Surgical safety checklist compliance: The clinical audit

Gul, Fahad; Nazir, Maheen; Abbas, Khawar; Khan, Anwar Ahmed; Malick, Daniya Shahzad; Khan, Hashim; Kazmi, Syed Naqash Haider; Naseem, Arbab Osama

doi:10.1016/j.amsu.2022.104397

Cited by 10 publications

(9 citation statements)

References 20 publications

(23 reference statements)

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“…In our literature search, we came across studies that recognized similar reasons for a low level of compliance with the checklist. A study conducted in Washington observed that a major cause of such low compliance was poor recognition among theatre staff concerning the purpose and benefits of the checklist, while a local study conducted in Rawalpindi agreed with our findings that low compliance was particularly evident with those components of the checklist that required verbal communication between the different team members as opposed to the documentation ones [ 11 , 12 ].…”

Section: Discussionsupporting

confidence: 86%

Compliance With the World Health Organization Surgical Safety Checklist at a Tertiary Care Hospital: A Closed Loop Audit Study

Toru,

Aman,

Khan

et al. 2023

Cureus

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Background and objective: The WHO launched the "Safe Surgery Saves Lives" campaign in 2008 to improve patient safety during surgery. The campaign includes the use of the WHO Surgical Safety Checklist, which has been proven effective in reducing complications and mortality rates in several studies. This article discusses a clinical audit at a tertiary healthcare facility that assesses compliance with all three components of the checklist to minimize errors and improve safety standards. Materials and methods: This prospective, observational, closed-loop clinical audit study was conducted at Hayatabad Medical Complex, a tertiary care public sector hospital located in Peshawar, Pakistan. The audit aimed to assess compliance with the WHO Surgical Safety Checklist. The first phase of the audit cycle commenced on October 5, 2022, and involved collecting data from 91 surgical cases in randomly selected operating rooms. Following the completion of the first phase on December 13, 2022, an educational intervention was then conducted on December 15 to underscore the significance of adhering to the checklist, and the second phase of data collection began the following day, ending on February 22, 2023. The results were analyzed using SPSS Statistics version 27.0. Results: The first phase of the audit showed that there was poor compliance with the latter two parts of the checklist. Certain components of the WHO Surgical Safety Checklist were well-complied with, including patient identity confirmation (95.6%), obtaining informed consent (94.5%), and counting of sponges and instruments (95.6%), while the lowest compliance rates were in recording allergies (26.3%), assessing blood loss risk (15.3%), introducing team members (62.6%), and inquiring about patient recovery concerns (64.8%, 34%, and 20.8% for surgeons, anesthetists, and nurses, respectively). In the second phase, after an educational intervention, compliance with the checklist improved significantly, particularly for those components with low compliance rates in the first phase, marking recording allergies (89.0%), introducing team members 91.2%), and inquiring about patient recovery concerns (79.1%, 73.6%, and 70.3% for surgeons, anesthetists, and nurses, respectively). Conclusion: The study showed that education is a critical factor in improving compliance with the WHO Surgical Safety Checklist. The study suggests that overcoming the obstacles to implementing the checklist requires a collaborative environment and effective instruction. It emphasizes the importance of adhering to the checklist in all surgical settings.

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Section: Discussionsupporting

confidence: 86%

Compliance With the World Health Organization Surgical Safety Checklist at a Tertiary Care Hospital: A Closed Loop Audit Study

Toru,

Aman,

Khan

et al. 2023

Cureus

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“…In the current study implementation of safe surgery policies in the form of having a checklist for all documents and equipment was met in 62.2%, which is comparable to the study conducted by Gul et al (21) in which documentation of the surgical safety checklist in the patient file was done in 62.5%.…”

Section: Discussionsupporting

confidence: 79%

Evaluation of Patient's Safety Measures in ICU and Surgical Theatre in Hospitals in Menoufia Governorate, Egypt

2024

The Egyptian Journal of Hospital Medicine

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Background: Patient safety is a very important concept not only for health authorities, but also for patients' satisfaction. With the effort of Ministry of Health and Population came the need for evaluation of implementation of the policies in hospitals. Objectives: This study aimed to evaluate patient safety measures in Menoufia Governorate hospitals regarding international patient safety goals and Egyptian health care accreditation standards. Participants and methods: A cross sectional study conducted in four hospitals, Menoufia Governorate that were selected by stratified random sampling technique. During the study period each of the selected hospitals and departments was visited 15 times at regular intervals. The included departments were the critical departments (ICU, NICU and surgical theatre). Results: Using Egyptian Healthcare Accreditation Program and International Accreditation Standards for Hospitals revealed that policies were 100% available in the studied hospitals. Awareness of organization and staff about safety standards was 60% in ICU department and 62.2% in NICU. Implementation of updated hand hygiene guidelines was 61.1% performed in ICU and 73.3% in NICU. While, discarding single use injection devices after use was 100% implemented. All documents and equipment needed for surgery are on hand, correct and functioning properly before the start of the surgical or invasive procedure was met in 62.2%. Conclusion and recommendation:Despite of availability of policies in all hospital, implementation of patient safety measure till needs improvement, so, continuous orientation of staff, checking on work and continuous improvement are needed to achieve patient safety culture.

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“…One way management can prevent patient safety incidents in surgical services is by implementing a surgical safety checklist as an interprofessional inspection and communication tool (Harris et al, 2022), The surgical safety checklist consists of sign in, time out and sign out phases which will form health workers' understanding of their function and purpose (Gul et al, 2022). Basically, the effectiveness of implementing the surgical safety checklist requires a leader who focuses on occupational health and safety (Röhsig et al, 2020), so that the implementation of the surgical safety checklist will direct health workers to be disciplined in the principles of patient safety culture (Haugen et al, 2020), which will prevent patients from the risk of injury and even death on the operating table (Rodella et al, 2018), and the implementation of the surgical safety checklist is shaped by aspects of communication, resources, disposition and bureaucracy (Dinesh et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Determinants of Patient Safety Culture: The Role of Safety Leadership Interactions

Setiawan,

Kusumapradja

2024

JMO

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This research was motivated by several problems related to patient safety in central surgical installations. The aim of this research is to empirically reveal the influence of interprofessional collaboration and implementation of the surgical safety checklist on patient safety culture with safety leadership as a moderating variable. This research is included in quantitative research with a cross sectional study design, the population is health workers in central surgical installations, the sampling technique uses saturated samples so that the sample size is 77 respondents using a purposive sampling method. The analytical method used is three box method analysis and PLS-SEM. The results of the analysis concluded that interprofessional collaboration, the application of the Surgical Safety Checklist and Safety Leadership had a positive and significant effect on patient safety culture. Safety Leadership was not able to moderate interprofessional collaboration but positively moderated the application of the Surgical Safety Checklist to patients. patient safety culture.

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Surgical safety checklist compliance: The clinical audit

Cited by 10 publications

References 20 publications

Compliance With the World Health Organization Surgical Safety Checklist at a Tertiary Care Hospital: A Closed Loop Audit Study

Compliance With the World Health Organization Surgical Safety Checklist at a Tertiary Care Hospital: A Closed Loop Audit Study

Evaluation of Patient's Safety Measures in ICU and Surgical Theatre in Hospitals in Menoufia Governorate, Egypt

Determinants of Patient Safety Culture: The Role of Safety Leadership Interactions

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