Filling in the Surgical Safety Checklist in Brazilian hospitals

Almeida, Raquel Elisa De; Rodrigues, Maria Cristina Soares

doi:10.15253/2175-6783.20181932567

Cited by 4 publications

(6 citation statements)

References 15 publications

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“…Corroborating this finding, an integrative review of Brazilian hospital researches, identified nonconformities in all included studies, through the incompleteness of the surgical safety check instrument. None of the studies presented 100% completion of the list items, which was related to the limited acceptance of the professionals (10) .…”

Section: Discussionmentioning

confidence: 99%

“…Satisfactory repercussions of the surgical safety procedure may be related to the conformity of the checklist application in health services, the completeness of its completion and the way of implementation (5)(6) . The introduction of the checklist in the OR routine is only an advent for surgical safety, since studies that analyzed its execution point to unsatisfactory levels of adhesion to the instrument (3,(7)(8)(9)(10)(11) . A review study on the checking of the checklist items in Brazilian hospitals identified that the practice is inadequate in the country, with a mean of measuring most safety items less than 80% (10) .…”

Section: Introductionmentioning

confidence: 99%

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Execução da lista de verificação de segurança cirúrgica em operações pediátricas: avaliação da conformidade

Almeida

Rodrigues

2019

Rev. Gaúcha Enferm.

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Resumo OBJETIVO Avaliar a conformidade da execução da lista de verificação de segurança cirúrgica. MÉTODOS Estudo avaliativo, observacional, transversal e descritivo, com abordagem quantitativa, realizado com 431 cirurgias pediátricas, em hospital público do Distrito Federal, entre agosto de 2017 e fevereiro de 2018. Os dados foram coletados por observação não participante e analisados por estatística descritiva. RESULTADOS O checklist foi realizado em 90,3% das cirurgias, no entanto, a completude do instrumento e a adesão verbal a todos os itens não foram observadas em nenhum procedimento. 95,4% das cirurgias prosseguiram mesmo com a identificação de falhas em processos de segurança. Observou-se checagens inapropriadas, inexatidão do momento de aplicação, execução na ausência de profissionais essenciais e falta de participação ativa. CONCLUSÕES O estudo revelou inconformidades na adesão ao checklist e na execução de práticas seguras, configurando um alerta para o risco sistemático sofrido pelo paciente cirúrgico e para a necessidade de intervenções imediatas.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Execução da lista de verificação de segurança cirúrgica em operações pediátricas: avaliação da conformidade

Almeida

Rodrigues

2019

Rev. Gaúcha Enferm.

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“…In view of the magnitude of these problems, international strategies such as the World Alliance for Patient Safety, Global Challenges, the Surgical Safety Checklist (SSC), and national strategies such as the National Patient Safety Program (NPSP), the implantation of Safety System Nuclei (SSNs), and the Brazilian Network of Sentinel Hospitals, among other measures, were created with a focus on improving the quality of patient safety in order to reduce possible incidents and adverse events [8,[12][13][14].…”

Section: International Journal Of Advanced Engineering Research and Science (Ijaers)mentioning

confidence: 99%

Strategies for Preventing Adverse Events in the Surgical Center

Pereira¹,

Souza²,

Silva³

et al. 2020

IJAERS

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The study aims to identify the strategies used to prevent adverse events in surgical centers. The method used was a systematic literature review, based on the LILACS, MEDLINE, BDENF, Science Direct, PubMed/MEDLINE databases. The following descriptors were crossed: "Medical errors AND Surgical Centers", "Patient Safety AND Surgical Centers". 841 publications were found in the databases, of these, 709 were in MEDLINE, 56 in LILACS, 38 in BDENF,11 in Science Direct and 27 in PubMed. Only 2 articles were included in the review, which included strategies such as: implementing an incident reporting system and a formal event analysis program, perioperative checklist, morbidity and mortality conferences, identification bracelets, training or systematic education in the introduction of new devices. To reduce adverse events, it is necessary to identify them, because the perception of failures in the different phases of care, allows the identification of recurrent errors and a critical assessment for decision making, which contributes to the prevention of subsequent errors and more effective interventions.

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“…Impactos positivos do preenchimento adequado que constam na Lista de Verificação de Segurança Cirúrgica incluem, por exemplo, a redução da taxa de mortalidade e de complicações cirúrgicas (5) . No entanto, sua adoção precisa ser melhor trabalhada na área da saúde, visto que ainda são identificadas falhas e resistência em sua utilização, como, por exemplo, na análise sobre o preenchimento do checklist em hospitais brasileiros que identificou média de preenchimento menor que 80% para a maioria dos itens, sugerindo baixa adesão na sua utilização (6) .…”

Section: Introductionunclassified

“…Aspectos sobre a adesão ao preenchimento do checklist de cirurgia segura e impactos da implementação são avaliados na literatura (4)(5)(6) . No entanto, para a segurança cirúrgica, é necessário que os registros dos dados estejam completos e disponíveis não somente no período transoperatório, mas também no pré e pós-operatório.…”

Section: Introductionunclassified

Inadequate completion of surgical data for patient safety: opinion of health professionals

et al. 2021

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Objective: to investigate variables related to inadequate completion of surgical data for patient safety in the hospital setting in the opinion of health professionals. Methods: retrospective study in 180 medical records of surgical patients in a public hospital and application of a structured questionnaire to caregivers responsible for filling out the surgical data of patients. Descriptive statistical analysis was performed. Results: the medical records showed incomplete surgical records in the preoperative period (61%), intraoperative period (66%) and immediate postoperative period (87%). Professionals reported not knowing the protocol for safe surgery (62%) and the institution's surgical safety form (68%), 87% were not trained to use the intraoperative checklist, 66% considered the number of staff inadequate and 55% considered communication ineffective. Conclusion: in the opinion of health professionals, insufficient professional knowledge, lack of training, inadequate staffing and ineffective communication may be related to inadequate completion of surgical data and patient safety.

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Filling in the Surgical Safety Checklist in Brazilian hospitals

Cited by 4 publications

References 15 publications

Execução da lista de verificação de segurança cirúrgica em operações pediátricas: avaliação da conformidade

Execução da lista de verificação de segurança cirúrgica em operações pediátricas: avaliação da conformidade

Strategies for Preventing Adverse Events in the Surgical Center

Inadequate completion of surgical data for patient safety: opinion of health professionals

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