ArticlePatient safety in surgery2024
Implementation of the WHO surgical safety checklist in resource-limited Somalia: a new standard in surgical safety.
Article in Patient safety in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Epidemiology of surgical site infections post-cesarean section in Africa: a comprehensive systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- The Use of the WHO Surgical Safety Checklist in the Democratic Republic of the Congo: A Exploratory Survey.Health science reports · 2026Article
- Challenges, Strategies, and Explanatory Mechanisms in Clinical Skills Remediation Programs in Undergraduate and Postgraduate Medical Education in Low- and Middle-Income Countries: Realist Review Protocol.JMIR research protocols · 2026Article
- Patient safety culture in the operating room of African hospitals: a systematic review.Patient safety in surgery · 2026Review
- Awareness and implementation of the time-out procedure among surgical teams: current status and influencing factors.Frontiers in public health · 2026Article
- Implementation of Integrated Telemedicine Services in Resource-Limited Somalia: A Case Study of Baano Healthcare Technology.International journal of telemedicine and applications · 2026Article
- Strengthening Surgical Safety in Somalia: The Role of Scrub Nurses in Infection Prevention and Team Communication in Resource-Limited Operating Theatres.Journal of multidisciplinary healthcare · 2026Article
- Predictors of complications after intramedullary nailing for lower extremity fractures in low-resource settings: a 10-year experience with the SIGN nail in Nigeria.Patient safety in surgery · 2025Article
- Knowledge and attitudes towards the WHO surgical safety checklist among healthcare workers in Mogadishu, Somalia.BMC health services research · 2025Article
- Surgical safety checklist implementation in a post-armed conflict country with limited resources: the Somali experience.Patient safety in surgery · 2025Article
- Interventions to Improve Compliance to Surgical Safety Checklist Use: Before-and-After Study at a Tertiary Public Hospital in Croatia.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Transforming surgical care and safety: dissecting the impact of checklists in the global south.Frontiers in surgery · 2025Review
- Impact of Implementing Checklist Management Combined with SOP on Nursing Quality Among ENT Surgery Nurses.Risk management and healthcare policy · 2025Article
- Improving Surgical Safety in Somalia a Closed-Loop Audit Study of WHO Surgical Safety Checklist Adherence.Risk management and healthcare policy · 2025Article
- Breaking ground: insights from a WHO-approved surgical mission amid Sudan's healthcare collapse.Frontiers in public health · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical safety remains a critical global health concern, with complications from surgical procedures resulting in significant morbidity and mortality, particularly in low- and middle-income countries. The World Health Organization (WHO) Surgical Safety Checklist (SSC) has been shown to reduce surgical complications and mortality rates. However, its implementation and impact in resource-limited settings like Somalia remain understudied. This study aimed to evaluate the implementation of the WHO SSC in selected hospitals in Mogadishu, Somalia, and assess its impact on surgical safety practices.
methodsA pre- and post-intervention study was conducted in 15 randomly selected hospitals in Mogadishu, Somalia. The intervention involved a comprehensive training program on the WHO SSC for surgical teams. Data on hospital characteristics, surgical details, and adherence to the SSC were collected over two periods: pre-intervention (April 12th to May 4th, 2024) and post-intervention (May 12th to June 3rd, 2024). The primary outcome was the adherence to the SSC, categorized as good (> 60%) or poor (≤ 60%). Descriptive statistics, McNemar's test, and binary logistic regression were used for data analysis.
resultsAdherence to the WHO SSC significantly improved post-intervention, with 98.8% of surgical cases demonstrating good adherence compared to 37% pre-intervention (p < 0.001). The mean adherence score increased from 51.6% (SD = 29.6) to 94.1% (SD = 8.2). Significant improvements were observed for most individual checklist items, including patient identity confirmation, surgical site marking, anesthesia machine checks, and pulse oximeter use (p < 0.001). Team dynamics and communication also improved significantly post-intervention. Hospital type, size, years of service, funding source, surgical department, surgery type, urgency, and staff numbers were associated with checklist adherence pre-intervention.
conclusionThe implementation of a comprehensive training intervention significantly improved adherence to the WHO Surgical Safety Checklist in resource-limited hospitals in Mogadishu, Somalia. The findings highlight the feasibility and effectiveness of the SSC in enhancing surgical safety practices, team communication, and patient outcomes in challenging healthcare environments. Tailored implementation strategies, ongoing training, and cultural adaptation are crucial for the successful adoption of the SSC in resource-constrained settings.
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