Strategies for Improving Quality and Safety in Global Health: Lessons From Nontechnical Skills for Surgery Implementation in Rwanda

Lindegger, Daniel Josef; Abahuje, Egide; Ruzindana, Kenneth; Mwachiro, Elizabeth; Karonkano, Gilbert Rutayisire; Williams, Wendy R.; Ntakiyiruta, George; Riviello, Robert; Yule, Steven; Paterson-Brown, Simon

doi:10.9745/ghsp-d-21-00042

Cited by 5 publications

(2 citation statements)

References 18 publications

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“…A very interesting point in the literature that addresses the NOTSS is the work of Lindegger et al with the application of the method, through a 1-day course, in hospitals in a low-income country (Rwanda), which is one of the tools to achieve the proposal published in 2015 by the Lancet Commission on Global Safety called "Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development" (18), which is to achieve a safer and more equitable surgical environment worldwide, the authors demonstrated the feasibility of a program of this magnitude even in a low-resource setting, including a plan to investigate the behavioral change of participants in the medium term (19).…”

Section: Crm In Healthcarementioning

confidence: 99%

Crew resource management (CRM) as a tool for patient safety in health

Romano¹,

Pestana²,

Moreira³

2022

JHS

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The human factor and its performance limitations are the main points attributed to the magnitude of adverse events that we face in the health system today. This situation was experienced by aviation in past decades when, through the identification of the need to train professionals in nontechnical skills, they began a successful trajectory towards safer aviation, then training in crew resource management (CRM) was born. In this article we aim to make an analogy between the two sectors (health and aviation), learn from points already achieved by aviation, understand what the literature in the sector brings us about the current scenario of CRM training in the health area and, from these reflections, to propose an agenda for the incorporation of CRM in the training of professionals directly or indirectly involved in the care of patients.

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Section: Crm In Healthcarementioning

confidence: 99%

Crew resource management (CRM) as a tool for patient safety in health

Romano¹,

Pestana²,

Moreira³

2022

JHS

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“…Wrong surgical site, surgical specimen mishandling, drug-related events such as allergic reactions or skin rashes, improper management of blood loss, environmental hazards, retention of surgical items inside the patient's body, health care-associated infection and complications associated with anesthesia such as cardiac arrhythmias are some of the risks to surgical safety that can result from improper practices or ineffective communication among surgical team members. The World Health Organization (WHO) safe surgery checklist is used internationally to promote patients' safety during surgery by supporting effective communication and building shared safety models (Lindegger et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Effect of Nurses’ Implementation of Surgical Safety Guidelines on Their Performance and Post-Operative Complications

Hasan

2022

Assiut Scientific Nursing Journal

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Surgical safety has been a major challenge of the nursing profession. Much progress has been made in identifying what causes errors, and understanding the relationship between safety and patients' outcomes. Aim: To evaluate the effect of nurses' implementation of surgical safety guidelines on their performance and post-operative complications. Design: A quasi-experimental research design was used. Setting: The study was conducted at the operating room and general surgery department at the university hospitals in Cairo. Sample: A convenient sample of 72 nurse and 100 patients at the general surgery department. Tools: Four tools were used: I: self-administered questionnaire it included: demographic characteristics of the nurses and nurses' knowledge assessment questionnaire, II: Nurses' safety practices observational checklist. III: Safety attitude questionnaire, IV: Post-operative Complications Questionnaire: It included demographic characteristics of the patients and post-operative complications. Results: There were high statistically significant differences between nurses' mean scores of knowledge post implementation of surgical safety guidelines. All of anasthesia nurses performed surgical safety practices, there were highly statistically significant differences between nurses' attitudes regarding reporting any safety concerns and working with physicians as a team. As well; there was highly statistically significant reduction of some post-operative complications post implementation of surgical safety guidelines. Conclusion: Nurses' implementation of surgical safety guidelines had a positive effect on their performance and on reduction of post-operative complications. Recommendations: Surgical safety guidelines should be implemented as part of daily surgical routine and encourages its use to all surgical operations.

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