Improving surgical quality in low-income and middle-income countries: why do some health facilities perform better than others?
Shehnaz AlidinaPritha ChatterjeeNoor ZanialSakshie Sanjay AlrejaRebecca BaliraDavid BarashEdwin ErnestGeofrey Charles GiitiErastus MainaAdelina MazhiqiRahma MushiCheri ReynoldsMeaghan SydlowskiFlorian TinugaSarah MaongeziJohn G MearaNtuli A KapologweErin BarringerMonica CainerIsabelle CitronAmanda DiMeoLaura FitzgeraldHiba GhandourMagdalena GruendlAugustino HellarDesmond T JumbamAdam KatotoLauren KellySteve KisakyeSalome KuchukhidzeTenzing N LamaGopal MenonStella MshanaChase ReynoldsHannington SegirinyaDorcas SimbaVictoria SmithSteven J StaffaChristopher StraderLeopold TibyehabwaAlena TroxelJohn VaralloTaylor WurdemanDavid ZurakowskiPublished in: BMJ quality & safety (2021)
Future interventions should be tailored to facility context and invest in strengthening teamwork, communication and collective learning and facilitate leadership engagement to build a receptive climate for successful implementation of safe surgery interventions.