ArticleCureus2025
Improving Compliance With the Surgical Safety Checklist: A Quality Improvement Project at Almanagil Teaching Hospital, Sudan.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
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Corrections and comments
- Erratum issued
Authors and funding
20 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe WHO Surgical Safety Checklist (SSC) is a globally recognized tool that reduces perioperative morbidity and mortality. However, adherence to SSC practices remains suboptimal in many low-resource settings. PURPOSE: This project aimed to assess and improve compliance with the WHO SSC and operative documentation standards at Al Managil Teaching Hospital, Sudan.
methodsA two-cycle quality improvement audit was conducted in July 2025. In the first cycle, 50 randomly selected operative notes were reviewed for SSC compliance. Interventions included staff training, standard documentation templates, visual reminders, and regular feedback. Another 50 randomly selected postoperative notes were reassessed after implementation. Data were analyzed using chi-square and Fisher's exact tests, with p < 0.05 considered significant.
resultsCompliance improved across nearly all SSC domains. Pulse oximeter checks increased from 9 (18%) to 50 (100%), anesthesia machine and medication checks from 10 (20%) to 50 (100%), and allergy checks from 9 (18%) to 49 (98%) (all p < 0.001). Before incision, equipment issue documentation rose from four (8%) to 50 (100%), team introductions from 11 (22%) to 50 (100%), and timely antibiotic prophylaxis from 42 (84%) to 50 (100%) (p = 0.01). Demographic documentation (gender, unit, address) improved from 0 (0%) to 50 (100%). Only surgical site marking (from 54% to 62%) and risk checks (from 90% to 98%) showed a non-significant change.
conclusionEducational and structural interventions, including standardized templates and feedback, significantly enhanced SSC adherence and documentation quality. The project demonstrates that low-cost, sustainable quality improvement measures can foster a culture of surgical safety in resource-limited hospitals.
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