use of the who surgical safety checklist on surgical management

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INTRODUCTION
Surgery is an integral part <strong>of</strong> health care and is one <strong>of</strong> <strong>the</strong> important actions
in medical. This surgery is one <strong>of</strong> <strong>the</strong> medical act which aims to save lives,
prevent disability and complications. However, <strong>surgical</strong>ly performed can also
engender a complication may endanger <strong>the</strong> life. 1
Data 56 (29%) surgery <strong>of</strong> <strong>the</strong> 192 countries members <strong>of</strong> <strong>the</strong> WHO and <strong>the</strong>
estimated 234.2 dissection (95% CI-281.2 187.2) take place each year around <strong>the</strong>
world. One million patients died <strong>of</strong> surgery, ei<strong>the</strong>r during surgery or after surgery
and 7 o<strong>the</strong>r million patients experienced complications. 2
Wound infection is <strong>the</strong> third largest operation that ca<strong>use</strong> nosocomial
infections. Wound infection led to operation morbditas, mortality and extend <strong>the</strong>
period <strong>of</strong> inpatient in <strong>the</strong> Hospital thus increasing maintenance costs between 10%
to 20% are wound infection surgery. The costs incurred by <strong>the</strong> patient and <strong>the</strong>
patient's family when it is not <strong>the</strong> occurrence <strong>of</strong> infections <strong>of</strong> wounds operations is $
31.523 but with <strong>the</strong> existence <strong>of</strong> operation wound infection becomes $ 75007. This
has resulted in material losses and imateril in patients and <strong>the</strong>ir families. 3.4.5
In <strong>the</strong> Act <strong>of</strong> surgery, <strong>the</strong> patient characteristics allow <strong>the</strong> occurrence <strong>of</strong>
infection with surgery wounds. The characteristics <strong>of</strong> <strong>the</strong>se patients include:
diabetes, smoking, steroids long-term, obesity, age, status and lack <strong>of</strong> nutrients by
<strong>the</strong> transfusion <strong>of</strong> operation. 5 Education is very influential on <strong>the</strong> subject <strong>of</strong> healthy
behavior, withhigher education level <strong>the</strong> higher <strong>the</strong> knowledge. As for o<strong>the</strong>r factors
that affect wound infections in Obstetrics and surgery SMF content <strong>of</strong>. Dr. Sardjito
Hospital Yogyakarta, that <strong>the</strong> quality and skills <strong>of</strong> <strong>the</strong> operator <strong>of</strong> <strong>the</strong> resident OR =
6,03 (95% CI: 12,03-18.02) statistically meaningful with P & Lt; 0.05. 6 Good
collaboration between surgeons, anes<strong>the</strong>sia and nurses very important in <strong>the</strong>
management <strong>surgical</strong> room. 7 Communication errors in <strong>surgical</strong> team is <strong>the</strong> ca<strong>use</strong> <strong>of</strong>
<strong>the</strong> occurrence <strong>of</strong> an error in surgery, ei<strong>the</strong>r on <strong>the</strong> side <strong>of</strong> <strong>the</strong> surgery as well as in