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Updated: Sep 15, 2025

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Knowledge Attitude and Practices Regarding Surgical Safety Checklist: A Multicenter Study.

Mahima Srivastava1, Sadaf2, Sushant K Sharma1

  • 1Department of General Surgery, Sri Krishna Medical College, Muzaffarpur, Bihar, India.

Journal of Pharmacy & Bioallied Sciences
|July 14, 2025
PubMed
Summary

Surgical safety checklists (SSCs) improve patient care, but knowledge gaps and barriers like time constraints hinder their use in Bihar, India. Implementing training and better workflow integration can enhance adoption and surgical safety.

Keywords:
BiharIndiahealthcare professionalsknowledge attitude and practicespatient safetysurgical safetysurgical safety checklists

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Area of Science:

  • Healthcare Research
  • Patient Safety
  • Surgical Quality Improvement

Background:

  • Surgical safety checklists (SSCs) are critical for enhancing patient outcomes in surgical procedures.
  • Adoption and implementation of SSCs vary significantly across healthcare settings, including diverse regions like Bihar, India.

Purpose of the Study:

  • To assess the Knowledge, Attitudes, and Practices (KAP) of healthcare professionals regarding SSCs in Bihar, India.
  • To identify barriers to SSC implementation and gather recommendations for improvement.

Main Methods:

  • A cross-sectional study was conducted with 250 healthcare professionals (surgeons, anesthesiologists, nursing staff) at Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar.
  • Data was collected using a structured questionnaire assessing KAP related to SSCs.
  • Statistical analysis included descriptive statistics, Chi-square tests, and ANOVA.

Main Results:

  • 81% of professionals acknowledged SSCs' role in improving surgical outcomes, indicating positive attitudes.
  • Knowledge gaps concerning SSC components and timing were observed.
  • Barriers included lack of time (42%), insufficient training (32%), and inadequate resources (27%), leading to occasional skipped steps (20%).

Conclusions:

  • While attitudes towards SSCs are positive in Bihar, knowledge gaps and practical challenges impede consistent usage.
  • Addressing barriers through regular training, improved workflow integration, and enhanced communication is crucial for optimizing SSC implementation.
  • Enhancing SSC usage is vital for improving surgical safety and patient care in the region.