scholarly journals Implementation of WHO Surgical Safety Checklist and Pre-operative Anxiety Levels to Study the Effect on Post-operative Recovery among Surgery Patients

2021 ◽  
pp. 271-283
Author(s):  
Rajesh Hadia ◽  
Juliet Joy Joseph ◽  
Jilce Mathew ◽  
Shivani Patel ◽  
Trupal Rathod ◽  
...  
Keyword(s):  
Postoperative Recovery ◽  
World Health ◽  
Routine Practice ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Quality Of Recovery ◽  
Health Organization ◽  
Operative Recovery ◽  
Or Team

Background: World Health Organization Surgical Safety Checklist demonstrated a significant reduction in both morbidity and mortality. Objectives: This study aimed to find out the feasibility of implementation of WHO Surgical safety checklist in the routine practice, to ensure the teams follow critical safety steps, consistency in patient safety, and to maintain a culture that values achieving it, to assess the pre-operative status and post-operative quality of recovery among the patients undergoing surgery. Methodology: It is a prospective and observational study. A total of 65 patients of age group 18 and above were included in the study. The data was collected by filling the patient medical record sheet. Result: A total of 65 patients were included in the study. 64.62% were male, 35.38% were female. Out of 65 patients 61.54% experienced pre-operative anxiety; of which 20% of patients (n=9) showed very fast to fast recovery, 27.5% of patients (n=11) showed moderate recovery) and 52.5% of patients (n=21) showed slow to very slow recovery. Conclusion: Implementation of the WHO surgical safety checklist may improve miscommunications between the OR team, avoid unexpected errors ((Improving teamwork and communication). Appointing a staff or member of the OR team with the responsibility to check the checklist may improve the feasibility to implement the WHO SSC. The level of pre-operative anxiety greatly influences postoperative recovery. Thus, the Surgical and Anaesthetic team must assess the patient's pre-operative anxiety and take the necessary step before surgery.

scholarly journals World Health Organization Surgical Safety Checklist with Addition of Infection Control Items: Intervention Study in Egypt

2019 ◽  
Vol 7 (21) ◽  
pp. 3691-3697
Author(s):  
Arwa M. Hosny El-Shafei ◽  
Sahar Yassin Ibrahim ◽  
Ayat Mahmoud Tawfik ◽  
Shaimaa A. M. Abd El Fatah
Keyword(s):  
Patient Safety ◽  
Infection Control ◽  
Educational Program ◽  
World Health ◽  
Post Intervention ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Health Organization ◽  
Or Team ◽  
Port Said

BACKGROUND: Surgical team is in command of the operating room (OR) and takes decisions regarding various patient care procedures. Educational programs directed to them, should be creative, provocative and tailored to their specific needs and the expected outcomes. AIM: This study aims to design and conduct an educational program of patient safety and infection control for the OR team based on the WHO surgical safety checklist and to assess their post-intervention knowledge and practices. METHODS: This interventional study was conducted at the ORs of Port-said general hospital. It passed through three stages; baseline assessment of knowledge and practice regarding patient safety and infection control among OR team (surgeons, anaesthetists and nurses), intervention stage in which an educational program based on the WHO surgical safety checklist with modifications and additions of more infection control items was conducted, then re-assessment of their post-intervention knowledge and practices. RESULTS: All the studied participants showed improvement in both knowledge and practices of patient safety and infection control after the educational program based on the WHO surgical safety checklist with modifications and additions of more infection control items and including not only practices but also knowledge as well, than before. CONCLUSION: The modification of the WHO surgical safety checklist to fit local knowledge and practices created a comprehensive tool that led to an improvement in both knowledge and practices of patient safety and infection control among the OR team.

PENERAPAN SURGICAL SAFETY CHECKLIST WHO DI RSUD JARAGA SASAMEH KABUPATEN BARITO SELATAN

2016 ◽  
Vol 1 (3) ◽  
pp. 173
Author(s):  
Suryanti Klase ◽  
Rizaldy Taslim Pinzon ◽  
Andreasta Meliala
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Health Organization

Latar Belakang: Penerapan pemakaian Surgical Safety Checklist (SSC) dari World Health Organization (WHO) adalah untuk meningkatkan keselamatan pasien dalam proses pembedahan dikamar operasi dan mengurangi terjadinya kesalahan dalam prosedur pembedahan. Tingginya angka komplikasi dan kematian akibat pembedahan menyebabkan tindakan pembedahan seharusnya menjadi perhatian kesehatan global. Penggunaan checklist terstruktur dalam proses pembedahan akan sangat efektif karena standarisasi kinerja manusia dalam memastikan prosedur telah diikuti. Untuk itu diperlukan juga proses penerapan Surgical Safety Checklist WHO di RSUD Jaraga Sasameh Kabupaten Barito Selatan. Metode: Jenis penelitian ini adalah penelitian deskriptif dengan rancangan penelitian kualitatif, studi kasus. Subyek penelitian ini adalah semua personel kamar bedah RSUD Jaraga Sasameh Kabupaten Barito Selatan, Propinsi Kalimantan Tengah selama bulan Maret - Mei 2015. Kuesioner menjelaskan tentang karakteristik umum dari sampel (umur, jenis kelamin, pekerjaan, lama kerja di rumah sakit), pengetahuan tentang Surgical Safety Checklist WHO, penerimaan checklist dan penerapannya, dan kerja sama team kamar bedah. Hasil: Dari 21 personel kamar bedah yang menjawab kuesioner, 100% menyadari keberadaan Surgical Safety Checklist WHO dan mengetahui tujuannya. Kebanyakan personel berpikir bahwa menggunakan checklist keselamatan Bedah WHO bermanfaat dan pelaksanaannya di kamar bedah merupakan keputusan yang tepat. Ada 90,5% personel yang menyatakan bahwa penggunaan Surgical Safety Checklist WHO cukup mudah untuk dilaksanakan. Kesimpulan: Meskipun terdapat penerimaan yang besar terhadap pelaksanaan penerapan checklist ini diantara personel kamar bedah, tetapi terdapat sedikit perbedaan dalam pengetahuan tentang tata cara pengisian ataupun penggunaan checklist.

scholarly journals The World Health Organization Surgical Safety Checklist

2018 ◽  
Vol 127 (6) ◽  
pp. 1283-1284
Author(s):  
Paulin R. Banguti ◽  
Jean Paul Mvukiyehe ◽  
Marcel E. Durieux
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
The World ◽  
Health Organization

scholarly journals Modified surgical safety checklist (mSSC)- a must to avoid disaster in neurosurgical procedures!

2017 ◽  
Vol 14 (3) ◽  
pp. 7-12
Author(s):  
Amit Thapa ◽  
Bidur KC ◽  
Bikram Shakya ◽  
Shusma Bhurtyal
Keyword(s):  
Surgical Care ◽  
World Health ◽  
Surgical Patient ◽  
Neurosurgical Procedures ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Emergency Procedures ◽  
Machine Failure ◽  
Neurosurgical Patients ◽  
Health Organization

The World Health Organization (WHO) introduced surgical safety checklist (SSC) as a part of Second Global Patient Safety Challenge: Safe Surgery Saves Lives to address the safety of surgical care. Althoughfound to be benefi cial for general surgical patient, we introduced certain modification to suit neurosurgical patients and hereby present our experience with the modified checklist.We introduced the modified SSC in July 2012 for neurosurgical purpose after we identified minor but common errors in carefully audited 100 patients in our operating theatre. Modification included checklists in pre procedure room, during sign in enquiring for pulse oximeter (for local anesthetic procedures) and lastly during sign out an elaborated list of items to guarantee safe transfer of the patients. Nurses and doctors were trained and SSC was methodically administered.Outcome as number of complications was evaluated and graded according to no harm, low harm, moderated harm, severe harm and death. During last 5 years (July 2012 to June 2017), 1310 patients undergoing surgical procedures in neurosurgical theatre at KMCTH were studied. Modified SSC was used in both routine (50.5%) and emergency cases (49.5%), of which compliance was 80% and 55% respectively. Poor compliance was due to ignorance of its use, emergency nature of procedure, change of staff. Completeness of mSSC was found in 70% cases with most left out part of mSSC was during signing out (i.e during transfer of patients). Use of mSSC identified many common but minor negligent acts on part of doctors, nurses and OR technicians which could be rectified in time and hence avoided any major mishaps. Age of the patients ranged from newborn to 98 year old. There were no major mishaps including death on table events. Despite confirming during mSSC checklist, machine failure occurred in 10 cases (0.8%) which were of low harm category. The total time taken for performing and filling the checklist took roughly 7 minutes.We modified WHO surgical safety checklist to include post operative transfer out to recovery room and used it in both routine and emergency procedures. This has helped us to avoid major mishaps during and after the neurosurgical procedures. We recommend stringent use of SSC in all neurosurgical centre and advise suitable local modifications according to prevailing conditions for special procedures or locations.Nepal Journal of Neuroscience, Volume 14, Number 3, 2017, page: 7-12

Increasing compliance with the World Health Organization Surgical Safety Checklist—A regional health system's experience

2017 ◽  
Vol 214 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Matthew E. Gitelis ◽  
Adelaide Kaczynski ◽  
Torin Shear ◽  
Mark Deshur ◽  
Mohammad Beig ◽  
...  
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Regional Health ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
The World ◽  
Health Organization

scholarly journals Application of Surgical Safety Checklist in Operating Theatre at Al-Kindy Teaching Hospital

2019 ◽  
Vol 14 (2) ◽  
pp. 64-70
Author(s):  
Laith N. Hindosh
Keyword(s):  
Surgical Site Infection ◽  
World Health Organization ◽  
Teaching Hospital ◽  
Low Income ◽  
World Health ◽  
Site Infection ◽  
Simple Method ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Health Organization

Background: A core set of checks have been incorporated into World Health Organization (WHO) WHO surgical safety checklist.  Lack of access to basic surgical care remains a major concern in low-income settings. Objective: We use a WHO surgical safety checklist items to improve team communication and cooperation to help in reduction of morbidity and mortality of surgical procedures. Methods: This is a prospective study involving 300 patients after applying the 19 items of the surgical safety checklist with different types of operations had been operated in the surgical theater at Al-Kindy Teaching Hospital during the period 1st of September 2016 until 1st of March 2017. We follow up the patients until 30 days after surgical intervention. Results: After applying  the 19 items of surgical  safety checklist, the risk of the  surgical site infection, respiratory complications, retained gauze and risk of  blood loss [14% , 4.6% , 1.3% , and 2%  respectively] was comparable to  the results of the World  Health Organization.  Using the pulse oximetry in 94 % and site marked in 65.3%.  In 64.6% of patients received antibiotic prophylaxis in which just 4 % developed surgical site infection [SSI], while in extended regime 36.67% there is 10% developed SSI. No mortality reported during collection of the data.  Conclusions: The surgical safety checklist is a simple method, and there is evidence for its effectiveness in reducing complications in clinical use. WHO recommends use of the checklist in all surgical operations and encourages clinicians to modify the list for different specialties and hospitals.  

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