Cargando…

Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa

BACKGROUND: Mortality from anaesthesia and surgery in many countries in Sub-Saharan Africa remain at levels last seen in high-income countries 70 years ago. With many factors contributing to these poor outcomes, the World Health Organization (WHO) launched the “Safe Surgery Saves Lives” campaign in...

Descripción completa

Detalles Bibliográficos
Autores principales: Epiu, Isabella, Tindimwebwa, Jossy Verel Bahe, Mijumbi, Cephas, Ndarugirire, Francois, Twagirumugabe, Theogene, Lugazia, Edwin Rwebusiga, Dubowitz, Gerald, Chokwe, Thomas M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982013/
https://www.ncbi.nlm.nih.gov/pubmed/27515450
http://dx.doi.org/10.1186/s12871-016-0228-8
_version_ 1782447694703230976
author Epiu, Isabella
Tindimwebwa, Jossy Verel Bahe
Mijumbi, Cephas
Ndarugirire, Francois
Twagirumugabe, Theogene
Lugazia, Edwin Rwebusiga
Dubowitz, Gerald
Chokwe, Thomas M.
author_facet Epiu, Isabella
Tindimwebwa, Jossy Verel Bahe
Mijumbi, Cephas
Ndarugirire, Francois
Twagirumugabe, Theogene
Lugazia, Edwin Rwebusiga
Dubowitz, Gerald
Chokwe, Thomas M.
author_sort Epiu, Isabella
collection PubMed
description BACKGROUND: Mortality from anaesthesia and surgery in many countries in Sub-Saharan Africa remain at levels last seen in high-income countries 70 years ago. With many factors contributing to these poor outcomes, the World Health Organization (WHO) launched the “Safe Surgery Saves Lives” campaign in 2007. This program included the design and implementation of the “Surgical Safety Checklist”, incorporating ten essential objectives for safe surgery. We set out to determine the knowledge of and attitudes towards the use of the WHO checklist for surgical patients in national referral hospitals in East Africa. METHODS: A cross-sectional survey was conducted at the main referral hospitals in Mulago (Uganda), Kenyatta (Kenya), Muhimbili (Tanzania), Centre Hospitalier Universitaire de Kigali (Rwanda) and Centre Hospitalo-Universitaire de Kamenge (Burundi). Using a pre-set questionnaire, we interviewed anaesthetists on their knowledge and attitudes towards use of the WHO surgical checklist. RESULTS: Of the 85 anaesthetists interviewed, only 25 % regularly used the WHO surgical checklist. None of the anaesthetists in Mulago (Uganda) or Centre Hospitalo-Universitaire de Kamenge (Burundi) used the checklist, mainly because it was not available, in contrast with Muhimbili (Tanzania), Kenyatta (Kenya), and Centre Hospitalier Universitaire de Kigali (Rwanda), where 65 %, 19 % and 36 %, respectively, used the checklist. CONCLUSION: Adherence to aspects of care embedded in the checklist is associated with a reduction in postoperative complications. It is therefore necessary to make the surgical checklist available, to train the surgical team on its importance and to identify local anaesthetists to champion its implementation in East Africa. The Ministries of Health in the participating countries need to issue directives for the implementation of the WHO checklist in all hospitals that conduct surgery in order to improve surgical outcomes.
format Online
Article
Text
id pubmed-4982013
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-49820132016-08-13 Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa Epiu, Isabella Tindimwebwa, Jossy Verel Bahe Mijumbi, Cephas Ndarugirire, Francois Twagirumugabe, Theogene Lugazia, Edwin Rwebusiga Dubowitz, Gerald Chokwe, Thomas M. BMC Anesthesiol Research Article BACKGROUND: Mortality from anaesthesia and surgery in many countries in Sub-Saharan Africa remain at levels last seen in high-income countries 70 years ago. With many factors contributing to these poor outcomes, the World Health Organization (WHO) launched the “Safe Surgery Saves Lives” campaign in 2007. This program included the design and implementation of the “Surgical Safety Checklist”, incorporating ten essential objectives for safe surgery. We set out to determine the knowledge of and attitudes towards the use of the WHO checklist for surgical patients in national referral hospitals in East Africa. METHODS: A cross-sectional survey was conducted at the main referral hospitals in Mulago (Uganda), Kenyatta (Kenya), Muhimbili (Tanzania), Centre Hospitalier Universitaire de Kigali (Rwanda) and Centre Hospitalo-Universitaire de Kamenge (Burundi). Using a pre-set questionnaire, we interviewed anaesthetists on their knowledge and attitudes towards use of the WHO surgical checklist. RESULTS: Of the 85 anaesthetists interviewed, only 25 % regularly used the WHO surgical checklist. None of the anaesthetists in Mulago (Uganda) or Centre Hospitalo-Universitaire de Kamenge (Burundi) used the checklist, mainly because it was not available, in contrast with Muhimbili (Tanzania), Kenyatta (Kenya), and Centre Hospitalier Universitaire de Kigali (Rwanda), where 65 %, 19 % and 36 %, respectively, used the checklist. CONCLUSION: Adherence to aspects of care embedded in the checklist is associated with a reduction in postoperative complications. It is therefore necessary to make the surgical checklist available, to train the surgical team on its importance and to identify local anaesthetists to champion its implementation in East Africa. The Ministries of Health in the participating countries need to issue directives for the implementation of the WHO checklist in all hospitals that conduct surgery in order to improve surgical outcomes. BioMed Central 2016-08-11 /pmc/articles/PMC4982013/ /pubmed/27515450 http://dx.doi.org/10.1186/s12871-016-0228-8 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Epiu, Isabella
Tindimwebwa, Jossy Verel Bahe
Mijumbi, Cephas
Ndarugirire, Francois
Twagirumugabe, Theogene
Lugazia, Edwin Rwebusiga
Dubowitz, Gerald
Chokwe, Thomas M.
Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa
title Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa
title_full Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa
title_fullStr Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa
title_full_unstemmed Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa
title_short Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa
title_sort working towards safer surgery in africa; a survey of utilization of the who safe surgical checklist at the main referral hospitals in east africa
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982013/
https://www.ncbi.nlm.nih.gov/pubmed/27515450
http://dx.doi.org/10.1186/s12871-016-0228-8
work_keys_str_mv AT epiuisabella workingtowardssafersurgeryinafricaasurveyofutilizationofthewhosafesurgicalchecklistatthemainreferralhospitalsineastafrica
AT tindimwebwajossyverelbahe workingtowardssafersurgeryinafricaasurveyofutilizationofthewhosafesurgicalchecklistatthemainreferralhospitalsineastafrica
AT mijumbicephas workingtowardssafersurgeryinafricaasurveyofutilizationofthewhosafesurgicalchecklistatthemainreferralhospitalsineastafrica
AT ndarugirirefrancois workingtowardssafersurgeryinafricaasurveyofutilizationofthewhosafesurgicalchecklistatthemainreferralhospitalsineastafrica
AT twagirumugabetheogene workingtowardssafersurgeryinafricaasurveyofutilizationofthewhosafesurgicalchecklistatthemainreferralhospitalsineastafrica
AT lugaziaedwinrwebusiga workingtowardssafersurgeryinafricaasurveyofutilizationofthewhosafesurgicalchecklistatthemainreferralhospitalsineastafrica
AT dubowitzgerald workingtowardssafersurgeryinafricaasurveyofutilizationofthewhosafesurgicalchecklistatthemainreferralhospitalsineastafrica
AT chokwethomasm workingtowardssafersurgeryinafricaasurveyofutilizationofthewhosafesurgicalchecklistatthemainreferralhospitalsineastafrica