Improving The Adherence Rate To Safe Surgeries Checklist In Orthopedic Surgeries At Palestine Medical Complex Using Lean Six Sigma Methodology رسالة ماجستير

Abstract

Patient safety (PS) during surgical procedures is a top priority in healthcare. The Safe Surgery Checklist (SSC) is widely used to reduce errors and improve surgical outcomes. However, adherence to this checklist can vary across healthcare facilities, including in Palestine. This study aims to improve PS in orthopedic surgeries at the PMC using the LSS methodology to increase staff adherence to the SSC. The study analyzes existing surgical processes and identifies areas for improvement in surgical procedures. It also identified factors contributing to non-adherence to the checklist. The study applied a retrospective data / cross-sectional quantitative research approach to determine the impact of LSS on PS and adherence to the SSC in improving the quality of services in operating rooms. In this study, we distributed 131 survey questionnaires to the respondents and received 113 usable responses (86.3% response rate). (PLS-SEM) was used to assess the effect of LSS on PS and adherence to the SSC. It highlighted the effectiveness of LSS in optimizing healthcare processes and stressed the importance of a systematic approach to improving PS in surgical settings. The rest of the analyses used (SPSS) software 27 th edition, study key variables were analyzed using (ANOVA) with the Scheffé post-hoc test. Pearson’s correlation coefficient was used to examine linear associations between key variables. P-value < 0.05 was considered statistically significant. The results showed a significant improvement in adherence rates to the SSC, increasing from 62% to 86% and reaching 96%. This led to a reduction in surgical complications and improvements in PS outcomes. The study also found that improving adherence to the SSC directly affected the quality of services and PS and acted as a mediator between LSS and QI, and between LSS and improving PS. The study argued that adherence to the SSC is crucial for enhancing quality by effectively adopting the LSS. Future research should confirm these hypotheses across a more comprehensive sample, including other healthcare entities. V Last but not least, the research guided how the LSS methodology can enhance PS, improve adherence to the SSC, and enhance the quality of hospital services. Adherence to the SSC can create links between LSS and QI and between LSS and PS in healthcare sectors