Education and Ethics In Nursing ISSN: 2322-5300

Surveying the degree of compliance with surgical safety principle, according to the World Health Organization Checklist in teaching hospitals of Ahvaz Jundishapur University of Medical Sciences in 2022

https://doi.org/10.22034/ethic.2024.2028646.1049
Volume 13, special issue
July 2024
Pages 84-95
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : Original Article

Authors

Mahan Biabani 1
Mehrnaz Ahmadi 2
Leila Hasimi 3
Vida Varnaseri 1
Saeed Ghanbari 4

1 Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Assistant Professor, Medical and Surgical Nursing Department, School of Nursing and Midwifery, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Medical and Surgical Nursing Department, School of Nursing and Midwifery, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

4 Department of Biostatistics and Epidemiology, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract
Introduction: Considering the importance of patient safety, it is necessary to monitor the current state of surgeries in terms of patient safety-related issues based on the safe surgery checklist. This monitoring helps estimate the distance from the standard level. The purpose of this study was to assess the compliance level with the principles of safe surgery, as outlined in the WHO checklist, in the operating rooms of Ahvaz teaching hospitals.
Methods & Materials This cross-sectional descriptive study was conducted on 118 nurses anesthetists and surgical technologists of teaching hospitals at Ahvaz Jundishapur University of Medical Sciences who were included in the study via stratified random sampling. Data were collected using "demographic information" and "Surgical Safety Checklist" of the WHO in 2009. Data were analyzed using descriptive statistics, independent t-test, and one-way ANOVA, in SPSS-22.
Results: The mean score of compliance with safe principles by circulars, scrubs and anesthesia experts was 10.65±3.36, 9.31±1.70, and 14.45±3.03, respectively. No significant difference was found in terms of gender, work experience, and type of employment. A significant difference was observed in terms of age in scrub nurses upon entering the operating room (P<0.0001) and in terms of marital status in anesthesia nurses when the patient left the operating room (P=0.04). In terms of the type of hospital, there was a significant difference between the performance scores of scrub nurses at patient entry (p=0.005), anesthesia at patient entry (p=0.03), and the total performance score of anesthesia nurses (p=0.04).
Conclusion: Checklist of principles of safe surgery is vital to maintain a patient's health. Most of its items are being implemented, but several items are ignored, which requires the review and implementation of corrective plans to increase adherence to these principles by personnel.

Keywords

Surgery
Patient Safety
Operating Room
Nurse
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