The use of the World Health Organization Surgical Safety Checklist in operating theatres

There is a global concern over intraoperative patient safety, as adverse events are on the rise. When the World Health Organization Surgical Safety Checklist (WHO SSC) is used correctly, it has the potential to prevent such events. Unfortunately, the intraoperative team in the designated hospital la...

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Bibliographic Details
Published in:	Health SA = SA Gesondheid Vol. 28; no. 1; p. 2246
Main Authors:	van Zyl, Mariet, van Wyk, Neltjie C, Leech, Ronell
Format:	Journal Article
Language:	English
Published:	South Africa African Online Scientific Information Systems (Pty) Ltd t/a AOSIS 2023 AOSIS (Pty) Ltd AOSIS AOSIS Publishing on behalf of University of Johannesburg
Subjects:	Data collection Evidence-based nursing Focus groups Health Care Sciences & Services Health Policy & Services Hospitals implementation science Industrial safety Interviews intraoperative teams Nurses Original Research Orthopedics Patient safety Problem solving Public health Qualitative research Research methodology Safety and security measures Science Surgeons Surgery surgical safety checklist (ssc) Teams world health organization (who) South Africa World Health Organization (WHO) Surgical Safety Checklist (SSC) patient safety qualitative research intraoperative teams implementation science
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Summary:	There is a global concern over intraoperative patient safety, as adverse events are on the rise. When the World Health Organization Surgical Safety Checklist (WHO SSC) is used correctly, it has the potential to prevent such events. Unfortunately, the intraoperative team in the designated hospital lacked the cooperation to successfully use the checklist. This study, therefore, aimed to explore and describe the factors that affect the use of the checklist in the operating theatres in a designated hospital. A qualitative research approach together with an implementation science strategy structured according to the Consolidated Framework for Implementation Research was used. Individual interviews with nine surgeons and focus group interviews with six operating theatre professional nurses provided sufficient data for inductive and deductive analysis. A deeper understanding of the contextual and interventional factors that affect the use of the WHO SSC is provided by the findings. A high demand for surgery, the hierarchy in the surgical team, their uncertainty about hospital policies and reluctance to adjust to change contributed to the poor use of the checklist. A sustainable implementation process is crucial and should be embraced and promoted by the intraoperative team. The article contributes a description of the factors that address the use of a checklist for intraoperative patient safety. It recommends that the factors that hinder the use of the checklist be timeously addressed.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1025-9848 2071-9736 2071-9736
DOI:	10.4102/hsag.v28i0.2246