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Safety Culture and Perioperative Quality at the Volta River Authority Hospital in Akosombo, Ghana

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dc.contributor.author Smiley, Katherine
dc.contributor.author Ofori, Love
dc.contributor.author Spangler, Cindy
dc.contributor.author Acquaah-Arhin, Rebecca
dc.contributor.author Deh, Deborah
dc.contributor.author Enos, Juliana
dc.contributor.author Manortey, Stephen
dc.contributor.author Baiden, Frank
dc.contributor.author Finlayson, Samuel
dc.contributor.author Price, Raymond
dc.contributor.author McCrum, Marta
dc.date.accessioned 2023-02-10T17:40:49Z
dc.date.available 2023-02-10T17:40:49Z
dc.date.issued 2019-01
dc.identifier.citation Smiley K, Ofori L, Spangler C, Acquaah-Arhin R, Deh D, Enos J, Manortey S, Baiden F, Finlayson S, Price R, McCrum M. Safety Culture and Perioperative Quality at the Volta River Authority Hospital in Akosombo, Ghana. World J Surg. 2019 Jan;43(1):16-23. doi: 10.1007/s00268-018-4763-y. PMID: 30109388. en_US
dc.identifier.uri doi: 10.1007/s00268-018-4763-y
dc.identifier.uri http://41.204.63.118:8080/xmlui/handle/123456789/16
dc.description Research Article en_US
dc.description.abstract Background: The Volta River Authority Hospital (VRAH) is a district hospital associated with a large public works project in Akosombo, Ghana, that has developed a reputation for high-quality care. We hypothesized that this stems from a culture of safety and standardized processes typical of high-risk engineering environments. To investigate this, we evaluated staff and patient perceptions of safety and quality, as well as perioperative process variability. Materials and methods: The Safety Attitudes Questionnaire (SAQ) and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys were used to evaluate staff and patient perceptions of safety. Perioperative general surgery and obstetrical procedure observations generated process maps, which were analyzed for variability and waste. Results: Thirty-one SAQs were administered. 83% of workers held a positive perception of teamwork, and 77.4% held a positive perception of safety culture. Fifteen HCAHPS surveys of surgical inpatients showed a median hospital rating of 10 [IQR 8.5-10] on a ten-point scale. 90% gave maximal scores for pain management and 84.4% for nurse communication. Ten general surgery and obstetrical procedures were observed for which process map analysis was notable for no consistent waste steps and 100% adherence to the World Health Organization Safe Surgery Checklist. Conclusions: Surveys suggest an institutional commitment to safety with strong teamwork culture and patient communication. Perioperative process mapping supports this culture, with low levels of variability and waste, and is useful for evaluating standardization of care. VRAH demonstrates the feasibility of delivering high standards of perioperative care in a low-resource setting. en_US
dc.language.iso en en_US
dc.publisher Springer link en_US
dc.relation.ispartofseries Volume 43;Number 1
dc.subject Safety Culture en_US
dc.subject Perioperative Quality en_US
dc.subject Volta River Authority Hospital en_US
dc.subject Akosombo en_US
dc.subject Ghana en_US
dc.title Safety Culture and Perioperative Quality at the Volta River Authority Hospital in Akosombo, Ghana en_US
dc.type Article en_US


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