巴西手术安全核对表的实施：横断面研究。

Implementation of a surgical safety checklist in Brazil: cross-sectional study.

作者信息

Poveda Vanessa de Brito, Lemos Cassiane de Santana, Lopes Simone Garcia, Pereira Márcia Cristina de Oliveira, Carvalho Rachel de

机构信息

Universidade de São Paulo. São Paulo, São Paulo, Brazil.

Santa Casa de São Paulo. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2021 May 3;74(2):e20190874. doi: 10.1590/0034-7167-2019-0874. eCollection 2021.

DOI:10.1590/0034-7167-2019-0874

PMID:33950112

Abstract

OBJECTIVE

to identify the implementation process of the World Health Organization Surgical Safety Checklist in Brazilian hospitals.

METHODS

this is a cross-sectional study with 531 participants during a Congress of Perioperative Nursing, promoted by the Brazilian Association of Operating Room Nurses, Anesthetic Recovery and Material and Sterilization Center, in 2017.

RESULTS

among the nursing professionals included, 84.27% reported the checklist implementation in the workplace. Regarding daily application in the Sign-in stage, 79.65% of professionals confirmed patient identification with two indicators; in the Time-out stage, 51.36% of surgeries started regardless of confirmation of one of the items. In the Sign-out stage, 69.34% of professionals did not count or occasionally counted the surgical instruments and suture needles, and only 36.36% reviewed concerns about postoperative recovery.

CONCLUSION

this study identified needs for improvements in applying the checklist in the Brazilian reality, to guarantee safer surgical procedures.

摘要

目的

确定世界卫生组织手术安全核对表在巴西医院的实施过程。

方法

这是一项横断面研究，于2017年由巴西手术室护士、麻醉恢复以及材料与消毒中心协会在一次围手术期护理大会期间对531名参与者进行。

结果

在所纳入的护理专业人员中，84.27%报告在工作场所实施了核对表。关于签到阶段的日常应用，79.65%的专业人员通过两项指标确认了患者身份；在暂停阶段，51.36%的手术在一项项目未确认的情况下就开始了。在签出阶段，69.34%的专业人员没有清点或偶尔清点手术器械和缝合针，只有36.36%的人查看了有关术后恢复的问题。