Hussain Zeeshan, Ambareen Asma, Rashid Noor Ul Ain, Raza Ahmad, Anwar Sameer, Minhas Madeeha, Qureshi Samreen, Sana Maryum, Zara Komal
Department of Underwater and Hyperbaric Medicine, Pakistan Navy Ship (PNS) Shifa Hospital, Karachi, PAK.
Department of Diving Medicine, Armed Forces Aero Medical Center, King Abdulaziz Air Base, Dhahran, SAU.
Cureus. 2025 Apr 29;17(4):e83181. doi: 10.7759/cureus.83181. eCollection 2025 Apr.
The protection of surgical safety comprises two major elements that produce the best outcomes for patients. The World Health Organization (WHO) created a surgical practice-based assessment for operative procedure-related risks. Medical professionals have proven the effectiveness of this checklist to eliminate both adverse outcomes and medical complications caused by surgical negligence.
A study was conducted on 250 surgeries (major and minor) in a tertiary healthcare setting based on a qualitative questionnaire, adapted from the WHO checklist, operated through Google Forms. The examination spanned three months from September to November 2024. In accordance with WHO guidelines, the three surgical safety checklist phases - sign-in, time-out, and sign-out - were analyzed using SPSS version 20.0 (IBM Corp., Armonk, NY).
The sign-out phase achieved the highest level of adherence, with 220 (88%) of surgical procedures using the checklist. The sign-in phase demonstrated 200 compliant cases (80%), whereas the time-out phase showed the lowest compliance, with only 170 cases (68%). Patient consent procedures, along with anesthesia protocols, instrument sterilization methods, and team member introduction protocols, all maintained complete success rates for ensuring a safe surgical space.
Implementing targeted awareness programs and training will help boost compliance rates with the WHO checklist, despite the current positive results.
手术安全保护包括两个主要要素，它们能为患者带来最佳治疗效果。世界卫生组织（WHO）制定了一项基于手术实践的手术相关风险评估。医学专业人员已证明该检查表在消除手术疏忽导致的不良后果和医疗并发症方面的有效性。
在一家三级医疗机构对250例手术（大手术和小手术）进行了一项研究，该研究基于一份从WHO检查表改编而来的定性问卷，通过谷歌表单进行操作。检查从2024年9月持续到11月，为期三个月。按照WHO指南，使用SPSS 20.0版（IBM公司，纽约州阿蒙克）对手术安全检查表的三个阶段——签到、暂停和签出——进行分析。
签出阶段的依从性最高，220例（88%）手术使用了检查表。签到阶段有200例符合要求（80%），而暂停阶段的依从性最低，只有170例（68%）。患者同意程序以及麻醉方案、器械消毒方法和团队成员介绍方案，在确保安全手术空间方面均保持了100%的成功率。
尽管目前取得了积极成果，但实施有针对性的提高认识计划和培训将有助于提高对WHO检查表的依从率。
