Opinions of Anesthesiologists and Surgeons about World Health Organization Surgical Safety Checklist in a Tertiary hospital in Iran, 2012

  • Mahasti Alizadeh Community Medicine Depatment Tabriz University of Medical Sciences
  • Hossein Jabbari Bayrami community medicine department faculty of medicine tabriz university of medical sciences
  • Maryam Baradaran community medicine department faculty of medicine tabriz university of medical sciences
  • Reza Movassaghi Gargari Department of anaestesiology ,Imam Reza Hospital. Tabriz University of Medical Sciences
  • Ramin Azhough Department of General Surgery. Imam Reza Hospital. Tabriz University of Medical Sciences
Keywords: patient safety, operatingrooms, surgical safety checklist, hospital infection, hospital mortality

Abstract

Purpose: The aim of this study was determine the opinions of clinicians in order to modify the surgical safety checklist(SSC) to make it compatible for use in hospitals of Iran

Methods: In a cross-sectional study, the views of surgeons and anesthesiologists of the main teaching hospital in Tabriz -Imam Reza Hospital- were taken by a form attached to the main checklist. The participants in this study were asked to write their opinions on each item of the checklist based on the environment of the hospital. The opinions were classified and analyzed.

Results: Most of the anesthesiologists(87.5%) and some of the surgeons (18%)recommended to change the fourth item of sign-in part. They suggested using vital sign and base monitoring instead of pulse oximetry. Three of the physicians added the "Internal Medicine Consultation" and "output monitoring" to the Critical Events Anticipation item. Hemorrhage, vomiting, nausea, and hemodynamic disorders were added to the key concerns of recovery and management item by 75% of anesthesiologists.

Conclusion: It is better to modify the Surgical Safety Checklist based on the local needs and facilities of each hospital. Surgeons and anesthesiologists in an Iranian teaching hospital suggested  adding some items to each part of SSC.

References

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Published
2013-10-01
Section
Research Articles