Ghazal Parsipour - Student of surgery room, Paramedical faculty, Shahroud medical university, Shahroud, Iran
Ali Dadgari - Geriatric nursing assistant professor, Nursing and midwifery faculty, Shahroud medical university, Shahroud, Iran
Javad Nourian - Assistant Professor of Anesthesiology, Department of Anesthesia and Intensive Care, Shahroud’s Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran

Introduction: One of the safety aspects in hospitals is patient safety. Studies show that 10% of patients in hospitals suffer from medical errors and it's harmful consequences while in some cases the errors can be prevented. Clinical audit ensures us with the standards and the proper treatment. According to the importance of patient safety and the need to calculate the norms and standards we decided to do a study with the aim of clinical audit for safe surgery in Shahroud medical university′s hospitals. Materials and methods: In this descriptive study, research environment was operating rooms of Shahroud medical university's hospitals between 2015-2016. The study surgical samples were selected randomly. Data was collected with WHO surgical safety checklist in the operating room. The checklist contained three parts. The first stage (Actions before anesthesia) contained 8 phrases, the second stage (pre-cut patient's skin actions) contained 10 phrases, and the third stage (actions before patient leaving) contained 5 phrases. Validity and reliability of study tool were determined by content and face validity and Inter- rater coefficient respectively. Data were analyzed by SPSS/16. Results: 54.26% of the safe surgical standards was observed in the operating rooms of Shahroud hospitals. 76.65% of surgical safety standards before anesthesia, 53.29% after unconsciousness and before the incision and 32.86% after the wound closure until the patient out of the operating room were respected. Conclusion: Since the criteria of safe surgery is below the standards suggested by the World Health Organization, hospital managers, supervisors and operation room heads should recognize the importance of patient safety as a serious issue and necessary arrangements must be taken for safety improvement.

Clinical audit, Surgery, Safety