Improving patient safety and satisfaction in the peri-operative setting of a general private hospital in Iran; interventions for nursing staff: a best practice implementation project

INTRODUCTION: Compliance with surgical safety checklists remains a concern worldwide and is responsible for more than half of in-hospital complications. OBJECTIVE: The aim of this implementation project was to assess and promote compliance with evidence-based practices regarding custom surgical safety checklists and safe staffing levels in a general private hospital in Iran. METHODS: This evidence implementation project was conducted in the peri-operative setting of a general private hospital in Tabriz, Iran. The project adhered to the JBI Evidence Implementation Framework and used the JBI Practical Application of Clinical Evidence System (PACES) and the Getting Research into Practice (GRiP) audit and feedback strategy to develop three audit criteria for the baseline and two follow-up audits. RESULTS: The baseline and follow-up audits revealed that compliance for Criterion 1 (customization of checklists for specialized surgical procedures) decreased from 79% at baseline to 68% at the first follow-up audit but improved to 90% at the second follow-up audit. The compliance rate for Criterion 2 (demand-based staffing level in the peri-operative area) improved from 55% at baseline to 93% at the first follow-up and 100% at the second follow-up. Lastly, the compliance rate for Criterion 3 (staff competence in the peri-operative area) increased from 75% to 100% at both follow-ups 1 and 2. CONCLUSIONS: The implementation of educational and policy-related strategies led to improved compliance across all audit criteria. However, future audit cycles and implementation strategies are needed to sustain improvements. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A576.