Adherence to Surgical Safety Checklist of a Level II Private Hospital in Sorsogon City
DOI:
https://doi.org/10.5281/zenodo.19652862Keywords:
Adherence, Surgical safety standards, Level II private HospitalAbstract
Patient safety remains a fundamental priority in healthcare, particularly in surgical settings where preventable adverse events continue to pose significant risks. Globally, millions of surgical procedures are performed annually, with a substantial proportion of complications and mortality attributed to lapses in safety standards. This study evaluates adherence to the WHO Surgical Safety Standards of a Level II private hospital in Sorsogon City, focusing on key safety domains including patient verification, infection control, anesthesia safety, equipment management, and multidisciplinary team communication. The study is anchored on three theoretical foundations: the Theory of Planned Behavior by Icek Ajzen, Human Factors Theory, and Donabedian’s Structure–Process–Outcome Model. The study utilized a quantitative research design to assess adherence to the WHO Surgical Safety Standards in a Level II private Hospital in Sorsogon City. This approach measures the level of adherence, identify existing gaps, and propose measures to improve checklist implementation. Data were collected using a researcher-developed questionnaire based on the WHO Surgical Safety Checklist, employing a five-point Likert scale to assess adherence during the three critical phases of surgery: sign-in, time-out, and sign-out. A ranking scale was also used to prioritize perceived gaps in adherence. Total enumeration was applied, involving all 37 eligible operating room personnel, including nurses, nursing attendants, surgeons, pediatricians, and anesthesiologists, all with at least six months of hospital experience. The results showed a consistently very high level of adherence to the WHO Surgical. The study concludes that adherence to the WHO Surgical Safety Standards in the Level II private Hospital in Sorsogon City is consistently very high across all phases of surgical care—sign-in, time-out, and sign-out. However, minor gaps persist in communication-dependent components, particularly in discussing procedural risks and intraoperative concerns, indicating that high compliance does not always equate to optimal checklist execution.
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