Clinical Audit of Compliance with WHO Surgical Safety Checklist in a Private Tertiary Care Surgical Facility

Authors

  • Hamza Azhar Shalamar medical and dental college, Lahore
  • Nouman Zaib
  • Haseeb Arif
  • Fatima Jamil
  • Talat Waseem

DOI:

https://doi.org/10.48111/2022.01.04

Keywords:

Audit, surgical audit, WHO safety checklist, WHO, Safe surgery, WHO surgical safety checklist

Abstract

Background: WHO safe surgery checklist was designed to reduce the avoidable surgical errors. Literature has shown that after applying this checklist in hospitals a significant drop in complications, mortality and morbidity is observed.

Methods: It is a prospective study carried out at a tertiary care hospital after approval of institutional review board. Study was divided into two phases. In the first phase, we developed a questionnaire based on WHO safe surgery checklist to see the compliance of our anaesthesia, nursing and surgical staff to the checklist. The results were shared with the relevant departments. A re-audit will be done in the second phase.

Results and discussion: 123 patients were included in the first phase of the study. The sign in checklist was fully implemented in 35 of 50 total patients (70%). The time out checklist was fully implemented for 1 of 39 total patients (2.6%) and the Sign out checklist was fully implemented for 0 of 34 total patients (0%).

Conclusion: Poor compliance was observed with the “Time out” section of safe surgery checklist in our study. This information can help us identify the problems which can be amended in the future

References

Borgmann H, Helbig S, Reiter MA, et al. Utilization of surgical safety checklists by urological surgeons in Germany: a nationwide prospective survey. Patient Saf Surg. 2015;9(1):37. doi:10.1186/s13037-015-0082-5

O’Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. C Can Med Assoc J = J l’Association medicale Can. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333

Ambulkar R, Ranganathan P, Salunke K, Savarkar S. The World Health Organization Surgical Safety Checklist: An audit of quality of implementation at a tertiary care high volume cancer institution. J Anaesthesiol Clin Pharmacol. 2018;34(3):392-398. doi:10.4103/joacp.JOACP_328_17

Anwer M, Manzoor S, Muneer N, Qureshi S. Compliance and Effectiveness of WHO Surgical Safety Check list: A JPMC Audit. Pakistan J Med Sci. 2016;32(4):831-835. doi:10.12669/pjms.324.9884

Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. BMJ open Qual. 2021;10(4):e001593. doi:10.1136/bmjoq-2021-001593

Downloads

Published

2022-03-30

Issue

Section

Clinical Audit

How to Cite

Clinical Audit of Compliance with WHO Surgical Safety Checklist in a Private Tertiary Care Surgical Facility. (2022). Archives of Surgical Research, 3(1), 27-30. https://doi.org/10.48111/2022.01.04