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- Title
Implementation of the WHO surgical safety checklist in a West African teaching hospital: a quality improvement initiative.
- Authors
Matei, A.; Mouhajer, Mohammed; Tontoh, Harry; Ampah, Nelson; Quartson, Elizabeth M.; George, Ronald B.; Scott, Heather; Ross, Vernon H.
- Abstract
Background: This study aimed to evaluate the implementation of a surgical safety checklist (SSCL) at an academic hospital in Ghana. Methods: The WHO SSCL was locally adapted and introduced in all surgical cases at Cape Coast Teaching Hospital (CCTH), Ghana. A chart audit of 2.5% of surgical cases over 12 months was conducted. The main outcome measures included: 1. Percentage of cases where the SSCL was present, 2. Percentage complete, 3. Where the SSCL was incomplete, percentage complete at each critical point (before induction of anesthesia, before skin incision, and before leaving the operating theater), 4.Information missing in incomplete charts. Results: One hundred surgical cases were evaluated. The SSCL was present in 93% (95% CI 88%-98%) of cases reviewed, but complete in only 21% (95% CI 10.5%- 29.0%) of all cases, and 3.6% (95% CI -3.3%-13.0%) of C-sections. The last part of the checklist was most likely to be completed. The most common missing information was patient demographics. Conclusion: The SSCL was introduced at CCTH over 1.5 years. While uptake was high, the majority of cases were incomplete. This QI activity informed a revision of the SSCL and a strategy for periodic evaluation to facilitate its sustainable use.
- Subjects
GHANA; ACADEMIC medical centers; ANESTHESIA; CESAREAN section; PEDIATRIC surgery; CONFIDENCE intervals; HEALTH care teams; MEDICAL records; MEDICAL referrals; PATIENT safety; QUALITY assurance; STATISTICAL sampling; OPERATIVE surgery; WORLD Health Organization; THEMATIC analysis; HUMAN services programs; EVALUATION of human services programs; DESCRIPTIVE statistics; ACQUISITION of data methodology
- Publication
Update in Anaesthesia, 2020, Vol 35, p5
- ISSN
1353-4882
- Publication type
Article