Compliance to use of surgical checklist among private medical practitioners

O. Olakulehin, O. Akanbi, O. Habeeb, M. Adeoti, D. Onilede, T. Akinloye, O. Olanipekun
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Abstract

Surgery put patients at appreciable risk of adverse outcomes and death. Operative Surgical Checklists serves as an aid-memoire to ensure patients’ and health care personnel safety during the perioperative period. A cross-sectional survey of private medical practitioners (PMP) was conducted to find out about the awareness and compliance of general medical practitioners in Nigeria on the use of WHO Surgical Checklists. Relevant data were obtained through a pre-tested paper based questionnaire. One hundred and nineteen questionnaires were analysed. The mean age of the respondents was 58.20 (±4.761) years. The mean duration of time from post qualification was 31.083 (±4.387) years. Twenty-four (20.16%) of the respondents have additional qualifications in various clinical and non clinical specialties. Forty-seven (39.49%) of the respondents had heard about surgical checklist mainly from the internet. Only 5 (10.63%) of them use it, and in less than 25% of the occasions. Use of checklist shows no significant statistical difference between those with additional qualifications to those without (p= .6970).  About 96% of the respondents believed that surgical checklist is beneficial. The most barrier to use of surgical checklist was unavailability of the checklists. Surgical checklist is poorly utilized by the private medical practitioners.  We suggest the need to further emphasize the use of surgical checklists at various levels of our practices.Keywords: Surgical checklist, World health organization, private medical practitioners and Operation
私家医生使用手术核对表的依从性
手术使患者面临明显的不良后果和死亡风险。手术检查表作为辅助备忘录,确保围手术期患者和医护人员的安全。对私人医生进行了一项横断面调查,以了解尼日利亚全科医生对使用世卫组织手术清单的认识和遵守情况。相关数据通过预测的纸质问卷获得。对119份问卷进行了分析。受访者平均年龄58.20(±4.761)岁。平均离岗时间为31.083(±4.387)年。24名(20.16%)受访者在各种临床和非临床专业拥有额外资格。47名(39.49%)受访者主要通过网络了解手术清单。只有5人(10.63%)使用手机,而且使用频率不到25%。使用检查表显示,有额外资格的人员与没有额外资格的人员之间没有显著的统计学差异(p= .6970)。96%的受访者认为手术核对表是有益的。使用手术检查清单的最大障碍是无法获得检查清单。私人医生对手术检查表的利用程度较差。我们建议有必要进一步强调在我们实践的各个层面使用手术检查清单。关键词:外科检查表;世界卫生组织;私人医生
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