| Title: |
Improving Compliance With the Surgical Safety Checklist: A Quality Improvement Project at Almanagil Teaching Hospital, Sudan. |
| Authors: |
Yousif, Marwa; Hamadelniel Alhadi, Ibrahim Adil; Abdalla, Elwathig; Altayeb, Husham Siddig Ahmad; Mohamed, Israa Awad Ahmed; Elbashier, Mohanad Elsafi Mossaad; Ahmed, Hashim Bashir Elmadani; Ziada, Mohamed; Hamad, Ibrahim Hamad Ibrahim; Elnour, Mohey Aldien Ahmed Elamin; Omer, Hala Fathi EmamElkhir; Alrawi, Mohammad; Bakheet Jabraldar, Ahmed Modawi; Mohamed, Eman Abubakeralsideeg Diaaldeen; Ahmed, Mohammed Ahmed Nasir; Mubarak Ismail, Manasik M. Elmurtada; Abuelgassim Hassan Balila, Husam Eldin; Abdalla, Wafa; Mohamed, Israa Isam; Muhammed, Abubakr |
| Source: |
Cureus: Journal of Medical Science; Oct2025, Vol. 17 Issue 10, p1-9, 9p |
| Subject Terms: |
SURGERY safety measures; DOCUMENTATION standards; SURGICAL complications; QUALITY assurance; LEGAL compliance; SUDANESE; EMPLOYEE training; TEACHING hospitals |
| Geographic Terms: |
SUDAN |
| Abstract: |
Background: The WHO Surgical Safety Checklist (SSC) is a globally recognized tool that reduces perioperative morbidity and mortality. However, adherence to SSC practices remains suboptimal in many low-resource settings. Purpose: This project aimed to assess and improve compliance with the WHO SSC and operative documentation standards at Al Managil Teaching Hospital, Sudan. Methods: A two-cycle quality improvement audit was conducted in July 2025. In the first cycle, 50 randomly selected operative notes were reviewed for SSC compliance. Interventions included staff training, standard documentation templates, visual reminders, and regular feedback. Another 50 randomly selected postoperative notes were reassessed after implementation. Data were analyzed using chi-square and Fisher's exact tests, with p < 0.05 considered significant. Results: Compliance improved across nearly all SSC domains. Pulse oximeter checks increased from 9 (18%) to 50 (100%), anesthesia machine and medication checks from 10 (20%) to 50 (100%), and allergy checks from 9 (18%) to 49 (98%) (all p < 0.001). Before incision, equipment issue documentation rose from four (8%) to 50 (100%), team introductions from 11 (22%) to 50 (100%), and timely antibiotic prophylaxis from 42 (84%) to 50 (100%) (p = 0.01). Demographic documentation (gender, unit, address) improved from 0 (0%) to 50 (100%). Only surgical site marking (from 54% to 62%) and risk checks (from 90% to 98%) showed a non-significant change. Conclusion: Educational and structural interventions, including standardized templates and feedback, significantly enhanced SSC adherence and documentation quality. The project demonstrates that low-cost, sustainable quality improvement measures can foster a culture of surgical safety in resource-limited hospitals. [ABSTRACT FROM AUTHOR] |
| : |
Copyright of Cureus: Journal of Medical Science is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Complementary Index |