Background: Surgery is an important care intervention. In developing countries, W orld Health Org... more Background: Surgery is an important care intervention. In developing countries, W orld Health Organization (W HO) estimates 50% of complication and death due to surgery is preventable. Therefore, W HO introduces safe surgery and surgical safety checklist (SSCL) as an attempt to improve patient safety, reduce mortality and disability. This study aimed to describe the practice of safe surgery by using SSCL in the operating room of Sumbawa District hospital. Method: A cross-sectional study was conducted. Subjects were all patients who had major surgery between May-July 2012 were recruited. Ninety three patients, consisting of 44 elective and 49 emergency surgeries were recruited. Observation was carried out using SSCL and data were analyzed descriptively. Result: Implementation of SSCL was consistent (100%) on the completeness of anesthesia check and pulse oximeter (sign in phase), and review of sterile surgical equipment (time out phase). None of the checklist items in sign out phase was fully implemented. Conclusion: Implementation of safe surgery has not been fully implemented in major surgery. Therefore, efforts should be made to introduce and disseminate SSCL to the surgical teams in order to improve patient safety.
Background: Surgery is an important care intervention. In developing countries, W orld Health Org... more Background: Surgery is an important care intervention. In developing countries, W orld Health Organization (W HO) estimates 50% of complication and death due to surgery is preventable. Therefore, W HO introduces safe surgery and surgical safety checklist (SSCL) as an attempt to improve patient safety, reduce mortality and disability. This study aimed to describe the practice of safe surgery by using SSCL in the operating room of Sumbawa District hospital. Method: A cross-sectional study was conducted. Subjects were all patients who had major surgery between May-July 2012 were recruited. Ninety three patients, consisting of 44 elective and 49 emergency surgeries were recruited. Observation was carried out using SSCL and data were analyzed descriptively. Result: Implementation of SSCL was consistent (100%) on the completeness of anesthesia check and pulse oximeter (sign in phase), and review of sterile surgical equipment (time out phase). None of the checklist items in sign out phase was fully implemented. Conclusion: Implementation of safe surgery has not been fully implemented in major surgery. Therefore, efforts should be made to introduce and disseminate SSCL to the surgical teams in order to improve patient safety.
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