Print ISSN: 0253-0759

Online ISSN: 2413-4414

Keywords : Safety checklist


The WHO Surgical Safety Checklist-Part two: Feasibility of the Application in an Operating Theater in Basrah

Hind M Kamal; and Mazin H. Al-Hawaz; Omran S. Habib

The Medical Journal of Basrah University, Volume 33, Issue 1, Pages 34-43
DOI: 10.33762/mjbu.2015.103873

Background: This is a prospective two-stage interventional 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 study was designed to assess the adherence of staff in the operating theater to items of services covered by a World Health Organization Surgical Safety Checklist and to measure the effect of active reminding of them about such list. The study is in line with the vision of the Ministry of Health to provide high quality care.
Methods: A structured questionnaire form was prepared for the purpose of the study. It is an adapted list of the first edition of the World Health Organization Surgical Safety Checklist. The study consisted of two phases: Phase One, which involved the observation of procedures, instructions and labeling of patients before, during and after the surgical operation. This phase was completed without informing the involved staff about any specific requirement regarding adherence to safety measures and checklist. A total of 269 surgical operations (patients) were covered in this phase. In phase Two, full group instructions and explanation of the safety check list was made to operative theater staff. The same manner of observation on each patient was done for the rest of this phase and covered 109 surgical operations (patients).
Results: A substantial improvement in the adherence of staff was observed following the active intervention by the researchers to remind all parties of the importance of the World Health Organization Surgical Safety Checklist.
Conclusions: it is feasible to use Surgical Safety Checklist and its use must be continuously monitored to make the best of its application.

The use of the who surgical safety checklist-part one: the state of the art in an ‎operating theater in Basrah ‎

Omran S Habib; Al-Hawaz; Hind M Kamal; Mazin Hawaz

The Medical Journal of Basrah University, Volume 32, Issue 1, Pages 8-14
DOI: 10.33762/mjbu.2014.94416

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.‎