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Implementation of the Surgical Safety Checklist: Perceptions of Surgical Providers at the University of Ghana Medical Centre

Abstract:
This study explored the implementation and perceptions of the Surgical Safety Checklist (SSC) among surgical providers at the University of Ghana Medical Centre (UGMC). Using a qualitative cross-sectional design, the research assessed compliance levels, identified barriers and facilitators to effective implementation, and evaluated the SSC's perceived impact on patient safety and surgical outcomes. Semi-structured interviews were conducted with 12 healthcare professionals, including surgeons, anesthesiologists, and nurses. Findings revealed generally high compliance with the SSC, though inconsistencies were noted, particularly in cases involving local anesthesia. Key barriers included resistance from some healthcare professionals, time pressures, and resource constraints. Facilitators included team cooperation, comprehensive training, and checklist availability. The SSC was perceived to significantly enhance patient safety by reducing errors, improving communication, and ensuring critical safety steps were followed. These findings underscore the need for ongoing efforts to promote consistent SSC use, including comprehensive training, adequate staffing, and improved checklist accessibility to enhance surgical safety practices in similar healthcare settings.