Compliance with Surgical Safety Checklist completion in the operating room of University of Gondar Hospital, Northwest Ethiopia

Abstract

BackgroundAppropriate utilization and compliance of Surgical Safety Checklist reduces occurrence of perioperative surgical complications and improve patient outcomes. However, data on compliance of surgical checklists are scarce in the study area. Therefore, the aim of this study was to evaluate compliance of checklist completion and its barrier for utilization at University of Gondar Hospital, Northwest Ethiopia.MethodsA prospective observational study was conducted among 282 patients undergoing elective and emergency surgery from January to March 2013. Compliance and completeness rate with implementation of Sign-in, Time-out, and Sign-out domains was computed with SPSS 20 package.ResultsA total of 282 operations were performed and checklists were utilized in 39.7 % (112/282) of cases. Among these, most checklists were employed during emergency procedures (61.6 %) that need general anesthesia (75.9 %) in department of surgery (58.9 %). The overall compliance and completeness rate were 39.7 and 63.4 % respectively. The sign-in, time-out and sign-out were missed in 30.5 % (273/896), 35.4 % (436/1,232) and 45.7 % (307/672) respectively. The main reasons cited for non-user were lack of previous training (45.1 %) and lack of cooperation among surgical team members (21.6 %).Conclusions and recommendationsThe completeness rate was satisfactory but the overall compliance rate was suboptimal. An instrument that is used 40 % of the time has been a fairly basic introduction without significant reinforcement training. Moreover, frequent use of the checklist during emergency cases has been deemed to be of value by clinicians. Supplementary training and attention to actual checklist use would be indicated to ensure that this valuable tool could be used more routinely and improve communication. Conducting regular audit of checklist utilization is also recommended.

An Audit on Compliance of Surgical Time Out after a Decade of Implementation at an Academic Tertiary Care Hospital

“…Prior literature showed that lack of leadership is a common cause of noncompliance. Another reason for inadequate timeout conduction is the lack of cooperation among team members during time-out [20] . The circulating nurse is the one who usually begins the time-out process, but any member of the operating team can initiate it [21] .…”

Dataset on utilization of a clinical checklist in the surgical operation in a resource limited settings

“…The sample size ( n ) was determined using a single proportion formula using proportion ( p = 39.7%) of compliance with Surgical Safety Checklist completion in the operating room [1] level of precision ( d ) 0.05 at 95% confidence interval (Zα/2) and based on this formula 368 documents were reviewed for the dataset. Systematic random sampling using patients Medical Record Number (MRN) was used to review the sampled documents.…”

Hubungan Lama Kerja Perawat Dengan Kepatuhan Pengisian Surgical Safety Checklist di Instalasi Bedah Sentral

“…Tidak dapat diasumsikan bahwa pengenalan checklist secara otomatis akan mengarahkan pada hasil yang lebih baik. Selain itu komunikasi dengan staf sangat penting untuk memperbaiki kepatuhan (Melekie & Getahun, 2015) Pendokumentasian yang tidak lengkap atau salah dalam pengisian saat fase time out ini berkaitan dengan kesadaran evaluasi pasca operasi yang kurang dianggap penting. Meskipun telah melewati masa kritis pada keselamatan pasien, namun operator dokter bedah, dokter anastesi dan perawat seharusnya melakukan review masalah utama apa yang harus diperhatikan untuk penyembuhan dan manajemen pasien selanjutnya (Wangoo, Ray, & Ho, 2016) Penerapan standar pelayanan keperawatan kamar bedah di rumah sakit dilaksanakan dalam upaya meminimalkan angka Kejadian Menurut teori yang ada bahwa semakin lama seseorang bekerja maka semakin baik tingkat produktifitas yang dihasilkan.…”