Dzidefo Tuvor, Augustine Kumah, Rebecca Abiti, Stephen Henry Afakorzi, Peter K Agbemade, Christine Ahiale, Mac Dzodzodzi, Anthony Bless Dogbedo, Adanu Peter Worlasi, Emmanuel Obot, Janet Mawunyo Tornyi, Abdul-Razak Issah, Innocent Dzubey, Deborah Terkperkie Kanamitie
{"title":"Medication Administration Error Reporting Among Nurses: A Descriptive Qualitative Study.","authors":"Dzidefo Tuvor, Augustine Kumah, Rebecca Abiti, Stephen Henry Afakorzi, Peter K Agbemade, Christine Ahiale, Mac Dzodzodzi, Anthony Bless Dogbedo, Adanu Peter Worlasi, Emmanuel Obot, Janet Mawunyo Tornyi, Abdul-Razak Issah, Innocent Dzubey, Deborah Terkperkie Kanamitie","doi":"10.36401/JQSH-24-33","DOIUrl":"10.36401/JQSH-24-33","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses are integral to the healthcare delivery team (multidisciplinary team). They are involved and play vital roles with responsibilities to ensure the quality of healthcare for their patients. The key to those varied roles is the administration of medication. Depending on the clinical setting, nurses spend up to 40% of their hours on medication administration and its management processes. They are liable to identify and prevent medication administration errors (MAEs) and their consequences. This study aimed to explore the barriers and facilitators to the reporting behavior for MAEs among nurses in Ghana.</p><p><strong>Methods: </strong>A descriptive qualitative cross-sectional study was conducted among nurses in a district catholic hospital in Ghana. The level of nurses' knowledge of MAEs, causes of such errors, barriers to reporting, and strategies for minimizing errors were assessed. Purposive sampling was used to select a total sample of 20 nurses interviewed face-to-face using an in-depth method. The interviews were recorded, transcribed, and analyzed thematically.</p><p><strong>Results: </strong>The study found that all nurses are aware of MAEs, which serve as the basis for decision-making. However, some nurses do not report these errors when they occur. Factors such as workload, stress and tiredness, staff shortage, difficulty calculating drug dosage, inadequate knowledge about specific medications, distractions during administration, and patient-related factors were identified as common causes of MAEs. The study also revealed that hospital management and the potential negative consequences of reporting errors, such as unpleasant reactions, lawsuits, and loss of a job, are significant barriers to reporting.</p><p><strong>Conclusion: </strong>Regular training workshops should be conducted to update nurses' knowledge about the importance of reporting medication errors, the reporting process, new medications and their administration, to develop a policy document that promotes a nonblaming, nonpunitive, and supportive learning culture for MAE medic reporting.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 2","pages":"63-69"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paulo Borem, Rafaela Moraes de Moura, Helena Barreto Dos Santos, Guilherme Cesar Silva Dias Santos, Patrícia Dos Santos Bopsin, Beatriz Ramos, Andrea Keiko Fujinami Gushken, Samara de Campos Braga, Edileusa Novaes Piusi, Priscila Martini Bernardi Garzella, Lais Silvestre Bizerra Baltazar, Karen Cristina da Conceição Dias Silva, Teilor Ricardo Dos Santos, Marco Antonio Saavedra Bravo, Ademir Jose Petenate, Cristiane Maria Reis Cristalda, Luciana Yumi Ue, Claudia Garcia de Barros, Sebastian Vernal
{"title":"Strengthening Reliability and Sustainability: Integrating Training Within Industry (TWI) in a Quality Improvement Collaborative.","authors":"Paulo Borem, Rafaela Moraes de Moura, Helena Barreto Dos Santos, Guilherme Cesar Silva Dias Santos, Patrícia Dos Santos Bopsin, Beatriz Ramos, Andrea Keiko Fujinami Gushken, Samara de Campos Braga, Edileusa Novaes Piusi, Priscila Martini Bernardi Garzella, Lais Silvestre Bizerra Baltazar, Karen Cristina da Conceição Dias Silva, Teilor Ricardo Dos Santos, Marco Antonio Saavedra Bravo, Ademir Jose Petenate, Cristiane Maria Reis Cristalda, Luciana Yumi Ue, Claudia Garcia de Barros, Sebastian Vernal","doi":"10.36401/JQSH-24-37","DOIUrl":"10.36401/JQSH-24-37","url":null,"abstract":"<p><strong>Introduction: </strong>Integrating process improvement tools into healthcare has shown promising results, yet the application of \"training within industry\" (TWI) still needs to be explored in this context. This study focuses on implementing job instruction (JI), one of the three components of TWI, within a large breakthrough series collaborative (BTS) in a middle-income country.</p><p><strong>Methods: </strong>We evaluated the deployment of JI during a nationwide initiative aimed at reducing three critical healthcare-associated infections (HAIs)-central line-associated bloodstream infections (CLABSI), ventilator-associated pneumonia (VAP), and catheter-associated urinary tract infections (CAUTI)-across 189 Brazilian public intensive care units (ICUs). Our quality improvement (QI) project outlines the integration of JI to enhance the reliability of care bundles and empower frontline teams to reduce variation, one fundamental condition to maintain ongoing improvements.</p><p><strong>Results: </strong>The implementation strategy included structured JI training for the hub's leaders, which facilitated the gradual adoption and customization of JI and visual management techniques into daily ICU care. We detailed the four stages of JI training, the content of each session, and how they were incorporated into the existing BTS framework alongside visual management tools. The mean compliance to prevention bundles exceeded 90%, and the project results reached an overall reduction of 44%, 52%, and 54% for CLABSI, VAP, and CAUTI, respectively.</p><p><strong>Conclusion: </strong>Our findings suggest that JI can be seamlessly integrated into routine QI activities. This structure promotes consistency in carrying out each aspect of care bundles, preventing HAI and strengthening patient safety.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Increasing Utilization of Standardized Tools for Measurement-Based Care in the Management of Generalized Anxiety Disorder.","authors":"Erum Azhar, Hira Fatima, Mudasir Umer, Asif Khan Afridi, Mobeena Arif, Trajan Barrera, Feroza Patel, Abdul Waheed","doi":"10.36401/JQSH-24-36","DOIUrl":"10.36401/JQSH-24-36","url":null,"abstract":"<p><strong>Introduction: </strong>Generalized anxiety disorder (GAD) is a common mental health condition encountered in primary care settings. GAD screening, diagnosis, and management are challenging, among other issues that capture the attention of primary care physicians (PCPs). Measurement-based care (MBC) involves the systematic assessment of patients' symptoms and treatment progress using standardized tools. Generalized Anxiety Disorder 7-Item (GAD-7) is a well-known screening and symptom-monitoring tool for GAD. It quantifies subjective symptoms objectively by measuring the patient's anxiety level. We aimed to increase utilization of GAD-7 in outpatient clinics to improve diagnosis and management of GAD through educational interventions and by educating PCPs to access the GAD-7 tool in the EPIC electronic medical record (EMR) with ease.</p><p><strong>Methods: </strong>This study employed a quasi-experimental interrupted time series design over 12 months. The intervention involved displaying posters educating family physicians on accessing GAD-7 screening tools in EMR and using smart phrases to document GAD-7 results in two outpatient family medicine clinics. SlicerDicer measured total anxiety encounters and GAD-7 utilization 3 months before and 9 months after intervention. Statistical process control was used, and control charts were created using the statistical software JMP Pro-16. A Poisson regression model was used to detect statistically significant differences using statistical software SAS 9.4.</p><p><strong>Results: </strong>GAD-7 utilization increased from 4.5 in the preintervention period to 20.5 in the postintervention period. There was a significant increase in GAD-7 utilization over time after implementing our QI intervention. The control chart phase analysis showed a shift in the process with an increase in the average rate of GAD-7 utilization from 11.5 per 100 encounters per week in the preintervention phase to an average of 35.8 per 100 encounters per week postintervention phase. The effect was sustained over a year postintervention. The Poisson regression model also showed a 21% increase (<i>p</i> < 0.0001) in the incidence rate ratio in the post-intervention period as compared with the preintervention.</p><p><strong>Conclusion: </strong>Utilization of GAD-7 as an application of MBC improved with the implementation of a bundled intervention using quality improvement tools. Other programs may replicate this in their similar quality improvement endeavors.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 3","pages":"127-134"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Connected Healthcare System Technology Interventions to Improve Patient Safety by Reducing Medical Errors: A Systematic Review.","authors":"Ramkrishna Mondal, Mohammed Sameer","doi":"10.36401/JQSH-24-23","DOIUrl":"10.36401/JQSH-24-23","url":null,"abstract":"<p><p>Medication or medical mistakes, the third highest cause of death in the United States, occur from prescription writing to administering the therapy, with serious clinical and cost repercussions. Digital health technologies, such as connected healthcare systems, have the potential to reduce pharmaceutical errors and increase patient safety. This systematic review was conducted to find literature evidence to improve patient safety and reduce medication errors with connected healthcare interventions. This systematic review was conducted using the PRISMA 2020 guidelines. PubMed, SCOPUS, EBSCO, and Google Scholar databases were searched from January 1, 2000 to June 30, 2024 using keywords: medication errors, patient safety, and connected healthcare. A qualitative narrative analysis was conducted for the review. The detailed search yielded 9524 papers in total. In the process of duplicate removal, 4856 duplicate articles were found. After the removal of duplicate articles, 4615 were found not suitable or relevant to the topic of this study and were removed. Finally, 53 articles were chosen for the review study after screening and duplication removal. Ten of the 53 articles were review articles (18.9%), and 43 (81.1%) were original. The research indicates that various connected healthcare system technologies are more effective in minimizing errors and enhancing care quality. Integrating computerized physician order entry and clinical decision support systems may further reduce medical errors. However, many areas require additional research, and the outcomes are mixed. A balanced strategy that combines innovation, practical safety, and outcome evaluation is preferable.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samson Alhassan, Abdul-Malik Abdulai, Farouk Amidu, Mohammed Iddrisu, Feruza Abdulai
{"title":"Assessing Patient Safety Culture and Adverse Events Reporting Among Nurses: A Cross-Sectional Study in Ghana.","authors":"Samson Alhassan, Abdul-Malik Abdulai, Farouk Amidu, Mohammed Iddrisu, Feruza Abdulai","doi":"10.36401/JQSH-24-29","DOIUrl":"10.36401/JQSH-24-29","url":null,"abstract":"<p><strong>Introduction: </strong>Patient safety is a global concern for both health professionals and the public. Research indicates that assessing patient safety culture can help improve patient safety outcomes. Nursing care strategically positions nurses at the center of patient safety promotion, and their proximity to patients makes them the drivers of patient safety. The actions of frontline staff in healthcare organizations have a notable influence on healthcare outcomes, particularly reporting of adverse events. This study aimed to evaluate the actions of frontline staff on adverse event reporting among nurses in three hospitals in the Savannah Region, Ghana.</p><p><strong>Methods: </strong>A quantitative cross-sectional method was used to gather data from 210 respondents across three hospitals. Data were analyzed with descriptive statistics, Pearson correlation, and hierarchical linear regression.</p><p><strong>Results: </strong>The findings revealed that teamwork within units had a good positive rating score of 82.9%. This was followed by teamwork across hospital units (68.0%) and handover of care (69.8%). Overall, nurses demonstrated a negative attitude toward adverse events reporting (37.3%). Furthermore, enacting safety practices that had a significant relationship with adverse events reporting were teamwork across units (<i>r</i> = .24, <i>p</i> < 0.001) and handover and transition of patient care (<i>r</i> = .19, <i>p</i> < 0.001). Again, the significant predictor of adverse events reporting was teamwork across units (β = .20, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Nurses' perceptions of patient safety culture within and across hospital units as well as handover of patient care were positive. Though the attitude of nurses toward adverse event reporting was low, teamwork across hospital units significantly predicted adverse event reporting. Therefore, frontline staff should continually strengthen teamwork processes and handover practices to achieve the best healthcare outcomes.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary on \"Transforming Hospital Housekeeping: The Kayakalp Journey\" by Pillai et al.","authors":"Passant Hafez","doi":"10.36401/JQSH-24-X7","DOIUrl":"10.36401/JQSH-24-X7","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul Bowie, Alia Al Baharnah, Rabab Alkutbe, Muhammad Mohsin Abid, Abdullah Almelaifi, Muhammad Hasan Abid
{"title":"Using Human Factors Science to Improve Quality and Safety of Healthcare.","authors":"Paul Bowie, Alia Al Baharnah, Rabab Alkutbe, Muhammad Mohsin Abid, Abdullah Almelaifi, Muhammad Hasan Abid","doi":"10.36401/JQSH-24-X8","DOIUrl":"10.36401/JQSH-24-X8","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 2","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care.","authors":"Tara Danielle Kinra, Vanisree Ramanathan, Chinmay Pramod Umarji, Peg Dublin, Sharon Schindler Rising","doi":"10.36401/JQSH-24-5","DOIUrl":"https://doi.org/10.36401/JQSH-24-5","url":null,"abstract":"<p><strong>Introduction: </strong>The introduction of the innovative group antenatal and postnatal care model into the private health sector in India has the potential to pivot the experiences of families during pregnancy and beyond. Growing evidence worldwide shows this model moves fragmented healthcare systems toward a more integrated model to improve quality in care and outcomes for mothers and children. The aim of this study was to better understand the challenges and benefits of implementation of the group model of antenatal care in the Indian private health sector for the purpose of improving quality of care.</p><p><strong>Methods: </strong>Through a collaborative innovation project led by a master's student of public health and an international organization with expertise in implementing this model, an urban 35-bed private hospital in Pune was identified with readiness to explore the model with stakeholders, train hospital staff as facilitators, and initiate group antenatal care. Semi-structured interviews with facilitators, along with feedback from participants in cohorts and observation of the groups by the trainer, were done for qualitative analysis of themes related to the strengths and barriers in implementing the model.</p><p><strong>Results: </strong>A total of 31 pregnant women participated in two cohorts over their second to third trimesters for group antenatal care with a team of three facilitators from November 2022 to June 2023. On review of experiences in implementing the model, the top strengths demonstrated were meeting of felt needs of the participants, high engagement, and relative advantage of the model. Challenges for implementation included for scheduling and attendance, adapting the model for compatibility, capacity-building, and need for more ongoing planning, monitoring, and evaluation.</p><p><strong>Conclusions: </strong>Through this innovation project, important lessons were learned for robust planning for a future pilot study. Patient-centered and integrated antenatal care are markers of quality of care that this group model can bring not only in the private healthcare sector but throughout India.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"7 4","pages":"191-196"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving Timely Medication Access for Endocrinology and Diabetes Patients: A Quality Improvement Initiative.","authors":"Wadah Almansoori, Hadeel Almasarweh, Ghassan Mohamadsalih, Khalid Hussain, Amal Aburamadan, Awais Tariq, Khaled Al-Surimi","doi":"10.36401/JQSH-24-28","DOIUrl":"10.36401/JQSH-24-28","url":null,"abstract":"<p><strong>Introduction: </strong>Managing chronic conditions such as endocrinology and diabetes requires consistent access to medications. Traditional methods of medication refill often involve in-person visits to healthcare providers or pharmacies, posing challenges for patients. Online medication refill services offer a promising solution to improve accessibility and convenience.</p><p><strong>Methods: </strong>This is a digital-based solution using online medication refill services to enhance the management of endocrinology and diabetes medication refills. It examines the process of online medication refill, including patient registration, refill request submission, verification, provider input, processing, and pickup or delivery.</p><p><strong>Results: </strong>Online medication refill services empower patients to easily request refills from the comfort of their homes, streamlining the refill process, and reducing walk-in pressure in clinics. The online medication refill with the option for home delivery option eliminates the need for patients to visit the hospital, further enhancing the patient experience. Before implementing the online medication refill solution, 26 patients will come to the clinic as walk-ins to request medication refills. The average waiting time for each patient is 45 minutes. Each provider will be interrupted for an average of 10 minutes to accommodate the request. The overall processing time required for each walk-in patient to submit the medication request is 1 hour on average. After implementing the online medication refill intervention, zero patients come to the clinic as walk-ins and hence, no interruption to the daily regular clinics. The overall processing time required for submitting the online medication request is now 2 minutes. These interventions promote medication adherence and patient engagement by facilitating access to medications and offering educational resources.</p><p><strong>Conclusion: </strong>Online medication refill services represent a valuable tool in the comprehensive management of endocrinology and diabetes. They offer accessibility, convenience, and patient empowerment, potentially improving health outcomes and enhancing the overall patient experience.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 2","pages":"70-75"},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing use of the WHO surgical safety checklist for pediatric surgery in Senegal: A nationwide survey.","authors":"Florent Tshibwid A Zeng, Cheikh Seye, Seynabou Niang, Mansour Diène, Cheikh Tidiane Mbaye, Nankouman Konaté, Babacar Faye, Teigne Ndiaye, Souleymane Faye, Salsabil Mohamed Sabounji, Papa Balla Sarr, Aminah Oumou Rassoul Niane, Abou Bakry Daff, Madawase Mboup, Daniel Aubin Yonga Tenfa, Ndeye Fatou Seck, Alida Sidi Ngandjio, Faty Balla Lô, Souleymane Camara, Dior Ndiaye, Juvénal Nibogora, Papa Alassane Mbaye, Oumar Ndour, Gabriel Ngom","doi":"10.36401/JQSH-24-31","DOIUrl":"10.36401/JQSH-24-31","url":null,"abstract":"<p><strong>Introduction: </strong>The World Health Organization (WHO) introduced the surgical safety checklist (SSC) to reduce postoperative morbidity and mortality; however, its use in low- and middle-income countries is still low.</p><p><strong>Methods: </strong>We conducted a survey from January 2 to 22, 2024, in public hospitals' pediatric surgery departments and units in Senegal to assess the use of the WHO SSC or an adapted version.</p><p><strong>Results: </strong>The participation rate was 100% (23 hospitals), with 11 second-level hospitals (47.8%) and 10 (43.5%) having at least two pediatric surgeons. All hospitals had an anesthetist nurse, and 18 hospitals (78.3%) had at least two scrub nurses. For the surgical workload, 14 hospitals (60.9%) had five to 10 surgical interventions weekly. Eleven hospitals (47.8%) had training on use of the SSC, and 8 of the 23 hospitals (34.8%) used the SSC. The WHO SSC nonutilization was mainly due to a lack of training in nine hospitals (60%) and SSC unavailability in five hospitals (33.3%). Members of 22 hospitals (95.6%) were available for training on use of the SSC.</p><p><strong>Conclusion: </strong>The WHO SSC is poorly used in pediatric operating rooms of public hospitals in Senegal. The main reasons for nonutilization are remediable.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"23-26"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}