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We previously developed and pilot tested Clean Cut, a program to prevent postoperative infections by improving compliance with the WHO Surgical Safety Checklist (SSC) and strengthening adherence to infection control practices. This protocol describes the CheckList Expansion for Antisepsis and iNfection Control in Cesarean Section (CLEAN-CS) trial evaluating our program’s ability to reduce infections following […]

Although pulse oximetry monitoring capacity is well met in most of the Ethiopian operating rooms surveyed, four referral and two general hospitals reported at least one operating room without a patient monitor. Furthermore, large gaps remain in other critical units of the hospital, including PACUs, ICUs, and emergency rooms, where on average there were 1–3 […]

Proper sterilization of surgical instruments is essential for safe surgery, yet re-processing methods in low-resource settings can fall short of standards. Training of Trainers (TOT) workshops in Ethiopia and El Salvador instructed participants in sterile processing concepts and prepared participants to teach others. This study examines participants’ knowledge and confidence post-TOT workshop, and moreover discusses […]

No device satisfied all the predetermined specifications, and large price discrepancies were critical factors leading surgeons’ choices. The favored device is undergoing modification by the manufacturer based on design feedback so an affordable, high-quality surgical headlight crafted specifically for the needs of resource-constrained settings can be used to improve surgical safety. Authors: N. Starr, N. […]

If you’ve seen our excitement on Facebook or watched us struggle to contain our characters on Twitter, you’ll know that we’ve got some big news to share. The British Medical Journal, one of the most prestigious peer-reviewed medical journals in the U.K., has – well – we’ll let them tell you: “Christmas is coming and this week […]

They say that the recession is affecting charitable giving. We say, have you met the readers of the British Medical Journal. Over the last two months, a stationer’s rainbow of envelopes has greeted our mornings and a rush of online donations have cheered our afternoons (sometimes we actually cheered!) Generous readers have raised more than […]

…is blue and red to map the anatomically-correct arteries of the heart, sculpted from madeira cake by a cardiac anaesthetist. …is yellow and artfully piped above a simple Victoria Sandwich loaf in the shape of an oxylog for transport. …sits on a strawberry jam and butter filling, below the sugar paste head, feet and guts […]

“Suddenly, to no one’s surprise, a large black object, namely Remy’s suitcase, flew off the roof, down the windshield and landed in front of us.” Between the needs assessment and the measurement; alongside the logistics of funding and coordinating equipment distribution and training for a hundred people traveling in from a hundred different directions – behind […]

The first ever global guidelines focused exclusively on the prevention of surgical site infection were published by the World Health Organization on 3 November 2016. Designed to address the increasing burden of healthcare-associated infections on both patients and systems globally, the guidelines include 29 concrete recommendations distilled from 26 reviews of the latest evidence, by 20 of […]

The American Society of Anesthesiologists (ASA) has launched a campaign to raise donations for Lifebox. The campaign will help us provide pulse oximetry for thousands of people undergoing surgery in low-resource settings. Visit the Global Humanitarian Outreach section of the ASA website for information on how you can support its campaign. You can also read more […]