Impact of educational intervention among nurses on implementation of surgical safety checklist at a tertiary care teaching institute

Abstract

Background: With increasing volumes of surgery, ensuring patient safety as well as quality of surgical care is of utmost importance. Surgical Safety Checklist (SSC) has been conceptualized for preventing major surgical catastrophe. Nursing staff are involved at all stages of surgical care. Objectives: To assess the impact of educational intervention among nurses on implementation of Surgical Safety Checklist in Main Operation Theatre Complex of our Institute.Methods: A Prospective, Interventional study was conducted at the Main Operation Theatre complex (MOT) of our Institute. Entire population of nurses posted in the Main OT Complex of the hospital were invited to participate in this study. Baseline data was collected after which intervention in the form of educational lecture supported with power point presentation and audio-visual information was given to the nursing staff. During post intervention, Observational audit (phase-1) and note review (phase-2) was done. Results: Total 71 surgical safety checklists were observed during pre-intervention and post-intervention phase 1 & phase 2. The percentage of completed items in the 32-item checklist increased from 32.09% to 79.66% in Post 1 and 58.19% in Post 2 phases. Out of the total possible score of 32 in checklist, mean scores of 10.27, 25.49 & 18.62 were observed in Pre-intervention, Post 1 and Post 2 phases respectively. There was a statistically significant increase in the mean score of Post 1 as compared to Pre-intervention phase by 15.225 (p