Factors Affecting on the Implementation of Surgical Safety Checklist in Operating Room

Elsayed Mostafa Elshereef, Asmaa; Abdallah Abdelatief, Dalia; Ahmed Ebrahim Elhaweet, Eman

doi:10.21608/ejhc.2024.441860

Factors Affecting on the Implementation of Surgical Safety Checklist in Operating Room

Document Type : Original Article

Authors

¹ * Teacher at Technical Secondary School of Nursing in Quotor city Gharbiya

² Professor of Medical Surgical Nursing Faculty of Nursing- Ain Shams University

³ Lecturer of Medical Surgical Nursing Faculty of Nursing- Ain Shams University

10.21608/ejhc.2024.441860

Abstract

Background: The operating room is critical care setting in the hospital and more complications occurs inside it that threaten patient's life. So in 2008 the World Health Organization (WHO) developed the Surgical Safety Checklist (SSC) to improve surgical patient safety. The WHO SSC is a perioperative communication and safety tool to improve perceptions of surgical safety by the surgical care teams. Aim of the study: To identify factors affecting on the implementation of surgical safety checklist in operating room. Design: A descriptive exploratory design was utilized in this study. Subjects: A convenient sample of 30 nurses, 30 surgeons and 30 anesthesiologists, and 167 patients. Setting: This study was conducted in the operating room at Eldemerdash Hospital which affiliated to Ain Shams University, Cairo Governorate. Tools: Three tools were used in the current study I) Operating staff - related factors assessment tools II) patients -related factors assessment tool III) Environmental related factors assessment tool. Results: 61.1 % of total operating team had satisfactory level of knowledge regarding surgical safety checklist. 75.6% of staff related factors opinionnaire agreed that these factors affected on implementation of surgical safety checklist. 70.0 % of total level of practice of operating team was competent regarding implementation of surgical safety checklist. 100.0% of high volume, of emergency situation and 69.4% of chronic diseases and affected on implementation of surgical safety checklist respectively. 77.8 % of environmental related factors affected on implementation of surgical safety checklist. Conclusion: The study findings concluded that, less than two thirds of the operating team had satisfactory level of knowledge about surgical safety checklists. Also, more than three quarters of staff related factors opinionnaire agreed that these factors affected on implementation of surgical safety checklist. Also, less than three quarters of the operating team had a competent level of practice. And also, more than three quarters of environmental related factors affected on implementation of surgical safety checklist. Recommendation: Regular scientific meetings for surgeons, anesthesiologists and nurses who provide direct care for surgical patients must be conducted to discuss patients' problems and to detect barriers of adherence to the surgical safety checklist.

Keywords