Keywords : quality of care
The use of the who surgical safety checklist-part one: the state of the art in an operating theater in Basrah
The Medical Journal of Basrah University,
2014, Volume 32, Issue 1, Pages 8-14
Background: This is a prospective study carried out at one of the main operating theaters in Basrah general hospital. The study lasted for 6 months (from May to October 2013).
Objectives: The aim was to assess the adherence of staff in the operating theater to items of services covered by a World Health Organization Checklist. The study is in line with the vision of the Ministry of Health to provide high quality care.
Method: A structured questionnaire form was prepared for the purpose of the study. It was based on the World Health Organization checklist; first edition. Observation of all procedures, instructions and labeling of patients before, during and after the surgical operation was made. A total of 378 surgical operations (patients) were covered in the study
Results: The degree of adherence to the various items of the checklist (28 items) varied greatly. Items with high adherence rate (> 90%) were those related to documentation of age, gender, informed consent, shortness of breath and patient recovery checking. Items with fair documentation (70-90%) were those related to next of kin, mobile phone number, history of chronic disease, time of last meal, allergy to anaesthesia, post-operative checking of certain equipment, preparation of blood and prophylactic antibiotics and biopsy handling. All other items were of poor adherence.
Conclusions: The adherence to the requirements of the surgical safety check list was fair but further improvement in its use is required to enhance quality of care.