Abstrakt
Background: - the World Health Organization Surgical Safety Checklist (WHO-SSC) can decrease morbidity and mortality.
Objective: - This study assesse knowledge, satisfaction of theatre personnel and compliance with the WHO-SCC at the University College Hospital, Ibadan
Methods: - Compliance rate was the percentage of records found with WHO-SCC while completeness rate was the percentage of checklists filled. For the staff survey, a self-administered validated
questionnaire was used.
Results: - Between January 2014 and December 2015, 8,480 surgeries were performed with 8,140 checklists accounted for (compliance rate of 96%). The completeness rate ranged from 58-92%. Off 455 theatre staff approached, 318 (69.8%) participated (33.3% surgeons, 13.2% anesthetists, 53.5% nurses). Nurses reported satisfaction (p=0.018); more anesthetist than surgeons reported satisfaction (p=0.074). Subjective knowledge was reported as excellent/ very good in nurses 148 (87%), anesthetists 30 (72%) and surgeons 71 (67%). Objective knowledge revealed no significant difference between all groups (p=0.032). Anesthetists believed the checklist improved safety of procedures, surgeons felt it was a waste of time whilst nurses believed it improved communication. All disciplines believed in its ability to enhance safety culture.
Conclusion: - Although the WHO-SCC is used regularly in University College Hospital, Ibadan there is a need for more training to ensure a robust knowledge base.
Keywords: WHO, safety checklist.
Abstrait
Contexte : - La liste de contrôle de la sécurité chirurgicale de l’Organisation mondiale de la santé (OMSSSC) peut réduire la morbidité et la mortalité.
Objectifs : - Cette étude évalue les connaissances, la satisfaction du personnel de théâtre et la conformité avec l’OMS-SSC au Collège Hospitalier Universitaire d’Ibadan.
Méthodes : - Le taux de conformité était le pourcentage d’enregistrements trouvés avec l’OMS-SSC, tandis que le taux de complétude était le pourcentage de listes de contrôle remplies. Pour l’enquête auprès du personnel, un questionnaire validé auto-administré a été utilisé.
Résultats : - Entre janvier 2014 et décembre 2015, 8.480 chirurgies ont été effectuées, dont 8.140 listes de contrôle ont été comptabilisées (taux de conformité de 96%). Le taux de complétude variait de 58 à 92%. Sur 455 membres du personnel de théâtre approchés, 318 (69,8%) ont participé (33,3% chirurgiens, 13,2% anesthésistes, 53,5% infirmiers). Les infirmiers ont déclaré être satisfaits (p = 0,018) ; plus d’anesthésistes que de chirurgiens ont déclaré être satisfaits (p = 0,074). Les connaissances subjectives étaient considérées comme excellentes / très bonnes chez les infirmiers 148 (87%), les anesthésistes 30 (72%) et les chirurgiens 71 (67%). La connaissance objective n’a révélé aucune différence significative entre tous les groupes (p = 0,032). Les anesthésistes pensaient que la liste de contrôle améliorait la sécurité des procédures, les chirurgiens estimaient que c’était une perte de temps, tandis que les infirmières pensaient que cela améliorait la communication. Toutes les disciplines croyaient en sa capacité à renforcer la culture de sécurité.
Conclusion: - Bien que l’OMS-SSC soit utilisé régulièrement au Collège Hospitalier Universitaire d’Ibadan, il est nécessaire de renforcer la formation pour assurer une base de connaissances solide.
Mots - clés: OMS, liste de contrôle de sécurité.
Correspondence: Dr. Olubukola A. Adesina, Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan, Nigeria, E-mail bujiadewole@gmail.com
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