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May 9, 2019

9th European Operating Room Nurses Association Congress 2019

Is WHO Surgical Safety Checklist always applied as intended?

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Surgical Safety Checklist

WHO

surgery

Abstract

Abstract

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Keywords

Surgical Safety Checklist

WHO

surgery

Abstract

Objectives: The study is carried out to determine the attitudes and thoughts of surgery team members toward implementing safe surgery checklists (SSC) in the world. Methods: This is a descriptive and cross-sectional study, and the sample is composed of 78 surgical team members from 20 countries. Data was collected using a "Characteristics Form"and "SSC Implementation Questionnaire" via the Internet between September 2017 and December 2018. Ethics approval was obtained from the University Ethics Committee. Results: Surgical team members have an average of 21.59±12.00 (min:1, max:45) years experience and have been working an average of 19.40±11.04 (min:1, max:42) years in the operating theatre. It was determined that 78.2% of the participants were trained for SSC. Half of the participants (45.9%) received education from the institutional orientation program. Whereas 57.7% of the surgical team members stated that Surgical Safety Checklist has been modified by their institutes, 72.4% of them mentioned they use the "World Health Organization Surgical Safety Checklist" with the same name. Whereas 89.8% of participants believe that SSC improves patient safety, only half of them (46.1%) mentioned that SSC is being used in the operating theatre correctly. While 70.7% of the surgical team members stated that they have a practice standard in their institutions, only 52.5% of them said the standard is applied. According to most of the surgical team members (70.5%) time allocated to the implementation of SSC is not sufficient. Conclusion & Recommendations: Whereas the surgical team members have positive thoughts and feelings related to the Surgical Safety Checklist, there are some deficiencies in practice. It is understood from the results of the study that the SSC has been modified in some countries as WHO has stated. However, in the application of the list, it is observed that there is still no complete alignment beyond the revision of the checklist in the countries. For this reason, it is recommended to make arrangements that will increase the applicability of the checklist and include all the surgical team in the responsibility of implementation. Under this scope, it is thought that at the arrangement period exchanging ideas between countries and highlighting the countries and institutions that apply solid and unproblematic solutions may contribute to the reducing the differences. Also, It is needed to improve patient safety culture in operating rooms. So, the hospitals should organize some adaptation programs for the surgical team members to improve Surgical Safety Checklist awareness and to increase its usage.

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© Copyright 2019 Morressier GmbH.
All rights reserved.