zhang Yan
- Zhang Yapping
- Zhang Ye
- Zhang Yuan
- Zhao Bing
- Zhao Bo
- Zhao Chong
- Zhao Jiashi
- Zhao Jinning
- Zhao Lei
- Zhao Lili
- Zhao Shuna
- Zhao Ting
- Zhao Weihong
- Zhao Weilu
- Zhao Xiaoying
- Zhen Jungang
- Zheng Kang
- Zheng Lina
- Zheng Tianzhao
- Zhong Yi
- Zhou Ce
- Zhou Dachun
- Zhou Haidong
- Zhou Haiyan
- Zhou Jiali
- Zhou Jialong
- Zhou Jing
- Zhou Xian-jin
- Zhu Xiaomao
- Zhu Xiaoping
- Zhu Yi
- Zhu Zhipeng
- Zhuang Xiuxiu
- Zilis Georgios
- Zingerle Nicolette
- Zingg Urs
- Zoerner Frank
- Zonneveldt Harry
- Zou Xiaohua
- Zoulamoglou Menelaos
- Zsisku Lajos
- Åkring Irene
- Ögren Katrin
- Publication venue
- Health Sciences Research Commons
- Publication date
- 30/10/2017
- Field of study
© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine