Open AccessUsing the Knowledge to Action Framework to Describe a Nationwide Implementation of the WHO Surgical Safety Checklist in Cameroon
Author(s) -
Michelle White,
Leonid Daya,
Fabo Kwemi Brice Karel,
G. B. White,
Sonia Abid,
Aoife Fitzgerald,
Georges Alain Etoundi Mballa,
Nick Sevdalis,
Andrew Leather
Publication year - 2020
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000004586
Subject(s) - checklist , medicine , patient safety , psychological intervention , perioperative , observational study , interquartile range , nursing , medical education , health care , surgery , psychology , pathology , economics , cognitive psychology , economic growth
Surgical safety has advanced rapidly with evidence of improved patient outcomes through structural and process interventions. However, knowledge of how to apply these interventions successfully and sustainably at scale is often lacking. The 2019 Global Ministerial Patient Safety Summit called for a focus on implementation strategies to maintain momentum in patient safety improvements, especially in low- and middle-income settings. This study uses an implementation framework, knowledge to action, to examine a model of nationwide World Health Organization (WHO) Surgical Safety Checklist implementation in Cameroon. Cameroon is a lower-middle-income country, and based on data from high- and low-income countries, we hypothesized that more than 50% of participants would be using the checklist (penetration) in the correct manner (fidelity) 4 months postintervention.