ArticlePatient safety in surgery2022
Compliance with the World Health Organization's surgical safety checklist and related postoperative outcomes: a nationwide survey among 172 health facilities in Ethiopia.
Article in Patient safety in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Beyond compliance: examining the completeness and determinants of WHO surgical safety checklist - a systematic review and meta-analysis.BMC health services research · 2025Pooled it
- Adherence to the WHO surgical safety checklist at Tibebe Ghion Specialized Hospital, Ethiopia: a prospective observational study.BMC surgery · 2026Observational
- Determinants of surgical management outcomes among adult patients with intestinal obstruction at Mzuzu central hospital, Malawi.BMC surgery · 2025Article
- Ensuring Safe Surgery: A Closed-Loop Audit of the WHO Surgical Safety Checklist Practices.Cureus · 2025Article
- Prevalence of adverse events in hip and knee arthroplasties following the implementation of surgical checklists.Revista latino-americana de enfermagem · 2025Article
- Transforming surgical care and safety: dissecting the impact of checklists in the global south.Frontiers in surgery · 2025Review
- A Prospective Quality Improvement Program to Reduce Prolonged Postoperative Antibiotic Prophylaxis in Ethiopia.Surgical infections · 2024Article
- Perioperative mortality of caesarean section in North-West Ethiopia: a prospective cohort study.BMJ open · 2024Article
- Assessing Ethiopia's surgical capacity in light of global surgery 2030 initiatives: Is there progress in the past decade?Surgery open science · 2024Review
- Quality and sustainability of Ethiopia's national surgical indicators.PLOS global public health · 2024Article
- Addressing knowledge gaps in Surgical Safety Checklist use: statistical process control analysis of a surgical quality improvement programme in Ethiopia.The British journal of surgery · 2023Article
- Preoperative Patient Education Practices and Predictors Among Nurses Working in East Amhara Comprehensive Specialized Hospitals, Ethiopia, 2022.Journal of multidisciplinary healthcare · 2023Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinistry of Health (MOH) of Ethiopia adopted World Health Organization's evidence-proven surgical safety checklist (SSC) to reduce the occurrence of surgical complications, i.e., death, disability and prolong hospitalization. MOH commissioned this evaluation to learn about SSC completeness and compliance, and its effect on magnitude of surgical complications.
methodsHealth institution-based cross-sectional study with retrospective surgical chart audit was used to evaluate SSC utilization in 172 public and private health facilities in Ethiopia, December 2020-May 2021. A total of 1720 major emergency and elective surgeries in 172 (140 public and 32 private) facilities were recruited for chart review by an experienced team of surgical clinicians. A pre-tested tool was used to abstract data from patient charts and national database. Analyzed descriptive, univariable and bivariable data using Stata version-15 statistical software.
resultsIn 172 public and private health facilities across Ethiopia, 1603 of 1720 (93.2%) patient charts were audited; representations of public and private facilities were 81.4% (n = 140) and 18.6% (n = 32), respectively. Of surgeries that utilized SSC (67.6%, 1083 of 1603), the proportion of SSC that were filled completely and correctly were 60.8% (659 of 1083). Surgeries compliant to SSC guide achieved a statistically significant reduction in perioperative mortality (P = 0.002) and anesthesia adverse events (P = 0.005), but not in Surgical Site Infection (P = 0.086). Non-compliant surgeries neither utilized SSC nor completed the SSC correctly, 58.9% (944 of 1603).
conclusionsSurgeries that adhered to the SSC achieved a statistically significant reduction in perioperative complications, including mortality. Disappointingly, a significant number of surgeries (58.9%) failed to adhere to SSC, a missed opportunity for reducing complications.
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