Role of continuous training in improving compliance to safe surgical practices on established standard operating protocols in a tertiary care hospital at National Capital Region in India

Arun Verma; Vijay Kumar Tadia

Volume : IX, Issue : II, February - 2020

Role of continuous training in improving compliance to safe surgical practices on established standard operating protocols in a tertiary care hospital at National Capital Region in India

Arun Verma, Vijay Kumar Tadia

Abstract :

ABSTRACT Role of continuous training in improving compliance to safe surgical practices on established standard operating protocols in a tertiary care hospital at National Capital Region in India Background One of the most common interventions used in healthcare to improve safety and reliability is to formalize framework of activity based on Standard Operating Protocols (SOPs). The primary goal of SOPs is to structure and standardize work with predefined plans, minimizing errors which occur through failure of human memory and attention Methods A prospective observational study was conducted from January 2017 to June 2017 in a tertiary care hospital at National Capital Region in India. A sample size of 60 was taken based on a previous study. All Operation Theatre (O.T.) personnel with consent for the study were subjected to Pre–training evaluation based on WHO/NABH/Standard safe surgical practices & protocols for assessment of knowledge. Training of half an hour daily for 4 weeks was imparted to the O.T. personnel. Training was given with standard WHO/NABH material on safe surgical practices in the form of lectures, presentations, group discussions, audio–visuals etc. O.T. personnel participated in training were re–evaluated immediately on completion of training and after 3 months with the same Pre– training evaluation process and material. Results Overall pre–training safe surgical practices compliance score for O.T. staff was 70.60%, which increased to 94.33% immediate post–training and persisted to 86.78% three months post–training. Difference in compliance after training was statistically significant. Conclusions It seems that training increases compliance of healthcare providers on safe surgical practices related to preoperative, operative, postoperative, anaesthesia related, surgical attire related and infection control related practices.