Awareness, Knowledge and Perception of Safe Surgery Checklist and its Implementation in Jos University Teaching Hospital, Plateau State, Nigeria
Surgery-related complications and mortality have
remained unbearably high, particularly in developing countries. Consequently
the WHO, developed a Safe Surgery checklist (SSC) to improve the safety of
surgeries and reduce mismanagement in surgery. This study was designed to
assess the knowledge, attitude and perception of theatre staff about the SSC.
A cross sectional study involving theatre staff of Jos
University Teaching Hospital, Nigeria was employed. Information on
socio-demographic characteristics, Knowledge and awareness of the SSC,
Perception towards safety culture and team work, Willingness and attitude of
participants to use the SSC and Challenges affecting the implementation of the
SSC in JUTH operating theatres were collected, using a semi-structured
A total of 68 theatre staff participated in the study.
Majority 63 (92.5%) had heard about the safe surgery checklist. About 47.0%
mentioned they did not usually have enough time for safety preparation, (72.1%)
noted that there was not enough resources put in place to ensure safety.
Majority (92.7%), indicated that they wanted the checklist to be used for all
surgical procedures. and also improve communication and collaboration between
operating room staff. Only 13.3% agreed that the checklist is easy to use. More
than half (54.4%) felt that the checklist may not bring any extra value to
existing safety procedures already in place. Lack of commitment from the
Management (16.2%), Lack of interest of health worker (14.7%), Shortage/lack of
manpower (20.6%), Lack of team spirit (23.5%) and Inadequate supply of
consumable instruments and other equipment/facilities (22.0) were pointed out
by the participants as challenges that can affect the implementation of the
safe surgery checklist.
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