Browsing by Author "Sauls, Peter Jonathan"

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    Barriers affecting the implementation of the World Health Organization Surgical Safety Checklist by staff in a private hospital in the Cape Metropole
    (Stellenbosch : Stellenbosch University, 2019-04) Sauls, Peter Jonathan; Cohen, M. A.; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.
    ENGLISH SUMMARY : Adverse events or near misses in the operating room (OR) is the result of negligence, medical malpractice and management that compromise patient safety which may result in wrong patient, wrong procedure and wrong site/side surgery. The World Health Organisation developed the Safe Surgical Checklist in 2008 as a systematic approach towards the improvement of peri-operative patient safety and reduces the risk of harm. The reliability of this process when implemented correctly has been widely published as invaluable. However, the researcher of this study, observed in clinical practice that adherence to the protocol is frequently inconsistent and may obstruct its efficacy. Thus, the aim of this study was to explore the OR staff’s perception of the implementation and efficacy of the checklist used in one private hospital in the Cape Metropolitan district of South Africa. A non-experimental, descriptive, cross-sectional quantitative approach using a case study design was applied. A self-administered structured questionnaire was used to collect data. Validity and reliability of the tool was assured by means of published research (Chronbach 0.70), a pilot study and consultation with nursing experts and a statistician. The total population was N=125 and included surgeons, anaesthetists and OR staff specifically involved in the surgical procedure. A response rate of 53% was achieved. Ethical approval was obtained from the Health Research Ethics Committee of the University of Stellenbosch and the institution’s ethical review board. Informed written consent was acquired from the participants. Data was analysed descriptively by the statistician and is presented in frequencies and tables. No inferential statistic calculations were performed as advised by the statistician. The analysis highlighted revealed that improper use of the SSC, a lack of training and a lack of management involvement may limit the benefits of the surgical safety checklist. In summary it is recommended to encourage continuous staff awareness campaigns to enhance the effective implementation of the SSC and promote a culture of safety among the surgical team.