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Table 5 Association of Implementation Status of Various Hospital and surgery attributes of (period I

From: Implementation of the WHO surgical safety checklist in resource-limited Somalia: a new standard in surgical safety

 

Checklist Adherence

OR(95%CI)

P-value

Good Adherence

Poor Adherence

 

Hospital Type

 

 General Hospital

121 (43.06%)

160 (56.94%)

1.00

 

 Specialty Hospital

22 (27.85%)

57 (72.15%)

0.47 (0.28–0.79)

0.004*

 Teaching Hospital

25 (26.32%)

70 (73.68%)

0.51 (0.3–0.88)

0.016*

Hospital Size

 

 Large (> 500 beds)

20 (24.10%)

63 (75.90%)

1.00

 

 Medium (100–500 beds)

85 (38.29%)

137 (61.71%)

1.95 (1.1–3.46)

0.021*

 Small (< 100 beds)

63 (42.00%)

87 (58.00%)

2.28 (1.25–4.15)

0.007*

Years of Service

 

 Less than 10 years

59 (24.38%)

183 (75.62%)

1.00

 

 10–30 years

18 (47.37%)

20 (52.63%)

2.79 (1.38–5.63)

0.004*

 More than 30 years

91 (52.00%)

84 (48.00%)

3.36 (2.21–5.1)

< 0.001*

Staffing

 

 Adequately Staffed

134 (36.22%)

236 (63.78%)

1.00

 

 Understaffed

34 (40.00%)

51 (60.00%)

1.17 (0.72–1.9)

0.515

Funding

 

 Non-Profit Organization

69 (62.73%)

41 (37.27%)

1.00

 

 Privately Funded

61 (23.28%)

201 (76.72%)

0.18 (0.11–0.29)

< 0.001*

 Publicly Funded

38 (45.78%)

45 (54.22%)

0.5 (0.28–0.9)

0.02*

Department of Surgery

 

 ENT

15 (18.52%)

66 (81.48%)

1.00

 

 General Surgery

31 (28.44%)

78 (71.56%)

1.75 (0.87–3.52)

0.117

 Gynecology

76 (50.67%)

74 (49.33%)

4.52 (2.37–8.62)

< 0.001*

 Obstetrics

37 (46.84%)

42 (53.16%)

3.88 (1.9–7.901

< 0.001*

 Orthopedics

5 (17.86%)

23 (82.14%)

0.96 (0.31–2.93)

0.938

 Urology

4 (50.00%)

4 (50.00%)

4.4 (0.99–19.62)

0.052

Type of Surgery

 Major Surgery

152 (42.58%)

205 (57.42%)

1.00

 

 Minor Surgery

16 (16.33%)

82 (83.67%)

0.26 (0.15–0.47)

< 0.001*

Urgency of Surgery

 

 Elective

69 (29.24%)

167 (70.76%)

1.00

 

 Emergency

99 (45.21%)

120 (54.79%)

2 (1.36–2.94)

< 0.001*

Duration of Surgery

 

 Less than 1 h

49 (34.27%)

94 (65.73%)

1.00

 

 1–3 h

119 (38.76%)

188 (61.24%)

1.21 (0.8–1.84)

0.359

 More than 3 h

0 (0.00%)

5 (100.00%)

-

0.998

Number of Staff in Operation

 

 Less than 5

48 (29.63%)

114 (70.37%)

1.00

 

 More than 5

120 (40.96%)

173 (59.04%)

1.65 (1.09–2.48)

0.017*