[为保障患者安全坚持使用手术清单]
[Adherence to the use of the surgical checklist for patient safety].
作者信息
Maziero Eliane Cristina Sanches, de Camargo Silva Ana Elisa Bauer, de Fátima Mantovani Maria, de Almeida Cruz Elaine Drehmer
机构信息
Universidade Federal do Paraná, Curitiba, Paraná, Brasil.
Departamento de Enfermagem, Universidade Federal de Goiás, Goiânia, Goiás, Brasil.
出版信息
Rev Gaucha Enferm. 2015 Dec;36(4):14-20. doi: 10.1590/1983-1447.2015.04.53716.
OBJECTIVE
Evaluate adherence to the checklist of the Programa Cirurgias Seguras (safe surgery programme) at a teaching hospital.
METHODS
Evaluative study conducted at a teaching hospital in the south of Brazil in 2012. Data were collected by means of non-participant observation in 20 hip and knee replacement surgeries and an instrument that was created for research based on the checklist and used by the institution.
RESULTS
In the observed procedures (n=20) there was significant adhesion (p<0.05) to the instrument in relation to the verification of documentation, fasting, hair removal in the surgical site, absence of nail varnish and accessories, identification of the patient and surgical site on admission to the surgical unit, availability of blood and functionality of materials. However, there was no significant adherence to the checklist in the operating room in relation to patient identification, procedure and laterality, team introduction, surgical break and materials count.
CONCLUSION
The results showed that the items on the checklist were verified nonverbally and there was no significant adherence to the instrument.
目的
评估一家教学医院对安全手术计划清单的依从性。
方法
2012年在巴西南部的一家教学医院开展评估性研究。通过对20例髋关节和膝关节置换手术进行非参与式观察以及使用基于该清单并由该机构创建的研究工具来收集数据。
结果
在观察的手术过程（n = 20）中，在文件核查、禁食、手术部位毛发去除、无指甲油和饰品、患者及手术部位进入手术单元时的识别、血液可用性和材料功能方面，对该工具存在显著依从性（p < 0.05）。然而，在手术室中，在患者识别、手术步骤及术侧、团队介绍、手术暂停和物品清点方面，对清单没有显著依从性。
结论
结果表明，清单上的项目通过非语言方式进行了核查，且对该工具没有显著依从性。
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