Background: The Surgical safety check list is an inexpensive tool capable of
shifting the hierarchical culture in the operating room and fostering patient safety attitudes
Aim of the study:The present study aimed to: 1) Evaluate compliance to World Health
Organization surgical safety check list in operating room in selected setting, 2) To
determine barriers of compliance to World Health Organization surgical safety check list
(WHO SSC) in selected hospital. Method:Descriptive Comparative design was utilized to
attain the aim of the present study. Sample: Convenience sample from all available health
care workers in operating room including 107 surgeons, 51 anesthesiologists and 120
nurses. Was collected with using tool consisted of two tools: Tool I: Part 1) Demographic
characteristics, Part II)Barriers of compliance to world health organization Surgical Safety
Checklist.Tool II: Compliance to world health organization surgical safety check list.
Reliability:The reliability test was made by Cranach Alfa = 0.818for clarify and
applicability. Results: Thestudy revealed that, there were statistically significant
differences regarding sign in for both nurses and anesthetists. Also, a strong statistically
significant difference was found regarding total score of both sign in and time out in two
hospitals. Mostly (83.3%) of the health care workers reported that lack of training about
SSC is the greatest barrier found.Conclusion:Majority of the health care workers reported
that lack of training about Surgical Safety Check list was the greatest barrier found, There
was no statistically significant difference between the two hospitals as regard compliance
to world health organization surgical safety in “time out “ and sign out .
Recommendations: applying surgical safety check list in operating room including
surgeons, anesthesiologists and nurses.