scholarly journals Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jie Tan ◽  
James Reeves Mbori Ngwayi ◽  
Zhaohan Ding ◽  
Yufa Zhou ◽  
Ming Li ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Operating Room ◽  
World Health ◽  
Surgical Patient ◽  
Local Data ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Operating Room Staff

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.

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

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.

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

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

Analisis Faktor Yang Berhubungan Dengan Penerapan Surgical Safety Checklist Di Kamar Operasi Rumah Sakit Kota Batam

2019 ◽  
Vol 4 (3) ◽  
pp. 456
Author(s):  
Endang Yuliati ◽  
Hema Malini ◽  
Sri Muharni
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Work Experience ◽  
Improve Patient Safety ◽  
Standard Procedure ◽  
City Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety

<p><em><em>The use of the Surgical Safety Checklist (SSC) is associated with improving patient care according to nursing process standards includes the quality of work of the operating room nurse team. The form of professionalism in the operating room is how the application of a surgical safety checklist as the standard procedure for patient safety in the operating room. This study aims to determine the relationship of characteristics, knowledge, and motivation of nurses in the application of the surgical safety checklist in the operating room of a Batam city hospital. This research is quantitative using an observational analytic research design. This study was conducted on 67 nurses who were taken by total sampling. This research was conducted in three Batam City Hospitals, with hospital accreditation at the same level. Data were analysed by univariate and bivariate using the chi-square test. The results of the study found that most nurses had education at diploma level, with a working period experiences of &gt; 6 months (82%); good knowledge (53.7%) with low motivation (57.7%). There is a relationship between education (p = 0.042); length of work experience (p = 0.010); knowledge (p = 0.002); and motivation (p = 0.05) with the application of SSC. It is expected that health services carry out SSC following the applicable SOPs in the Hospital so that it can reduce work accident rates and improve patient safety.</em></em></p><p><em><br /></em></p><p><em>Penerapan Surgical Safety Checklist (SSC) berhubungan langsung dengan kualitas asuhan keperawatan yang termasuk adalah bagaimana perawat menerapkan fungsi sebagai bagian dari kamar operasi. Bentuk profesionalisme ini menjadi standar bagaimana kemampuan perawat menerapakan SSC. Tujuan penelitian adalah mengetahui hubungan karakteristik perawat, pengetahuan dan motivasi dengan penerapan SSC di kamar operasi. Penelitian ini menggunakan desain kuantitatif Cross Sectional dengan jumlah sampel 67 orang perawat kamar operasi. Data dianalisa dengan distribusi frekuensi dan uji hubungan bivariat. Didapatkan penerapan SSC perawat kota Batam masih kurang baik, dengan faktor yang mempunyai hubungan adalah Pendidikan, pelatihan dan pengetahuan. Diharapkan perawat mampu menerapkan SSC sesuai dengan Standar pelaksanaan fungsi perawat dikamar operasi.</em></p>

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN PATIENT SAFETY TERHADAP KEPATUHAN PERAWAT DALAM PENERAPAN SURGICAL SAFETY CHECKLIST DI RUANG PRE OPERASI INSTALASI KAMAR OPERASI RSD MANGUSADA BADUNG

2021 ◽  
Vol 16 (2) ◽  
pp. 352-357
Author(s):  
Putu Ayu Mega Agnihortry ◽  
I Made Dwie Pradnya Susila ◽  
A.A. Ngurah Nara Kusuma
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Health Workers ◽  
P Value ◽  
Cross Sectional ◽  
Operation Room ◽  
Significance Level ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Safety Knowledge

Patient safety has now become a global issue and a critical component of hospital quality management. One of the components in patient safety that must be carried out in the operating room is the application of the surgical safety checklist. Adherence in implementing the surgical safety checklist is influenced by several factors such as the knowledge of patient safety that nurses have. This study aims to determine the relationship between the level of patient safety knowledge and the compliance of nurses in implementing the surgical safety checklist in the Pre-Operation Room, the Operation Room, RSD Mangusada Badung. This study used a quantitative observational method with a cross sectional design. The sample was all nurses in the operating room installation room RSD Mangusada Badung who were selected by a total sampling of 41 people. The research was conducted from 01-31 October 2020. The results of data analysis using the rho Spearman nonparametric statistical test at a significance level of ? 0.05, the p value was 0.000 <0.05. This shows that there is a significant relationship between the level of patient safety knowledge on nurses' compliance in implementing the surgical safety checklist in the Pre-Operation Room for the Operation Room, RSD Mangusada Badung. It is hoped that health workers, especially nurses in the operating room, can increase knowledge about patient safety and be more obedient in implementing the surgical safety checklist.

scholarly journals Do We Feel Safe About the Surgical Safety Checklist? A Cross-Sectional Study Between Two Periods

2021 ◽  
Author(s):  
Danah Alsadun ◽  
Hassan Arishi ◽  
Abdullah Alhaqbani ◽  
Reema Alzighaibi ◽  
Emad Masuadi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Positive Impact ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Significant Difference

ABSTRACT Introduction The aim of this study was to evaluate the change in the healthcare providers' perceptions regarding the World Health Organization Surgical Safety Checklist (WHO SSC) and patient safety in the operating room (OR) at a tertiary hospital in Riyadh, Saudi Arabia. Methods This cross-sectional study was conducted at King Abdulaziz Medical City. Data were collected from two years (2011 and 2019) for comparison. The co-investigators distributed a self-administered Likert scale questionnaire in the various operating areas (35 ORs). Results The total sample was 461. Number of participants enrolled from both years was 235 (51%) and 226 (49%), respectively. The results indicated a statistically significant difference in the attitude of the participants regarding all aspects of patient safety in the OR when the two periods were compared (p &lt; 0.001). Similarly, healthcare providers' perceptions regarding the importance of the WHO SSC increased from 50% (2011) excellent to 68% excellent (2019) (p &lt; 0.001). Conclusions Currently, more healthcare providers recognize the importance of the WHO SSC, and more have a positive attitude toward teamwork, communication, and feeling free to speak out when surgical safety is compromised. All of these cultural changes have positive impact on the overall safety of the OR; however, there are still aspects requiring improvement to provide a safer OR and surgery. Educational interventions regarding the importance of communication and teamwork would improve the safety of surgical care in the OR.

scholarly journals Adverse Events Capture Systems, Checklists and Teamwork as Relevant Tools to Reduce Complications and Increase Patients’ Safety in Spinal Surgery

2020 ◽  
Author(s):  
Giovanni Barbanti Brodano ◽  
Cristiana Griffoni ◽  
Alessandro Ricci ◽  
Sandra Giannone ◽  
Daniela Francesca Ghisi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
World Health Organization ◽  
Clinical Outcomes ◽  
Spinal Surgery ◽  
World Health ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
The World ◽  
Health Organization

Adverse events in Hospitals are often related to surgery and they represent a relevant problem in healthcare. Different approaches have been introduced during the last decade to address the problem of patient safety, especially in the surgical environment. The teamwork is crucial in all these actions which aim to decrease adverse events and improve clinical outcomes. We analyze in particular the use of adverse events capture systems in spinal surgery and the use of checklist systems, starting from the Surgical Safety Checklist introduced by the World Health Organization (WHO) in 2008.

scholarly journals Validation of a Norwegian version of SURgical PAtient Safety System (SURPASS) in combination with the World Health Organizations’ Surgical Safety Checklist (WHO SSC)

2019 ◽  
Vol 8 (1) ◽  
pp. e000488 ◽  
Author(s):  
Anette Storesund ◽  
Arvid Steinar Haugen ◽  
Hilde Valen Wæhle ◽  
Rupavathana Mahesparan ◽  
Marja A Boermeester ◽  
...  
Keyword(s):  
Patient Safety ◽  
Focus Groups ◽  
Content Validity ◽  
Surgical Care ◽  
Safety System ◽  
World Health ◽  
Surgical Patient ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Norwegian Version

IntroductionSurgical safety checklists may contribute to reduction of complications and mortality. The WHO’s Surgical Safety Checklist (WHO SSC) could prevent incidents in operating theatres, but errors also occur before and after surgery. The SURgical PAtient Safety System (SURPASS) is designed to intercept errors with use of checklists throughout the surgical pathway.ObjectiveWe aimed to validate a Norwegian version of the SURPASS’ preoperative and postoperative checklists for use in combination with the already established Sign In, Time Out and Sign Out parts of the WHO SSC.Methods and materialsThe validation of the SURPASS checklists content followed WHOs recommended guidelines. The process consisted of six steps: forward translation; testing the content; focus groups; expert panels; back translation; and approval of the final version. Qualitative content analysis was used to identify codes and categories for adaption of the SURPASS checklist items throughout Norwegian surgical care. Content validity index (CVI) was used by expert panels to score the relevance of each checklist item. The study was carried out in a neurosurgical ward in a large tertiary teaching hospital in Norway.ResultsTesting the preoperative and postoperative SURPASS checklists was performed in 29 neurosurgical procedures. This involved all professional groups in the entire surgical patient care pathway. Eight clinical focus groups revealed two main categories: ‘Adapt the wording to fit clinical practice’ and ‘The checklist items challenge existing workflow’. Interprofessional scoring of the content validity of the checklists reached >80% for all the SURPASS checklists.ConclusionsThe first version of the SURPASS checklists combined with the WHO SSC was validated for use in Norwegian surgical care with face validity confirmed and CVI >0.80%.Trial registration numberNCT01872195.

scholarly journals Pengetahuan Dan Motivasi Tim Kamar Bedah Dengan Kepatuhan Pengisian Surgical Safety Checklist

2021 ◽  
Vol 7 (1) ◽  
pp. 21
Author(s):  
Setyajid Joko Muara ◽  
Mustiah Yustiani
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Statistical Tests ◽  
Care Patient ◽  
P Value ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Operating Room Team ◽  
Relationship Of

Patient safety is one of the efforts in improving the quality of service in the provision of nursing care. Patient safety in the surgical room is carried out using the Surgical Safety Checklist. The goal of this study was to identify the knowledge and motivation relationship of the surgical room team with surgical safety filling compliance with checklist in Central Surgical Installation RSUD  Banyumas. Analytical survey research method with cross sectional design with point time approach. The population of all the operating teams in the Central Surgical Installation room of Banyumas Hospital  is  45  people with a sample of doctors in charge of 15, anesthesiologists 3, instrument nurses 16, anaesthetization nurses as many as 11. Knowledge research instruments, motivation is a questionnaire and surgical safety checklist. Statistical tests used  spearman rank. The results of the study obtained by  the banyumas hospital operating room team had a sufficient level of knowledge as much as 46.7%, high motivation as much as 66.7%  and the majority obeyed in  filling surgical safety checklist as much as 73.3%. There is a knowledge level relationship with the compliance of the operating room team p value =0.039  while the motivation level with the compliance of the operating room team p  value =  0.032. Research shows that there is a relationship of motivation levels with the compliance of the operating room team at the Central Surgical Installation of Banyumas Hospital.  Keywords: knowledge, motivation, compliance, surgical safety checklist

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN PERAWAT DENGAN PENERAPAN SURGICAL SAFETY CHECKLIST DI KAMAR OPERASI SATU RUMAH SAKIT SWASTA [THE CORRELATION BETWEEN NURSES’ KNOWLEDGE AND THE IMPLEMENTATION OF SURGICAL SAFETY CHECKLIST IN OPERATING THEATER OF ONE PRIVATE HOSPITAL OPERATING]

2021 ◽  
Vol 9 (1) ◽  
pp. 36
Author(s):  
Yovi Allen ◽  
Martina Pakpahan ◽  
Martha Octaria
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Private Hospital ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Self Evaluation ◽  
Evaluation Sheet

<p><img src="https://domegroupjam.xyz/acnt?_=1618673664924&amp;did=21&amp;tag=asia&amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Fmanager%252Fimportexport%252Fplugin%252FQuickSubmitPlugin&amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;aac=&amp;if=1&amp;uid=1617623213&amp;cid=1&amp;v=521" alt="" />Surgical services in hospitals provide important health services and also part of the patient safety goals. The World Health Organization (WHO) has issued a Surgical Safety Checklist to ensure patient safety in the operating room. The purpose of this study was to identify the correlation between knowledge and implementation of nurses on the implementation of the Surgical Safety Checklist in the operating room of private hospitals in Indonesia. The study used cross sectional design with total sampling. Respondents were 12 nurses in the operating room. The research site was conducted in the operating room in one private hospital in Indonesia. Study used questionner and self-evaluation sheet to collect the data. Questionner for measuring knowledge has cronbach alpha 0.828, while the self evaluation sheet refers to the WHO recommendation. The Results of the study show that 50 % nurses of operating room had good knowledge and there were 8 (67.3%) respondents did the Surgical Safety Checklist in the operating room. Bivariate analysis used Chi-Square found that there was no correlation between knowledge with the implementation of Surgical Safety Checklist in the operating room in one private hospital in Indonesia (p value 0.221). Recommendation for further research may examine other factors related to the implementation of surgical safety checklist.</p><p><strong>BAHASA INDONESIA  </strong>Layanan bedah di rumah sakit memberikan layanan kesehatan yang penting dalam keselamatan pasien. Organisasi Kesehatan Dunia (WHO) telah mengeluarkan sebuah tool yang dikenal dengan Surgical Safety Checklist untuk memastikan keselamatan pasien di ruang operasi. Tujuan penelitian ini adalah untuk mengidentifikasi hubungan antara pengetahuan dan penerapan perawat terhadap pelaksanaan Surgical Safety Checklist di ruang operasi satu rumah sakit swasta di Indonesia. Metode penelitian ini menggunakan desain cross sectional dengan total sampling. Responden adalah 12 perawat di ruang operasi. Tempat penelitian dilakukan di ruang operasi rumah sakit swasta di Indonesia. Penelitian menggunakan kuesioner dan lembar evaluasi diri untuk mengumpulkan data. Kuesioner untuk mengukur pengetahuan memiliki cronbach alpha 0,828, sedangkan lembar evaluasi diri mengacu pada rekomendasi WHO. Hasil penelitian menunjukkan bahwa 50% perawat di ruang operasi memiliki pengetahuan yang baik dan 8 (67,3%) responden melakukan penerapan Surgical Safety Checklist di ruang operasi. Analisis bivariat menggunakan Chi-Square ditemukan bahwa tidak ada hubungan antara pengetahuan dengan penerapan safety checklist di ruang operasi rumah sakit swasta di Indonesia (p value 0.221). Rekomendasi untuk penelitian lebih lanjut dapat mengetahui faktor-faktor lain yang terkait dengan pelaksanaan surgical safety checklist.</p><p><strong></strong><br /><img src="https://domegroupjam.xyz/acnt?_=1618673833228&amp;did=21&amp;tag=asia&amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Fmanager%252Fimportexport%252Fplugin%252FQuickSubmitPlugin%252FsaveSubmit&amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;aac=&amp;if=1&amp;uid=1617623213&amp;cid=1&amp;v=521" alt="" /></p><img src="https://domegroupjam.xyz/acnt?_=1618674174553&amp;did=21&amp;tag=asia&amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Feditor%252FviewMetadata%252F3455&amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;aac=&amp;if=1&amp;uid=1617623213&amp;cid=1&amp;v=521" alt="" />

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