Preferences help
enabled [disable] Abstract
Number of results
2018 | 106 | 214-225
Article title

Utilization of Surgical Safety Checklist in Low – and Middle Income Countries

Title variants
Languages of publication
Despite successful introduction of rules of asepsis, antisepsis, antibiotic treatment, medicine still fights with human errors in medicine. One of the crucial and sensitive to miscommunication are surgical situations, where plenty of multidisciplinary team members are involved in successful provision of the treatment. That is why starting from 2008 a useful tool supporting provision of safe surgery - Surgical Safety Checklist (SSC) - was introduced by World Health Organization. In single worldwide studies in beginning of implementation, SSC was proven to be effective in many both high- and low income settings. The aim of our study was to review the effectiveness of the SSC based on the review of research in low- and middle income countries in years 2008-2017. Within 302 articles of PubMed Medline database, 12 articles were chosen for further analysis, with majority research held in Sub-Saharan Africa (42%), and Upper Middle Income Countries group (42%). The review proved the effectiveness of implementation of SSC in all income groups, especially in terms of reduction of surgical site infection, postoperative sepsis and improvement of communication in healthcare. Promising results of the few studies should encourage more research in this field, which may be difficult to conduct due to the lack of necessary resources in the LMIC.
Physical description
  • I Faculty of Medicine, Medical University of Lublin, Poland
  • Pediatric Neurology Department, III Chair of Pediatrics, Medical University of Lublin, Poland
  • Independent Public Clinical Hospital No. 4 Lublin, Poland
  • II Faculty of Medicine, Medical University of Lublin, Poland
  • Pediatric Neurology Department, III Chair of Pediatrics, Medical University of Lublin, Poland
  • [1] Pitt D, Aubin JM. Joseph Lister: father of modern surgery. Can J Surg. (2012) Oct; 55(5): E8–E9.
  • [2] Manor J., Blum N, Lurie Y. No Good Deed Goes Unpunished: Ignaz Semmelweis and the Story of Puerperal Fever. Infect Control Hosp Epidemiol. 2016 Aug; 37(8): 881-887
  • [3] Mitchell PH. Defining patient safety and quality care. In: Patient and Safety: An Evidence-Based Handbook for Nurses. (2008) Rockville (MD): Agency for Healthcare Research and Quality (US)
  • [4] Panesar SS, Cleary K, Sheikh A, Donaldson L. The WHO checklist: a global tool to prevent errors in surgery. Patient Saf Surg. 2009 May 28; 3(1): 9. doi: 10.1186/1754-9493-3-9.
  • [5] Haugen AS, Murugesh S, Haaverstad R, Eide GE, Søfteland E. A survey of surgical team members' perceptions of near misses and attitudes towards Time Out protocols. BMC Surg (2013) 9(13): 46.
  • [6] Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AHS et al. A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. N Engl J Med (2009) 360: 491-499.
  • [7] Ellis R, Nor AIM, Pimentil I, Bitew Z, Moore J. Improving Surgical and Anaesthesia Practice: Review of the Use of the WHO Safe Surgery Checklist in Felege Hiwot Referral Hospital, Ethiopia. BMJ Quality Improvement Reports (2017) 6:u207104.w6251.
  • [8] Close KL, Baxter LS, Ravelojaona VA, Rakotoarison HN, Bruno E et al. Overcoming challenges in implementing the WHO Surgical Safety Checklist: lessons learnt from using a checklist training course to facilitate rapid scale up in Madagascar. BMJ Glob Health. (2017) Sep 29; 2 (Suppl 4): e000430.
  • [9] Higashi H, Barendregt JJ, Kassebaum NJ, Weiser TG, Bickler SWet al. Surgically avertable burden of obstetric conditions in low-and middle-income regions modelled analysis. Epidemiology (2014) 10.1111: 1471-0528.
  • [10] Mock CN, Donkor P, Gawande A, et al. Essential surgery; key messages from Disease Control Priorities, 3rd ed. Lancet (2015) 385: 2209–2219
  • [11] Melekie TB, Getahun GM. Compliance with Surgical Safety Checklist completion in the operating room of University of Gondar Hospital, Northwest Ethiopia. BMC Res Notes (2015) 8: 361
  • [12] Lilaonitkul M, Kwikiriza A, Ttendo S, Kiwanuka J, Munyarungero E et al. Implementation of the WHO Surgical Safety Checklist and surgical swab and instrument counts at a regional referral hospital in Uganda – a quality improvement project. Anaesthesia (2015) 70: 1335–8.
  • [13] Alitoor A, Nigah-e-Mumtaz S, Syed R, Yousuf M, Syeda A. Surgical Safety Practices in Pakistan. J Pak Med Assoc (2013) Jan; 63(1): 76-80
  • [14] Anwer M, Manzoor S, Muneer N, Qureshi S. Compliance and effectiveness of WHO Surgical Safety Check list: A JPMC Audit. Pak J Med Sci. (2016) Jul-Aug; 32(4): 831-5.
  • [15] Garland NY, Kheng S, De Leon M, Eap H, Forrester JA. Using the WHO Surgical Safety Checklist to Direct Perioperative Quality Improvement at a Surgical Hospital in Cambodia: The Importance of Objective Confirmation of Process Completion. World J Surg. (2017) Dec; 41(12): 3012-3024.
  • [16] Khorshidifar A, Kadkhodaee H, Zamen Z. Degree of Observance of the WHO Surgical Safety Checklist. Trauma Mon. (2012) Fall; 17(3): 315-8.
  • [17] McGinlay D, Moore D, Mironescu A. A prospective observational assessment of Surgical Safety Checklist use in Brasov Children's Hospital, barriers to implementation and methods to improve compliance. Rom J Anaesth Intensive Care. 2015 Oct;22(2):111-121.
  • [18] Naidoo M , Moodley J, Gathiram P, Sartorius B. The impact of a modified World Health Organization surgical safety checklist on maternal outcomes in a South African setting: A stratified cluster-randomised controlled trial. S Afr Med J. 2017 Feb 27; 107(3): 248-257.
  • [19] Mendes W, Martins M, Rozenfeld S, Travassos C. The assessment of adverse events in hospitals in Brazil. Int J Qual Health Care 2009; 2: 279-284.
  • [20] Freitas MR, Antunes AG, Lopes BN, Fernandes Fda C, Monte Lde C et al. Assessment of adherence to the WHO surgical safety checklist in urological and gynecological surgeries at two teaching hospitals in Natal, Rio Grande do Norte State, Brazil. Cad Saude Publica. (2014) Jan; 30(1): 137-48.
  • [21] Santana HT, de Freitas MR, Ferraz EM, Evangelista MS. WHO Safety Surgical Checklist implementation evaluation in public hospitals in the Brazilian Federal District. J Infect Public Health. 2016 Sep-Oct;9(5):586-99. doi: 10.1016/j.jiph.2015.12.019. Epub 2016 Feb 26.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.