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Table 2 Barriers and Facilitators

From: Qualitative outcomes of Clean Cut: implementation lessons from reducing surgical infections in Ethiopia

Material Resources Availability of autoclaves, indicators, soap and alcohol hand rub
Availability of paper and printer
Budget restrictions
Hospital investment in indicators, soap, and alcohol hand rub
Access to biomedical engineering services
Hospital Leadership Lack of awareness Administration buy-In
Purchasing power
Hospital Staff Job Burden
Resistance to SSC use during emergencies
Fear of punishment in the workplace and/or legal consequences
Motivations based on improving patient outcomes
Individual (financial) incentives
Positive team dynamics
1:1 Conversations
Personnel with prior QI experience
Knowledge, Beliefs & Education Belief that there is no problem of SSI in Ethiopia
Misreported data on SSI
Misunderstanding of sterility confirmation
Orientation by Lifebox
Presentations and conversations regarding perioperative evidence-based infection prevention practices
Data Collection Handwriting errors
Confusion among staff
Delayed payment
Insufficient “manpower”
Difficulty with patient follow-up
Teamwork and division of responsibilities
Creating a schedule for data collection
  1. SSC surgical safety checklist, SSI surgical site infection