An Analysis of Adherence to Filling Out Surgical Safety Checklist for an Improved Patient Safety at Nur Rohmah Hospital, Gunungkidul, Yogyakarta


Muhammad Arif Budi Prakoso, Elsye Maria Rosa

 

Masters Program in Hospital Management, Universitas Muhammadiyah Yogyakarta

 

ABSTRACT

Background: Surgical safety checklist aims to decrease errors and adverse events, and to increase teamwork and communication in surgery. Surgical safety check­list is expected to decrease complication and death due to surgery. This stu­dy aimed to assess adherence to filling out surgical safety checklist among sur­gical related medical professionals at Nur Rohmah Hospital, Gunungkidul, Yog­ya­karta.

Subjects and Method: This was a semi-qualitative case study conducted at Nur Roh­­mah Hospital, Gunungkidul, Yogyakarta. A sample of surgeons, anes­the­sio­logists, surgery nurses, and anesthesia nurses, was selected for this study. The data re­lated to adherence to filling out surgical safety checklist was measured by in-depth interview, checklist, observation, and document review.

Results: Of the 25 surgeries performed, 100% of the sign in phase surgical safety check­list was filled out, and 83.42% of the time out phase surgical safety check list was filled out. Only about 24% of the surgeons introduced themselves and explained their roles. About 60% of the surgeons provided prophylactic antibiotics 60 minutes before surgery.

Conclusion: Adherence to phase surgical safety was good at Nur Rohmah Hospital, Yogyakarta. However, there remains the need for supervision, develop­ment of standard operating procedure, socialization, and training, to improve adhe­ren­ce to surgical safety checklist for an improved patient safety.

Keywords: surgical safety checklist, sign in, time out

Correspondence: Muhammad Arif Budi Prakoso. Masters Program in Hospital Management, Universitas Muhammadiyah Yogyakarta, Jl. Lingkar Selatan, Tamantirto, Kasihan, Bantul, Yogyakarta. Email: arifbudipra@gmail.com. Mobile: 0821384692.

DOI: https://doi.org/10.26911/theicph.2018.04.44

Share this :

View PDF