The DIFFERENCE OF OBEDIENCE SURGICAL TEAM IN THE IMPLEMENTATION OF SURGICAL SAFETY BETWEEN ELECTIVE AND EMERGENCY SURGERY PATIENTS IN KARSA HUSADA HOSPITAL BATU

Abstract

Patient safety with surgery becomes the main focus in medical action, as it involves invasive procedure. The surgical team’s obedience is very important to reduce the risk at the surgery procedure. At 2007, WHO has released a method for keep the patient safety in Surgical Safety Checklist (SSC) form, to reduce the patient’s mortality. The purpose from this research is to know the difference of surgical team’s obedience in implementation of surgical safety between elective and emergency surgical patient at Karsa Husada Hospital’s operating room. The research design that used is comparative design with cross-sectional approach, with the amount of sample is 22 person and used the purposive sampling according to the both inclusion and exclusion criteria. The method of collecting data implemented by non-participative observation to the surgical team that conducting the operation each 15 times to both the elective dan emergency surgery patient. The research instrument that used was SSC observation form and it was customized by hospital’s form. The tabulating data that used was analytic comparative technic with Chi Square test. The research’s result show the surgical team’s obedience in surgical safety checklist implementation at elective surgical patient is 80% was scored obey, meanwhile at emergency surgical patient is only 7% was scored obey, and the significance score is 0,000, that means there is a difference of surgical team’s obedience in the implementation of surgical safety between elective and emergency surgery patient. The recommendation given to the surgical team is the team is expected to carry out the surgical safety maximally and don’t missed some of the SSC’s point especially at the both of time out and sign out phase. Keywords: Obedience, surgical team, surgical safety, elective, emergency