Abstract:
Background
Surgical care is an essential component in health care worldwide, 75% of all surgeries are the
major surgeries, and it is estimates 234 million major surgeries each year corresponding to 1
operation for every 25 alive people. WHO estimates that 500.000 deaths per year could be
prevented through worldwide implementation of the surgical safety checklist (SSC).
Methods
A pre and post intervention design was used in the current dissertation, the data on magnitude of
the problem served as the baseline data, the root cause analysis were conducted in conjunction
with the concerned staff, after getting the main causes; the alternative solutions were identified
and interventions were selected after comparative analysis of identified alternative solutions.
Results
During the 4 months of selected intervention, December/2016 up to March /2017, the utilization
of SSC was significantly increased from 0% in pre-intervention to 74% after intervention with a
p.value ˂0.000., the Sign in and Time out were completed at 100% with a value ˂0.001 but the
Sign out part was completed at a rate of 92% with a p-value of ˂0.001, the staff training on WHO
SSC use increased the knowledge from an average score of 51% pre intervention up to 83% post
intervention..
Conclusion
Increase of knowledge through education and training and put in place the policy and procedures
were the key strategies to implement the WHO SSC in Masaka District hospital, The
implementation of WHO SSC improved team communication ,reduced the health care cost
,reduced peri operative mortality rate.
