PRAKTIK KESELAMATAN PASIEN BEDAH DI RUMAH SAKIT DAERAH

Background: Surgery is an important care intervention. Indeveloping countries, World Health Organization (WHO)estimates 50% of complication and death due to surgery ispreventable. Therefore, WHO introduces safe surgery andsurgical safety checklist (SSCL) as an attempt to improve patientsafety, reduce mortality and disability. This study aimed todescribe the practice of safe surgery by using SSCL in theoperating room of Sumbawa District hospital.Method: A cross-sectional study was conducted. Subjectswere all patients who had major surgery between May-July2012 were recruited. Ninety three patients, consisting of 44elective and 49 emergency surgeries were recruited.Observation was carried out using SSCL and data wereanalyzed descriptively.Result: Implementation of SSCL was consistent (100%) onthe completeness of anesthesia check and pulse oximeter(sign in phase), and review of sterile surgical equipment (timeout phase). None of the checklist items in sign out phase wasfully implemented.Conclusion: Implementation of safe surgery has not beenfully implemented in major surgery. Therefore, efforts shouldbe made to introduce and disseminate SSCL to the surgicalteams in order to improve patient safety.Keywords: surgical safety checklist, dist rict hospital,observational stud