Surgical counts in open abdominal and pelvic surgeries in a university hospital: a best practice implementation project

Gomes, Eduardo Tavares; Galvão, Mayana Camila Barbosa; Shimoda, Gilcéria Tochika; Oliveira, Larissa Bertacchini de; Püschel, Vilanice Alves de Araújo

doi:10.1097/xeb.0000000000000253

Cited by 5 publications

(11 citation statements)

References 16 publications

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“…Evidence for surgical counting is currently available and there are many discussions and efforts towards implementing best practices ( 1 , 2 , 3 , 4 , 5 , 6 ) . To this end, institutional documents must be prepared in order to standardize the time to carry out the counts, the form of registration, actions to be taken in discrepant count and the relevant flows involved ( 6 ) .…”

Section: Discussionmentioning

confidence: 99%

“…The implementation project was reported in detail in another publication ( 5 ) . Considering that, at the time, there were no service statistics on cases and no institutional guidelines for surgical counting, a sample of open surgeries was audited to estimate possible failures in counting and to schedule the first intervention to implement a standardized evidence-based procedure.…”

Section: Methodsmentioning

confidence: 99%

“…Multidisciplinary engagement is a significant challenge, since, for successful counting, the entire surgical team must be involved, and nursing professionals have a leading role in favor of patient safety with the safe execution of the counting process (4) . Nursing-led initiatives can not only optimize processes related to surgical counting, but also ensure that personal factors related to surgical professionals or institutional, such as availability of time between surgeries, printouts for records and other resources for counting, interfere minimally with the success of a care instruction for this practice (4)(5)(6) . An evidence-based guideline should guide the nursing practice of surgical counting, in order to ensure patient and professional safety.…”

Section: Introductionmentioning

confidence: 99%

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Surgical counting: design of implementation and maintenance of a standardized evidence-based procedure

et al. 2023

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Objectives: to report the implementation and maintenance of an evidence-based Standard Operating Procedure for surgical counting performed at a teaching hospital. Methods: a report of a project to implement evidence for surgical counting, carried out at a university hospital in December 2017, and the subsequent cycles for better performance of the implemented organizational document and maintenance of better results until March 2022. Results: the report is divided into implementation project presentation and four other cycles after implementation, related to maintenance of improvements. It was possible to prepare a Standard Operating Procedure for Surgical Count, train the nursing team, carry out educational intervention for surgical teams. Final Considerations: there was an improvement in complying with the standardized procedure at the first moment and worsening in the period related to the pandemic. New efforts began again, including a self-instructive online course combined with first-time strategies.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical counting: design of implementation and maintenance of a standardized evidence-based procedure

et al. 2023

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“…O projeto de implementação foi relatado com detalhamento em outra publicação (5) . Tendo em vista não haver, na época, estatísticas do serviço sobre os casos e nem diretrizes institucionais para contagem cirúrgica, foi auditada uma amostra de cirurgias abertas para estimar as possíveis falhas na contagem e programar a primeira intervenção para implementação de um procedimento padronizado baseado em evidências.…”

Section: Métodosunclassified

“…O engajamento multidisciplinar é um desafio significativo, visto que, para o sucesso da contagem, todo o time cirúrgico deve estar envolvido, e os profissionais de enfermagem têm papel preponderante a favor da segurança do paciente com a execução segura do processo de contagem (4) . Iniciativas capitaneadas pela enfermagem podem não só otimizar os processos relacionados à contagem cirúrgica, mas assegurar que fatores pessoais relacionados aos profissionais da cirurgia ou institucionais, como disponibilidade de tempo entre as cirurgias, impressos para registros e outros recursos para a contagem, interfiram minimamente no sucesso de uma instrução assistencial para essa prática (4)(5)(6) . Uma diretriz baseada em evidências deve nortear a prática de enfermagem de contagem cirúrgica, de forma a garantir a segurança do paciente e profissionais.…”

Section: Introductionunclassified

Contagem cirúrgica: projeto de implementação e manutenção de um procedimento padronizado baseado em evidências

et al. 2023

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RESUMO Objetivos: relatar a implementação e manutenção de um Procedimento Operacional Padronizado baseado em evidências, para contagem cirúrgica, realizado em hospital universitário. Métodos: trata-se de relato de um projeto de implementação de evidências para contagem cirúrgica, realizado em um hospital universitário, iniciado em dezembro de 2017, e os ciclos subsequentes para melhor desempenho do documento organizacional implementado e manutenção de melhores resultados até março de 2022. Resultados: o relato está dividido em uma apresentação do projeto de implementação de evidências e mais quatro outros ciclos após a implementação, relacionados à manutenção das melhorias. Foi possível elaborar o documento Procedimento Operacional Padrão para a Contagem Cirúrgica no hospital, treinar a equipe de enfermagem, realizar intervenção educativa para as equipes cirúrgicas. Considerações Finais: houve melhora na adesão ao procedimento padronizado no primeiro momento e piora no período relacionado à pandemia. Novos esforços recomeçaram incluindo curso online autoinstrutivo aliado às estratégias do primeiro momento.

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Interventions for the Prevention of Retained Surgical Items: A Systematic Review

2021

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Background Retained surgical items (RSI) are preventable error events. Interest in reducing RSI is increasing globally because of increasing demand for safe surgery. While research of interventions to prevent RSI have been reported, no rigorous analysis of the type and effectiveness of interventions exists. This systematic review examines (1) what types of intervention have been implemented to prevent RSI; and (2) what is the effectiveness of those interventions.Methods We performed a systematic review of PubMed, Embase, CINAHL, Cochrane Library, Scopus, Clini-calTrials.gov, Mednar, and OpenGrey databases. Two reviewers independently screened a total of 1,792 titles and abstracts, and reviewed 87 full-text articles, resulting in 17 articles in the final analysis. Study characteristics included qualitative and quantitative studies that examined the effectiveness of RSI prevention interventions for adult patients who undergo open surgery. The primary outcome was RSI and related error events. Results Four studies and 13 quality improvement projects described RSI interventions categorized into four groups:(1) technology-based, (2) communication-based, (3) practice-or guideline-based, (4) interventions that fell into more than one category. Following guidance in the Quality Improvement minimum quality criteria set, the quality of all studies ranged from poor to fair. Heterogeneity in the interventions used and variable study quality limit our confidence in the interventions' ability to reduce RSI. Conclusion Since technology-based interventions may not be financially feasible in low and middle-income countries (LMIC), in those settings interventions that target the social system may be more appropriate. Rigorous methods to investigate local contexts and build knowledge are needed so that interventions to prevent RSI have a greater likelihood of success.

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Surgical counts in open abdominal and pelvic surgeries in a university hospital: a best practice implementation project

Cited by 5 publications

References 16 publications

Surgical counting: design of implementation and maintenance of a standardized evidence-based procedure

Surgical counting: design of implementation and maintenance of a standardized evidence-based procedure

Contagem cirúrgica: projeto de implementação e manutenção de um procedimento padronizado baseado em evidências

Interventions for the Prevention of Retained Surgical Items: A Systematic Review

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