Perioperative Provider Safety in Low-and Middle-Income Countries During the COVID-19 Pandemic A Call for Renewed Investments in Resources and Training

Nichole Starr; Nina Capo-Chichi; Jolene Moore; Constance Shreckengost; Katie Fernandez; Reshma Ambulkar; John  Varallo; Adesoji Ademuyiwa; Sophallyda Krouch; Pankaj Singh Rana; JC Allen Ingabire; Thomas Weiser; Tihitena  Negusse Mammo; Faye Evans

doi:10.1097/SLA.0000000000005048

Perioperative Provider Safety in Low-and Middle-Income Countries During the COVID-19 Pandemic A Call for Renewed Investments in Resources and Training

Nichole Starr^* (Corresponding Author), Nina Capo-Chichi, Jolene Moore, Constance Shreckengost, Katie Fernandez, Reshma Ambulkar, John Varallo, Adesoji Ademuyiwa, Sophallyda Krouch, Pankaj Singh Rana, JC Allen Ingabire, Thomas Weiser, Tihitena Negusse Mammo, Faye Evans

^*Corresponding author for this work

Medical Education

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Abstract

During the COVID-19 pandemic, protection of the surgical workforce with proper PPE and safety practices is essential. We surveyed 230 surgical facilities and 507 perioperative clinicians in 52 low- and middle-income countries in October 2020 to understand ongoing resource and training limitations. Facilities and clinicians in the lowest income countries had severe shortages in PPE, viral anesthesia filters, and the least COVID-19 related training and protocol implementation, all of which were associated with low perceived workplace safety. Understanding these gaps can help to direct local and international responses to improve surgical provider safety until the pandemic comes to an end.

Original language	English
Pages (from-to)	e525-e627
Number of pages	3
Journal	Annals of Surgery
Volume	274
Issue number	6
Early online date	2 Jul 2021
DOIs	https://doi.org/10.1097/SLA.0000000000005048
Publication status	Published - 1 Dec 2021

Bibliographical note

We would like to acknowledge Eliana Lillevik, Luciano Barbosa, Daniela Farchi , Dr. Laila Woc-Colburn, Dr. Gustavo Moraes, Suko Dwi Nugroho, Nguyen Tri Dung, Dr. Rong Hu, Priya Desai and Senait Bitew for their contributions to language translations, survey distribution and data collection.

Dr. Starr reports grants from NIH Fogarty International Center (Global Health Equity Scholars NIH FIC D43TW010540), during the conduct of the study.

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Starr, N., Capo-Chichi, N., Moore, J., Shreckengost, C., Fernandez, K., Ambulkar, R., Varallo, J., Ademuyiwa, A., Krouch, S., Singh Rana, P., Ingabire, JC. A., Weiser, T., Negusse Mammo, T., & Evans, F. (2021). Perioperative Provider Safety in Low-and Middle-Income Countries During the COVID-19 Pandemic A Call for Renewed Investments in Resources and Training. Annals of Surgery, 274(6), e525-e627. https://doi.org/10.1097/SLA.0000000000005048

Starr, N, Capo-Chichi, N, Moore, J, Shreckengost, C, Fernandez, K, Ambulkar, R, Varallo, J, Ademuyiwa, A, Krouch, S, Singh Rana, P, Ingabire, JCA, Weiser, T, Negusse Mammo, T & Evans, F 2021, 'Perioperative Provider Safety in Low-and Middle-Income Countries During the COVID-19 Pandemic A Call for Renewed Investments in Resources and Training', Annals of Surgery, vol. 274, no. 6, pp. e525-e627. https://doi.org/10.1097/SLA.0000000000005048

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abstract = "During the COVID-19 pandemic, protection of the surgical workforce with proper PPE and safety practices is essential. We surveyed 230 surgical facilities and 507 perioperative clinicians in 52 low- and middle-income countries in October 2020 to understand ongoing resource and training limitations. Facilities and clinicians in the lowest income countries had severe shortages in PPE, viral anesthesia filters, and the least COVID-19 related training and protocol implementation, all of which were associated with low perceived workplace safety. Understanding these gaps can help to direct local and international responses to improve surgical provider safety until the pandemic comes to an end.",

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Perioperative Provider Safety in Low-and Middle-Income Countries During the COVID-19 Pandemic A Call for Renewed Investments in Resources and Training

Abstract

Bibliographical note

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