Surgical Safety in Pediatrics: practical application of the Pediatric Surgical Safety Checklist

Abstract

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.

Construction and Validation of Educational Material for Children with Hydrocephalus and Their Informal Caregivers

“…22,23 Therefore, providing information on the perioperative period and including the informal caregiver in the care are important coping strategies. 24 Accordingly, our educational material can meet some of these needs. Similarly, humanized care, communication, and the presence of confident and suitable professionals for the procedure bring relief and tranquility to the patients and help build a relationship of trust.…”

Segurança do paciente no cuidado à criança hospitalizada: evidências para enfermagem pediátrica

“…It is believed that the Paediatric Checklist for Safe Surgery ("CPCS") can contribute to the systematisation of care insofar as everyone involved understands the need to perform care-related activities. Consequently, the material can support changes related to the culture of paediatric patient safety (28) . Two other studies report the implementation of measures to improve the quality of patient care for children, such as the creation of an electronic form for skin evaluations, with records of placement and removal of elec- trodes for EEG and a more standardised method of skin cleansing performed in neonatal and paediatric intensive care units (29) , and the use of instruments to classify the risk of falls (30) .…”

Aplicabilidade Do Checklist De Cirurgia Segura Em Centros Cirúrgicos Hospitalares

“…Quando a comunicação entre a equipe de saúde não é efetiva, eventos como a suspensão de cirurgias, de procedimentos e de exames acabam se tornando comuns. Além disso, os pacientes ficam submetidos a longos períodos sem alimentação e, muitas vezes, não recebem a dieta adequada devido a essas falhas, que geram atrasos e não atendimento ao paciente 1 . Muitos erros gerados por falhas no processo de comunicação podem ser irreversíveis.…”

“…O alto fluxo de informações e o grande número de profissionais de diferentes equipes assistenciais, além da grande demanda de atividades, acarretam a necessidade de constante atualização e troca de informações com os pacientes, os familiares e as equipes. A falta de processos de comunicação integrados entre as diversas equipes de profissionais e os serviços de saúde é um fator que contribui para as falhas no atendimento 1 .…”

“…Alguns erros cometidos pelos profissionais de saúde repercutem fortemente na vida dos pacientes. Os eventos adversos que mais ocorrem são a realização de cirurgias em pacientes trocados ou erros de lateralidade 1 .…”