ATTITUDE OF OPERATING SURGICAL ROOMS TEAMS TOWARDS THE IMPLEMENTATION OF WHO SURGICAL SAFETY CHECKLIST AND EVALUATION OF THE COMPLIANCE OF FILLING OUT THE CHECKLIST IN HOSPITALS OF PALESTINE
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Date
2023-06-11
Authors
Sana Jaber Ali Yaseen
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Abstract
Background: The World Health Organization introduced the surgical safety checklist (SSC) to promote patient safety in surgery. This study was carried out to assess the attitudes of the operating room team members toward implementing the SSC in governmental and non-governmental hospitals in Palestine. Another objective was to determine the adherence to the currently used SSC in government and nongovernmental hospitals in Palestine.
Methods: This study was carried out in two parts. The attitudes part was conducted in a cross-sectional design using a questionnaire adopted and modified from previous studies. The adhesion part was conducted in a retrospective design. The surgical files of the patients were audited against items in the SSC.
Results: Participants had positive attitudes toward the SSC. The members of the operating room team who the non-governmental hospital employed were 76.23-fold (95% CI: 8.08 to 718.84) more likely to score ≥ 80% in the norm domain, 4.15-fold (95% CI: 1.23 to 13.94) to score ≥ 80% in the initiating domain, and 3.96-fold (95% CI: 1.13 to 13.93) to score ≥ 80% in the support domain. Participants who worked in a government hospital had 46.69-fold (95% CI: 6.25 to 348.65) to score ≥ 80% in the barrier domain. The SSC was completed (completely filled out) for 95 (27.9%) patients. SSC was left blank (complete) for 0 (0.0%) patients in the non-governmental hospital. On the other hand, the SSC was completed fully for 0 (0.0%) patients included in the governmental hospital.
Conclusions: The operating room team members who the nongovernmental hospital employed had a more positive attitude toward the SSC. However, the adhesion to filling out the SSC in all hospitals was suboptimal.
Keywords: Surgical checklist, Surgery, Patient safety