Compliance of health care providers with perioperative patient safety guidelines ina general hospitalinCairo

Abstract

Perioperative patient safety became an utmost priority all over the world. Commitment of the health care providers (surgeons, anesthetists& nurses) to patient safety guidelines can decrease rate of perioperative morbidity and mortality. This work aims to assess the degree of compliance of health care providers - in Police hospital in Cairo- with the patient safety guidelines. This can help delivering a safe medical service to the patients decreasing the rate of patients harm. A descriptive study was conducted on 305 patients .They were observed when they had surgeries in 3 operating rooms of Police hospital in Cairo during duration of 3 months from 16-4-2014 till 14-7-2014. WHO safe surgery checklist was used to check if health care providers were compliant to its items or not. Who safe surgery checklist divides the surgery into 4 stages and including 40 items ; stage I “sign in”, stage II “surgical site infection (SSI) bundle”, stage III “time out” and stage IV “sign out”. Health care providers in operation rooms of Police hospital in Cairo showed compliance of the WHO safe surgery checklist items as the following : the mean compliance of the Total score “sum” is (73.85 %) while the stage of the highest mean compliance was stage I “sign in” with a mean (81.66%) and the stage with the lowest mean compliance was stage II “SSI bundle” with a mean (52%). Stage III “time out” & stage IV “sign out” showed mean compliance (74.94 %) & (67.05 %) respectively. Assessment of health care providers’ compliance to the guidelines revealed that the anesthetists showed the highest compliance to the checklist items related to their work with a mean compliance (85.34%) while nurses showed the lowest compliance with a mean compliance (65.02%). Surgeons showed a mean compliance (80.36%).