scholarly journals Compliance and Surgical Team Perceptions of WHO Surgical Safety Checklist; Systematic Review

2016 ◽  
Vol 101 (1-2) ◽  
pp. 35-49 ◽  
Author(s):  
Laltaksh Wangoo ◽  
Robin A. Ray ◽  
Yik-Hong Ho
Keyword(s):  
Systematic Review ◽  
English Language ◽  
Implementation Strategies ◽  
World Health ◽  
Surgical Team ◽  
Initiation Rate ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Checklist Implementation ◽  
Health Organization

This systematic review aimed to assess surgical safety checklist compliance and evaluate surgical team perceptions and attitudes, post-checklist implementation in the operating room. The World Health Organization (WHO) surgical safety checklist (SSC) has decreased complications and mortality. However, it is unclear whether this reduction is influenced by the vicarious enhancement in teamwork, communication, and staff awareness established by SSC implementation. The preferred reporting items for systematic reviews and meta-analyses model of review guided a search across MEDLINE, PubMed, and Embase databases. English-language studies using any adapted form of the WHO-SSC in operating rooms were reviewed by abstract and full text. Twenty-six studies, 13 assessing SSC compliance and 13 investigating surgical team perceptions of SSC, were evaluated. Compliance studies showed a checklist initiation rate of >90%, but actual observed completion rate varied widely across studies. Sign out was the most poorly performed phase of the checklist (<50%) with time out being the best. Verification of patient identity and procedure demonstrated a high degree (>90%) of compliance across studies, but “verification of team-members” was significantly less compliant. Studies assessing surgical team perceptions found that SSC improved participants' perception of teamwork, communication, patient safety, and staff awareness of adverse events. However, when stakeholders placed differing degrees of importance on SSC completion, results indicated the SSC might actually antagonize team relationships. SSC compliance varies significantly across studies, being highly dependent on staff perceptions, training, and effective leadership. Surgical teams have positive perceptions of SSC; thus with effective implementation strategies, compliance rates across all phases can be substantially improved.

scholarly journals HUBUNGAN PELAKSANAAN SURGICAL SAFETY CHECKLIST DAN KEJADIAN INFEKSI POST OPERASI MAYOR

2018 ◽  
Vol 2 (1) ◽  
pp. 29-33
Author(s):  
Widiyaningsih Widiyaningsih ◽  
Eni Kusyati ◽  
Amri Hidayat
Keyword(s):  
Postoperative Infection ◽  
Survey Design ◽  
Surgical Site Infections ◽  
World Health ◽  
Major Surgery ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Prolonged Length ◽  
Checklist Implementation ◽  
Health Organization

Background: wound postoperative infection (ILO) are infections caused by pathogenic microorganisms that contaminate the wound area during surgery or after surgery. The data from survey by World Health Organization (WHO) found that about ILO cuased infection as 5% - 34% of total nosocomial infections. The data from Centers for Disease Control and Prevention cited that annually there was 500,000 surgical site infections (SSI) and that caused 3% surgical mortality, prolonged length of stay in hospital, and increased medical costs. Objective: to know the correlation of Surgical Safety Checlist Implementation and post operative infection. Research method: the method was quantitative method with cohort analytic survey design. The population were all patients with major surgery at Public Hospital of Tugurejo Semarang periode December 2016 - January 2017 as many as 99 patients. Result:the result of this study were major surgery mostly have implementation of surgical safety checklist either 81 respondent (81,8%) and have no infection incidence were 84 responden (84,8%). There was no significant correlation between surgical safety checklist implementation and postoperative infection.

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 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 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

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