Identified practice gaps and opportunities in anesthesia safety across 14 Arab countries: a multicenter study
نوع المنشور
بحث أصيل
المؤلفون
النص الكامل
تحميل

Abstract

Background: Safe anesthesia is fundamental to safe surgery and depends on facility readiness, team behaviors, andconsistent adherence to safety standards such as the World Health Organization (WHO) Surgical Safety Checklist. Across theArab region, variability in workforce capacity, equipment and supplies, and checklist implementation may contribute touneven safety performance, yet multicountry data describing readiness and routine anesthesia safety practices remainlimited. We therefore assessed facility readiness and clinicians’ knowledge, attitudes, and self-reported safety practices, andexamined how checklist use and perceived barriers relate to these domains across fourteen Arab countries.Methods: We conducted a multicountry online cross-sectional survey of anesthesia team members working in hospitaloperating theatres and procedural anesthesia locations across fourteen Arab countries. The survey evaluated facilityreadiness, knowledge, attitudes, and self-reported safety practices, and captured frequency of surgical safety checklist useand perceived barriers to safe anesthesia practice.
Results: Overall, facility readiness and participants’ knowledge, attitudes, and self-reported safety practices were generallyhigh; however, routine checklist use was not universal. Commonly reported barriers included understaffing and workloadpressure, as well as financial constraints affecting equipment and supplies. More frequent checklist use was associated withbetter safety-related performance across assessed domains, whereas a higher barrier burden was associated with poorerreadiness and self-reported practice.Conclusions: Although anesthesia safety performance was generally favorable across surveyed settings, importantimplementation and systems gaps remain, particularly in routine checklist use and resource-related constraints.Strengthening workforce capacity, ensuring access to essential equipment and supplies, and embedding meaningful, high-fidelity checklist use may help reduce residual safety gaps and support safer anesthesia care across diverse hospitals in the Arab region.

المجلة
العنوان
Patient Safety in Surgery
الناشر
Springer Nature Link
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نوع المنشور
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