Implementation and evaluation of nationwide scale-up of the Surgical Safety Checklist.

ABSTRACT:

Background

The WHO Surgical Safety Checklist improves surgical outcomes, but evidence and theoretical frameworks for successful implementation in low-income countries remain lacking. Based on previous research in Madagascar, a nationwide checklist implementation in Benin was designed and evaluated longitudinally.

Methods

This study had a longitudinal embedded mixed-methods design. The well validated Consolidated Framework for Implementation Research (CFIR) was used to structure the approach and evaluate the implementation. Thirty-six hospitals received 3-day multidisciplinary training and 4-month follow-up. Seventeen hospitals were sampled purposively for evaluation at 12-18 months. The primary outcome was sustainability of checklist use at 12-18 months measured by questionn

SUBMITTER: White MC 

PROVIDER: S-EPMC6519364 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature