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安全手术:术前与术后检查表的验证

Safe surgery: validation of pre and postoperative checklists.

作者信息

Alpendre Francine Taporosky, Cruz Elaine Drehmer de Almeida, Dyniewicz Ana Maria, Mantovani Maria de Fátima, Silva Ana Elisa Bauer de Camargo E, Santos Gabriela de Souza Dos

机构信息

Doctoral student, Universidade Federal do Paraná, Curitiba, PR, Brazil. RN, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.

PhD, Adjunct Professor, Universidade Federal do Paraná, Curitiba, PR, Brazil.

出版信息

Rev Lat Am Enfermagem. 2017 Jul 10;25:e2907. doi: 10.1590/1518-8345.1854.2907.

Abstract

OBJECTIVE

to develop, evaluate and validate a surgical safety checklist for patients in the pre and postoperative periods in surgical hospitalization units.

METHOD

methodological research carried out in a large public teaching hospital in the South of Brazil, with application of the principles of the Safe Surgery Saves Lives Programme of the World Health Organization. The checklist was applied to 16 nurses of 8 surgical units and submitted for validation by a group of eight experts using the Delphi method online.

RESULTS

the instrument was validated and it was achieved a mean score ≥1, level of agreement ≥75% and Cronbach's alpha >0.90. The final version included 97 safety indicators organized into six categories: identification, preoperative, immediate postoperative, immediate postoperative, other surgical complications, and hospital discharge.

CONCLUSION

the Surgical Safety Checklist in the Pre and Postoperative periods is another strategy to promote patient safety, as it allows the monitoring of predictive signs and symptoms of surgical complications and the early detection of adverse events.

摘要

目的

制定、评估并验证外科住院病房患者术前和术后的手术安全检查表。

方法

在巴西南部一家大型公立教学医院开展方法学研究,应用世界卫生组织“安全手术拯救生命”项目的原则。该检查表应用于8个外科科室的16名护士,并通过在线德尔菲法提交给一组8名专家进行验证。

结果

该工具得到验证,平均得分≥1,一致性水平≥75%,克朗巴哈系数>0.90。最终版本包括97项安全指标,分为六类:识别、术前、术后即刻、其他手术并发症和出院。

结论

术前和术后手术安全检查表是促进患者安全的另一项策略,因为它有助于监测手术并发症的预测体征和症状,并早期发现不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d49/5511001/ee6e17b0cc1a/0104-1169-rlae-25-e2907-gf1.jpg

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