The "Safe Pediatric Surgery Checklist", simulating the preoperative trajectory of children, is an instrument capable of contributing to the preparation and promotion of safe surgery, as it identifies the presence or absence of measures required to promote patient safety.
Objectives: to assess the practical application of the Pediatric Surgical Safety Checklist on
the preoperative period and to verify family satisfaction regarding the use of the
material. Method: exploratory study that aimed to analyze the use of the checklist by children who
underwent surgical interventions. The sample was constituted by 60 children (from
preschoolers to teens) and 60 family members. The variables related to demographic
characterization, filling out the checklist, and family satisfaction, being
evaluated through inferential and descriptive statistical analysis. Results: most children (71.7%) were male, with a median age of 7.5 years. We identified
the achievement of 65.3% of the checklist items, 30.0% were not filled due to
non-performance of the team and 4.7% for children and family reasons. In the
association analysis, we found that the removal of accessories item (p = 0.008)
was the most checked by older children. Regarding satisfaction, the family members
evaluated the material as great (63.3%) and good (36.7%) and believed that there
was a reduction of the child's anxiety (83.3%). Conclusion: the use of the checklist in clinical practice can change health services
regarding safety culture and promote customer satisfaction.
This experimental randomized study compared the effects of macrodrop and microdrop blood transfusion sets on red blood cell (RBC) hemolysis. Twenty units of packed RBCs from different donors were infused through 48 infusion sets from 2 manufacturers at infusion rates of 10 and 100 mL/h. Pre- and postinfusion analysis was performed to determine total hemoglobin (g/dL), hematocrit (%), free hemoglobin (g/dL), potassium (mmol/L), haptoglobin (g/L), and degree of hemolysis (%). The results demonstrated that the level of free hemoglobin (P < .001) and degree of hemolysis (P < .001) increased postinfusion. A higher degree of hemolysis was noted when the RBCs were infused at a rate of 10 mL/h through a microdrop blood transfusion set.
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