Table 4

Changes in personal practice

Surgeons
  • Early feeding and mobilisation

  • Valuing and respecting other staff

  • Taking time to talk to patients

  • Delegating certain tasks to nurses because they now trusted them as the nurses had also received training

  • Having the courage to say ‘no’ to surgery for patients with a poor prognosis so that the patients would not have unnecessary financial expenditure

Anaesthetists
  • Using anaesthesia checklists to help improve their preparation and organisation

  • Attempted to use the WHO Surgical Safety Checklist but encountered resistance, which made it difficult even though they wanted to use it

  • Hand washing and stricter asepsis during spinal anaesthesia

  • Using laryngeal mask airway

OR nurses
  • Better sterile technique

  • Hand washing

  • Attempted to use the WHO Surgical Safety Checklist but encountered resistance, which made it difficult even though they wanted to use it

  • Attempting to count swabs and instruments whenever the surgeons would let them

Ward nurses
  • 11/13 said they had changed their personal practice with regard to hand washing and infection control on the wards

  • Taking more care with medication (check calculations and doses with 2 people when possible)

  • Recording the dose and time when medication is given in the patients’ chart (this was not carried out before)

  • Early feeding and mobilisation after surgery

  • OR nurses, operating room nurses.