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Table 1 Intervention implementation activities

From: Implementation of a surgical unit-based safety programme in African hospitals: a multicentre qualitative study

Technical SSI Preventative Measures1 Adaptive Elements2
• Preoperative patient bathing
• Avoiding hair removal or performing it with clippers
• Optimisation of surgical site skin preparation
• Optimisation of surgical hand preparation
• Optimisation of surgical antibiotic prophylaxis (timing, dose, type of antibiotic, re-dosing)
• Improving discipline in the operating room (limiting number of people and door opening during operation)
• Formation of local SUSP perioperative team
• Hospital survey on patient safety, to raise awareness and assess current status of patient safety culture
• Patient safety video played by local surgical leaders
• CUSP adaptive tools:
 o Staff safety assessment
 o Learning from defects
• Morbidity and mortality meetings
• Participation in monthly multisite SUSP webinars
• Conduct of local educational meetings
• Feedback of data on SSI surveillance and compliance with SSI preventive measures
  1. SSI = survival site infection. SUSP=Surgical Unit-Based Safety Programme. CUSP=Comprehensive Unit-Based Safety Programme [1].Support materials related to the technical SSI preventive measures are available at https://www.who.int/infection-prevention/countries/surgical/en/ [2]. Materials from the CUSP study used in this project are available at https://www.ahrq.gov/professionals/quality-patient-safety/hais/tools/surgery/index.html