Awareness and practice on the use of World Health Organisation surgical
                        safety checklist among operating room personnel in Dar-es-salaam, Tanzania
                        and Dartmouth, United States

Abstract Background Ten years after the introduction of the Chinese Ministry of Health (MoH) version of Surgical Safety Checklist (SSC) we wished to assess the ongoing influence of the World Health Organisation (WHO) SSC by observing all three checklist components during elective surgical procedures in China, as well as survey operating room staff and surgeons more widely about the WHO SSC. Methods A questionnaire was designed to gain authentic views on the WHO SSC. We also conducted a prospective cross-sectional study at five level 3 hospitals. Local data collectors were trained to document specific item performance. Adverse events which delayed the operation were recorded as well as the individuals leading or participating in the three SSC components. Results A total of 846 operating room staff and surgeons from 138 hospitals representing every mainland province responded to the survey. There was widespread acceptance of the checklist and its value in improving patient safety. 860 operations were observed for SSC compliance. Overall compliance was 79.8%. Compliance in surgeon-dependent items of the ‘time-out’ component reduced when it was nurse-led (p < 0.0001). WHO SSC interventions which are omitted from the MoH SSC continued to be discussed over half the time. Overall adverse events rate was 2.7%. One site had near 100% compliance in association with a circulating inspection team which had power of sanction. Conclusion The WHO SSC remains a powerful tool for surgical patient safety in China. Cultural changes in nursing assertiveness and surgeon-led teamwork and checklist ownership are the key elements for improving compliance. Standardised audits are required to monitor and ensure checklist compliance.

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Attitudes Towards and Compliance with the WHO Surgical Safety Checklist in China: A Multicentre Cross-Sectional Study

10.21203/rs.3.rs-106310/v1 ◽

2020 ◽

Author(s):

Jie Tan ◽

James Reeves Mbori Ngwayi ◽

Zhaohan Ding ◽

Yufa Zhou ◽

Ming Li ◽

...

Keyword(s):

Patient Safety ◽

Adverse Events ◽

Operating Room ◽

Cross Sectional Study ◽

World Health ◽

Sectional Study ◽

Local Data ◽

Cross Sectional ◽

Surgical Safety Checklist ◽

Surgical Safety

Abstract Background: Ten years after the introduction of Chinese Ministry of Health (MoH) version of Surgical Safety Checklist (SSC) we wished to assess the ongoing influence of the World Health Organisation (WHO) SSC by observing all three sections during elective surgical procedures in China, as well as to survey operating room staff more widely about the WHO SSC.Methods: A questionnaire was designed to gain authentic views on the WHO SSC. We also conducted a prospective cross-sectional study at five level 3 hospitals. Local data collectors were trained to document specific item performance. Adverse events which delayed the operation were recorded as well as the professionals leading or participating in the three SSC phases.Results: A total of 846 operating room professionals from 138 hospitals representing every mainland province responded to the survey. There was widespread acceptance of the checklist and its value in improving patient safety. 860 operations were observed for SSC compliance. Overall compliance was 79.8%. The ‘time-out’ phase compliance in surgeon-dependent items reduced when it was nurse-led (p<0.0001). WHO SSC interventions which are omitted from the MoH SSC continued to be discussed over half the time. Overall adverse events rate was 2.7%. One site had near 100% compliance in association with a circulating inspection team which had power of sanction.Conclusion: The WHO SSC remains a powerful tool for patient safety in China. Changes in behaviour for nurses (assertiveness) and surgeons (teamwork) could improve compliance. Random checks of compliance may have merit.

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A safety checklist for transoesophageal echocardiography from the British Society of Echocardiography and the Association of Cardiothoracic Anaesthetists

Echo Research and Practice ◽

10.1530/erp-15-0035 ◽

2015 ◽

Vol 2 (4) ◽

pp. G25-G27 ◽

Cited By ~ 7

Author(s):

Vishal Sharma ◽

Susan Alderton ◽

Helen McNamara ◽

Richard Steeds ◽

Will Bradlow ◽

...

Keyword(s):

Invasive Procedure ◽

Transoesophageal Echocardiography ◽

World Health Organisation ◽

World Health ◽

British Society ◽

Strict Adherence ◽

Surgical Safety Checklist ◽

Surgical Safety ◽

National Patient ◽

Life Threatening

The World Health Organisation (WHO) launched the Surgical Safety Checklist in 2008. The introduction of this checklist resulted in a significant reduction in the incidence of complications and death in patients undergoing surgery. Consequently, the WHO Surgical Safety checklist is recommended for use by the National Patient Safety Agency for all patients undergoing surgery. However, many invasive or interventional procedures occur outside the theatre setting and there are increasing requirements for a safety checklist to be used prior to such procedures. Transoesophageal echocardiography (TOE) is an invasive procedure and although generally considered to be safe, it carries the risk of serious and potentially life-threatening complications. Strict adherence to a safety checklist may reduce the rate of significant complications during TOE. However, the standard WHO Surgical Safety Checklist is not designed for procedures outside the theatre environment and therefore this document is designed to be a procedure-specific safety checklist for TOE. It has been endorsed for use by the British Society of Echocardiography and the Association of Cardiothoracic Anaesthetists.

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A1 The World Health Organisation Surgical Safety Checklist

Basic Techniques in Pediatric Surgery ◽

10.1007/978-3-642-20641-2_1 ◽

2013 ◽

pp. 3-4

Author(s):

Iain Yardley

Keyword(s):

World Health Organisation ◽

World Health ◽

Surgical Safety Checklist ◽

Surgical Safety ◽

The World

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Relationship Between Compliance to Surgery Safety Checklist and Incidents Among Anesthesiology Nurses in Operation Theater, Royal Prima Hospital, Medan, North Sumatera

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.05.32 ◽

2020 ◽

Author(s):

◽

Sri Lestari Ramadhani Nasution ◽

Keyword(s):

Patient Safety ◽

General Hospital ◽

Operating Room ◽

Improve Patient Safety ◽

Cross Sectional Study ◽

World Health ◽

Health Concern ◽

Cross Sectional ◽

Surgical Safety Checklist ◽

Surgical Safety

ABSTRACT Background: Patient safety issues became a global health concern, especially the occurrence of avoidable complications from surgical procedures. In 2008, World Health Organization launched the Safe Surgery Saves Lives program to improve patient safety. This study aimed to investigate the relationship between compliance to surgery safety checklist and incidents among anesthesiology nurses in operation theater at Royal Prima General Hospital, Medan, North Sumatera. Subjects and Method: This study was a cross-sectional study conducted at Royal Prima General Hospital, Medan, North Sumatera, in August 2019. A sample of 25 anesthesiology nurses was selected by the total sampling. The dependent variable was incidents in the operating room. The independent variable was the compliance of anesthesiology nurses on performing surgical safety checklist. The data of nurse compliance were measured by the completeness of filling sign in, time out, and sign out surgical safety checklists. The data were analyzed by chi-square. Results: The incidents in the operating room reduced with compliance in surgical safety checklist filling, but it was not statistically significant (OR= 0.12; 95% CI= 0.01 to 1.95; p= 0.218). Conclusion: The incidents in the operating room reduce with compliance in surgical safety checklist filling, but statistically non-significant. Keywords: surgical safety checklist, incidents, operating room Correspondence: Wienaldi. Department of Public Health, Faculty of Medicine, Universitas Prima Indonesia, Medan, Indonesia. Email: [email protected]. Mobile: +6285270130535. DOI: https://doi.org/10.26911/the7thicph.05.32

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