الفهرس 
Introduction and Aim of work
Patient safety and Safety cultureOnly 14 pages are availabe for public view
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Abstract
Perioperative patient safety became an utmost priority all over the world. Commitment of the health care providers (surgeons, anesthetists& nurses) to patient safety guidelines can decrease rate of perioperative morbidity and mortality.
This work aims to assess the degree of compliance of health care providers - in Police hospital in Cairo- with the patient safety guidelines. This can help delivering a safe medical service to the patients decreasing the rate of patients harm.
A descriptive study was conducted on 305 patients .They were observed when they had surgeries in 3 operating rooms of Police hospital in Cairo during duration of 3 months from 16-4-2014 till 14-7-2014. WHO safe surgery checklist was used to check if health care providers were compliant to its items or not. Who safe surgery checklist divides the surgery into 4 stages and including 40 items ; stage I “sign in”, stage II “surgical site infection (SSI) bundle”, stage III “time out” and stage IV “sign out”.
Health care providers in operation rooms of Police hospital in Cairo showed compliance of the WHO safe surgery checklist items as the following : the mean compliance of the Total score “sum” is (73.85 %) while the stage of the highest mean compliance was stage I “sign in” with a mean (81.66%) and the stage with the lowest mean compliance was stage II “SSI bundle” with a mean (52%). Stage III “time out” & stage IV “sign out” showed mean compliance (74.94 %) & (67.05 %) respectively.
Assessment of health care providers’ compliance to the guidelines revealed that the anesthetists showed the highest compliance to the checklist items related to their work with a mean compliance (85.34%) while nurses showed the lowest compliance with a mean compliance (65.02%). Surgeons showed a mean compliance (80.36%).
Also this study revealed low compliance to some items of the checklist as follows:
In stage I “sign in”, items of the lowest compliance were: briefing (100% not checked) , patient confirmed his consent (45.2% not checked), patient allergy (39.3 not checked) and instruments sterility (27.9 % not checked).
In stage II “SSI bundle”, items of the lowest compliance were: blood glucose level control (100% not checked), maintenance of patient normothermia (84.3% not checked), operation rooms’ doors closed unless necessary (50.5 not done) and prophylactic antibiotics (34.8% not checked).
In stage III “time out” , items of the lowest compliance were: nurse checked patient position (100% not checked) , surgeon checked patient procedure (67.2 % not checked) , nurse checked surgical site (63.6 % not done) and anesthetist checked surgical site (30.5 % not checked).
In stage IV “sign out” debriefing item showed low compliance (100% not checked).
Assessment of communication between health care providers revealed poor compliance as briefing and debriefing show low compliance (100% not done).
It is concluded that health care providers should be awared of the importance of compliance with the safety guidelines and its effect on the outcome of the medical care. Aspects of poor compliance of the health care providers -in Police hospital in Cairo- with the WHO safe surgery guidelines should be clarified to all health care providers and a plan should be put to increase their compliance to these items. Continuous follow up and reassessment of the health care providers’ commitment to the patient safety guidelines should be done periodically to assess the degree of improvement in the delivered service. Communication between health care providers should be a future goal; it can be achieved by increasing their compliance to the briefing and debriefing.