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Article: Implementation of the WHO Surgical Safety Checklist and surgical swab and instrument counts at a regional referral hospital in Uganda - A quality improvement project

TitleImplementation of the WHO Surgical Safety Checklist and surgical swab and instrument counts at a regional referral hospital in Uganda - A quality improvement project
Authors
Issue Date2015
Citation
Anaesthesia, 2015, v. 70, n. 12, p. 1345-1355 How to Cite?
Abstract© 2015 The Association of Anaesthetists of Great Britain and Ireland.The World Health Organization (WHO) Surgical Safety Checklist is a cost-effective tool that has been shown to improve patient safety. We explored the applicability and effectiveness of quality improvement methodology to implement the WHO checklist and surgical counts at Mbarara Regional Referral Hospital in Uganda between October 2012 and September 2013. Compliance rates were evaluated prospectively and monthly structured feedback sessions were held. Checklist and surgical count compliance rates increased from a baseline median (IQR [range]) of 29.5% (0-63.5 [0-67.0]) to 85.0% (82.8-87.5 [79.0-93.0]) and from 25.5% (0-52.5 [0-60.0]) to 83.0% (80.8-85.5 [69.0-89.0]), respectively. The mean all-or-none completion rate of the checklist was 69.3% (SD 7.7, 95% CI [64.8-73.9]). Use of the checklist was associated with performance of surgical counts (p value < 0.001; r2 = 0.91). Pareto analysis showed that understaffing, malfunctioning and lack of equipment were the main challenges. A carefully designed quality improvement project, including stepwise incremental change and standardisation of practice, can be an effective way of improving clinical practice in low-income settings.
Persistent Identifierhttp://hdl.handle.net/10722/228234
ISSN
2015 Impact Factor: 3.794
2015 SCImago Journal Rankings: 1.404

 

DC FieldValueLanguage
dc.contributor.authorLilaonitkul, M.-
dc.contributor.authorKwikiriza, A.-
dc.contributor.authorTtendo, S.-
dc.contributor.authorKiwanuka, J.-
dc.contributor.authorMunyarungero, E.-
dc.contributor.authorWalker, I. A.-
dc.contributor.authorRooney, K. D.-
dc.date.accessioned2016-08-01T06:45:31Z-
dc.date.available2016-08-01T06:45:31Z-
dc.date.issued2015-
dc.identifier.citationAnaesthesia, 2015, v. 70, n. 12, p. 1345-1355-
dc.identifier.issn0003-2409-
dc.identifier.urihttp://hdl.handle.net/10722/228234-
dc.description.abstract© 2015 The Association of Anaesthetists of Great Britain and Ireland.The World Health Organization (WHO) Surgical Safety Checklist is a cost-effective tool that has been shown to improve patient safety. We explored the applicability and effectiveness of quality improvement methodology to implement the WHO checklist and surgical counts at Mbarara Regional Referral Hospital in Uganda between October 2012 and September 2013. Compliance rates were evaluated prospectively and monthly structured feedback sessions were held. Checklist and surgical count compliance rates increased from a baseline median (IQR [range]) of 29.5% (0-63.5 [0-67.0]) to 85.0% (82.8-87.5 [79.0-93.0]) and from 25.5% (0-52.5 [0-60.0]) to 83.0% (80.8-85.5 [69.0-89.0]), respectively. The mean all-or-none completion rate of the checklist was 69.3% (SD 7.7, 95% CI [64.8-73.9]). Use of the checklist was associated with performance of surgical counts (p value < 0.001; r2 = 0.91). Pareto analysis showed that understaffing, malfunctioning and lack of equipment were the main challenges. A carefully designed quality improvement project, including stepwise incremental change and standardisation of practice, can be an effective way of improving clinical practice in low-income settings.-
dc.languageeng-
dc.relation.ispartofAnaesthesia-
dc.titleImplementation of the WHO Surgical Safety Checklist and surgical swab and instrument counts at a regional referral hospital in Uganda - A quality improvement project-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1111/anae.13226-
dc.identifier.pmid26558855-
dc.identifier.scopuseid_2-s2.0-84946823687-
dc.identifier.volume70-
dc.identifier.issue12-
dc.identifier.spage1345-
dc.identifier.epage1355-
dc.identifier.eissn1365-2044-

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