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Compliance in Filling Surgical Safety Checklist at The Central Surgical Installation

1Bachelor of Applied Anesthesiology Nursing, Faculty of Health Sciences, Bhakti Kencana University, Bandung, Indonesia

2Bandung Kiwari Regional General Hospital, Bandung, Indonesia

Received: 16 Jan 2024; Revised: 4 Jul 2024; Accepted: 13 Sep 2024; Available online: 18 Sep 2024.
Open Access Copyright 2024 JAI (Jurnal Anestesiologi Indonesia)
Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.

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Abstract

Background: One indicator to reduce unwanted events in the operating room is to implement the filling of the surgical safety checklist (SSC) sheet.

Objective: The purpose of the study was to identify the level of compliance in filling SSC in the sign in, time out, and sign out phases at the central surgical installation.

Methods: The research method uses quantitative descriptive with an observational study approach. The sampling technique used purposive sampling with 72 respondents. The research instrument uses SSC sheets according to Hospital’s SOP which refer to World Health Organization (WHO) standards. This research has received ethical approval from RS X with number 070/17/Ethical Clearance/RS X/III/2023. Data collection was carried out by researchers and research assistants, namely anesthesia students who were practicing at the hospital. In addition, this data was also checked by the anesthesia management team before analysis. Data analysis uses univariate analysis with the form of data presentation using categorical data, the results of which are frequency distributions and percentages using computer software.

Results: The results showed that in the SSC filling the sign in phase had the highest non-compliance rate on aspiration risk items and complicating factors (63%), while in the time out phase the highest non-compliance rate on the estimated length of operation item (90%), and in the sign out phase the highest non-compliance rate on verbal confirmation items of instrument completeness, the number of gauze or sponges, number of needles/other sharp tools (68%).

Conclusion: The filling of SSC sheets has not been fully carried out and the filling is done at the end after the operation is completed due to the workload and lack of labor resources. In addition, to speed up the process of transferring patients from the pre-anesthesia room to the operating table. It is expected that the surgery team (doctors, anesthesiologists, and surgical nurses) can be used as input so that the filling of the SSC sheet can be applied according to the sign in, time out, and sign out phases to minimize the possibility of surgical risk errors.

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Keywords: patient safety; sign in; sign out; surgical safety checklist; time out anesthesia
Funding: Universitas Bhakti Kencana

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  1. Hamdani. Faktor-Faktor yang Berhubungan dengan Tingkat Kecemasan pada Pasien Preoperasi di Ruang OK RSUD Pelabuhan Ratu Kabupaten Sukabumi. J. Heal. Soc. 11, 54–66 (2022)
  2. Saputra, C. et al. Faktor Penerapan Surgical Safety Cheklist di Kamar Operasi. J. Keperawatan 14, 291–300 (2022)
  3. Tan, J. et al. Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China. Patient Saf. Surg. 15, 1–12 (2021)
  4. Yuliati, E., Malini, H. & Muharni, S. Analisis Faktor Yang Berhubungan Dengan Penerapan Surgical Safety Checklist Di Kamar Operasi Rumah Sakit Kota Batam. J. Endur. 4, 456 (2019)
  5. WHO. New checklist to help make surgery safer. (2019)
  6. Oznur Gurlek Kisacik & Cigerci, Y. Use of the surgical safety checklist in the operating room: Operating room nurses’ perspectives. Pak J Med Sci 35, 614–619 (2019)
  7. Gul, F. et al. Surgical safety checklist compliance: The clinical audit. Ann. Med. Surg. 81, 104397 (2022)
  8. Noprianty, R. Buku Ajar Manajemen dan Kepemimpinan dikembangkan Berdasarkan Teori Keperawatan dan Dilengkapi Dengan Studi Kasus, Daftar Tilik Dan Soal-Soal. (Deepublish, 2023)
  9. Noviyanti, S. & Noprianty, R. Pelaksanaan Discharge Planning oleh Profesional Pemberi Asuhan ( PPA ) di Ruang Rawat Inap. 4, 139–146 (2019)
  10. Amir, H. et al. Enhancing skill conceptualization, critical thinking, and nursing knowledge through reflective case discussions: a systematic review. J. Med. Life 16, 851–855 (2023)
  11. Noprianty, R. Manajemen dan Kepemimpinan. (Deepublish, 2023)
  12. Noprianty, R., Wahyudi, F. M., Wahdana, W. & Juarta, T. Quality Assurance in The Surgical Ward of Hospital X in Bandung During the Covid- 19 Pandemic. 4, 37–42 (2023)
  13. Noprianty, R. & Mourly, F. Quality Of Work Life Of Nurse Anesthetist During Covid-19 In Indonesia. J. Medicoeticolegal dan Manaj. 10, 271–281 (2021)
  14. Ramesh, G. H., Uma, J. C. & Farhath, S. Fluid resuscitation in trauma: What are the best strategies and fluids? Int. J. Emerg. Med. 12, 10–15 (2019)
  15. Aaen, A. A. et al. Goal-directed fluid therapy in emergency abdominal surgery: a randomised multicentre trial. Br. J. Anaesth. 127, 521–531 (2021)
  16. Wrzosek, A. et al. The volume of infusion fluids correlates with treatment outcomes in critically ill trauma patients. Front. Med. 9, 1–9 (2023)
  17. Noprianty, R., Wahdana, W. & Suryanah, A. Dampak Beban Kerja terhadap Produktifitas Kerja di Ruang Perioperasi. J. Kepemimp. dan Manaj. Keperawatan 5, (2022)
  18. Noprianty, R. et al. Perencanaan Sumber Daya Manusia Kesehatan Rumah Sakit Melalui Pelatihan Aplikasi Software Workload Indicators of Staffing Need. PengabdianMu J. Ilm. Pengabdi. Kpd. Masy. 8, (2023)
  19. Noprianty, R., Febianti, S. A. & Fikri, J. Analysis of Nurses Staff Needs Using Workload Indicate Staff Need in Pediatric Ward With Time Motion Study. J. Medicoeticolegal dan Manaj. Rumah Sakit 9, 13–22 (2020)
  20. Murtiningtyas, R. A. & Dhamanti, I. Analisis Implementasi Identifikasi Pasien di Rumah Sakit Untuk Meningkatkan Keselamatan Pasien di Indonesia. Media Gizi Kesmas 11, 313–317 (2022)
  21. Situmorang, E. M. S., Silalahi, P. A. R. & Silalahi, P. A. R. Penggunaan Antibiotik Profilaksis Dalam Bedah Ortopedi. PREPOTIF J. Kesehat. Masy. 6, 1293–1300 (2022)
  22. Bick, U. et al. Image-guided breast biopsy and localisation: recommendations for information to women and referring physicians by the European Society of Breast Imaging. Insights Imaging 11, (2020)
  23. Sun, T., Zhang, H., Gao, W. & Yang, Q. The appropriate number of preoperative core needle biopsy specimens for analysis in breast cancer. Med. (United States) 100, E25400 (2021)
  24. Tully, P. A. et al. Improving the WHO Surgical Safety Checklist sign-out. BJS Open 5, (2021)
  25. Noprianty, R., Nafiz, M. H. & Herawan, R. The Completeness of Filling in the Anesthesia Card Form in West Java , Indonesia. Int. J. Sci. Res. 13, 1122–1127 (2024)

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