PRAKTIK KESELAMATAN PASIEN BEDAH DI RUMAH SAKIT DAERAH

Abstract

Background: Surgery is an important care intervention. In
developing countries, World Health Organization (WHO)
estimates 50% of complication and death due to surgery is
preventable. Therefore, WHO introduces safe surgery and
surgical safety checklist (SSCL) as an attempt to improve patient
safety, reduce mortality and disability. This study aimed to
describe the practice of safe surgery by using SSCL in the
operating room of Sumbawa District hospital.
Method: A cross-sectional study was conducted. Subjects
were all patients who had major surgery between May-July
2012 were recruited. Ninety three patients, consisting of 44
elective and 49 emergency surgeries were recruited.
Observation was carried out using SSCL and data were
analyzed descriptively.
Result: Implementation of SSCL was consistent (100%) on
the completeness of anesthesia check and pulse oximeter
(sign in phase), and review of sterile surgical equipment (time
out phase). None of the checklist items in sign out phase was
fully implemented.
Conclusion: Implementation of safe surgery has not been
fully implemented in major surgery. Therefore, efforts should
be made to introduce and disseminate SSCL to the surgical
teams in order to improve patient safety.
Keywords: surgical safety checklist, dist rict hospital,
observational study